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Rehabilitation Dataset Directory: Dataset Profile

Dataset: Medical Expenditure Panel Survey  (MEPS)

Basic Information
Dataset full name: Medical Expenditure Panel Survey 
Dataset acronym MEPS
Summary The MEPS is a multi-component national probability sample survey of individuals, families, health care providers, and employers across the United States. This survey was initiated in 1996 with the purpose of providing national-level estimates of health care utilization, health care access, expenditures, and health insurance coverage of the non-institutionalized U.S. civilian population. The MEPS has three major components: (1) MEPS Household Component - MEPS HC; (2) MEPS Medical Provider Component - MEPS MPC; and (3) MEPS Insurance/Employer Component - MEPS IC. The MEPS HC has been extensively used by researchers as it is a public-use dataset containing key variables of interest; all other MEPS components are only available as restricted-use files.
Key Terms Health Care Expenditure, Health Care Access, Health Care Utilization, Health Insurance and Coverage, Chronic Conditions
Study Design Longitudinal
Data Type(s) Survey
Sponsoring Agency/Entity Department of Health and Human Services (HHS): Agency for Healthcare Research and Quality (AHRQ)
Health conditions/Disability measures
Health condition(s) Alzheimer’s/dementia, Anxiety disorders, Cancer, Depression, Diabetes, ICD-9/10 diagnostic codes
Disability Measures Ambulatory disability, Cognitive disability, Functional limitations (ADLs & IADLs), Hearing disability, Independent living disability, Mental health disability, Physical disability, Self-care disability, Special equipment use/assistive technology, Visual disability, Work limitation
Measures/outcomes of interest
Topics Health care expenditure, Out-of-pocket payments, Health insurance, Health care access and utilization, Emergency room visits, Inpatient visits, Hospital stay, Dental visits, Outpatient visits, Outpatient procedures, Employment, Obesity, Health behaviors
Sample Population Civilian households and non-institutionalized group quarters
Sample Size/Notes
Unit of Observation Individual
Geographic Coverage 32,320 persons completed the HC survey across 11,918 households in 2005.   A new panel of households is selected each year for inclusion in the MEPS HC from a subsample of the previous year’s NHIS households with oversampling of low-income households. The households participate in five rounds of interviews over two years. In any given year, the MEPS HC is comprised of two overlapping panels that yield a combined annual sample size of approximately 15,000 households.
Geographic specificity National
Data Collection
Data Collection Mode National-level estimates; some state-level estimates possible with pooling of data across several years (may not be very reliable)
Years Collected In-person interviews administered to household representative (age equal to or greater than age of majority) by trained interviewers from U.S. Census Bureau. One random sample adult from household is interviewed to document adult health status and data i
Data Collection Frequency 1996 - present
Strengths and limitations
Strengths Annual
Limitations Only nationally representative dataset collecting information on health care use, expenditure, access to health care and health insurance, ADL and IADL variables. Self-reported medical conditions coded into ICD-9 format allowing a better understanding of disease condition. Detailed information on jobs held. longitudinal panel design allows for estimating changes over two year period for each panel. NHIS MEPS linkages provides further follow-up on common areas. Oversampling of individuals below 200% of the Federal Poverty Line (FPL) provides better estimate of this group.
Data details
Primary Website Only national level statistics. State-level statistics are possible by pooling data cross years, but they are not very reliable. Does not include population living in institutionalized group quarters. MEPS IC and MEPS MPC components are restricted user files and difficult to access.
Data Access
Data Access Requirements Public Use Dataset: MEPS HC files Data Use agreement No cost: MEPS HC files with fully-specified ICD-9 diagnostic codes and all MEPS IC and MEPS MPC files
Summary Tables/reports
Dataset components (where applicable)
Selected papers
Technical MEPS Household Component - MEPS HC;
MEPS Medical Provider Component - MEPS MPC; and
MEPS Insurance/Employer Component - MEPS IC
Other Papers Multiple technical reports on sample-size and variance estimation methods

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The Rehabilitation Research Cross-dataset Variable Catalog has been developed through the Center for Large Data Research & Data Sharing in Rehabilitation (CLDR). The Center for Large Data Research and Data Sharing in Rehabilitation involves a consortium of investigators from the University of Texas Medical Branch, Cornell University's Yang Tan Institute (YTI), and the University of Michigan. The CLDR is funded by NIH - National Institute of Child Health and Human Development, through the National Center for Medical Rehabilitation Research, the National Institute for Neurological Disorders and Stroke, and the National Institute of Biomedical Imaging and Bioengineering. (P2CHD065702).

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