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Comparative Analysis of Small and Large Group Health Care Utilization and Costs, 1988-1990: [Western Pennsylvania] (ICPSR 6859) RSS

Principal Investigator(s):

Summary:

To investigate whether the use of health care services is a function of firm size, this project assembled longitudinal data on private health insurance claims for firms located in western Pennsylvania. Parts 1-3 are person-level files for health insurance claims and include variables such as contract relationship (contract holder/employee, spouse/dependent), gender, age (less than or equal to 14 years, 14+), utilization type (hospital inpatient, hospital outpatient, professional, major medical), quarter and year of discharge for hospital inpatient utilization, quarter and year of service for hospital outpatient and professional services utilization, length of stay (high, medium, low), type of professional claim (inpatient, outpatient, office, other), and total and average charges (high, medium, low). Firm-level variables in Parts 4-6 include average age, percent of enrollees under age 14, and firm size as measured by the number of contracts or the average number of employed plan participants in three categories (1-50, 51-500, and 500+). Additional firm-level variables are measured as three-tier indices (high, medium, and low): proportions of enrollees with inpatient, outpatient, professional, and major medical utilization, average charge per day and average length of stay for inpatient utilization, average charge per claim for outpatient utilization and for professional services, and average charges per admission and services for major medical utilization.

Access Notes

  • These data are freely available.

Dataset(s)

WARNING: This study is over 150MB in size and may take several minutes to download on a typical internet connection.

DS0:  Study-Level Files
Documentation:
DS1:  1988 Patient-Level Utilization Data - Download All Files (224.9 MB) large dataset
Data:
DS2:  1989 Patient-Level Utilization Data - Download All Files (241 MB) large dataset
Data:
DS3:  1990 Patient-Level Utilization Data - Download All Files (252.3 MB) large dataset
Data:
DS4:  1988 Firm-Level Utilization Data - Download All Files (0.3 MB)
Data:
DS5:  1989 Firm-Level Utilization Data - Download All Files (0.3 MB)
Data:
DS6:  1990 Firm-Level Utilization Data - Download All Files (0.3 MB)
Data:

Study Description

Citation

Young, Wanda W., and Neil Hollander. Comparative Analysis of Small and Large Group Health Care Utilization and Costs, 1988-1990: [Western Pennsylvania]. ICPSR06859-v1. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 1997. http://doi.org/10.3886/ICPSR06859.v1

Persistent URL:

Export Citation:

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Funding

This study was funded by:

  • Robert Wood Johnson Foundation (18731)

Scope of Study

Time Period:  

  • 1988--1990

Date of Collection:  

  • 1988--1990

Universe:   All health insurance subscribers of firms that were active customers of Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield during all or part of the 1988-1990 study period.

Data Types:   administrative records data

Data Collection Notes:

(1) The patient-level utilization data in Parts 1-3 comprise four record types. Each record type begins with the same six variables, but the remaining variables depend on the value of the "Utilization Type" variable. Utilization Type 1 records contain data for 7 hospital inpatient claims utilization variables (a total of 13 variables). Utilization Type 2 records contain data for 4 hospital outpatient claims utilization variables (a total of 10 variables). Utilization Type 3 records contain data for 4 professional services utilization variables (a total of 10 variables). Utilization Type 4 records contain data for 20 major medical claims utilization variables (a total of 26 variables). (2) The codebook is provided as a Portable Document Format (PDF) file. The PDF file format was developed by Adobe Systems Incorporated and can be accessed using PDF reader software, such as the Adobe Acrobat Reader. Information on how to obtain a copy of the Acrobat Reader is provided through the ICPSR Website on the Internet.

Methodology

Data Source:

Blue Cross of Western Pennsylvania and Pennsylvania Blue Shield

Version(s)

Original ICPSR Release:  

Version History:

  • 2006-01-18 File CB6859.ALL.PDF was removed from any previous datasets and flagged as a study-level file, so that it will accompany all downloads.
  • 1997-11-14 The documentation for this study is now available as a PDF file.

Related Publications (see Notes)

Utilities

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