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Effects of Preferred Provider Organizations on Health Care Use and Costs: Pooled Cross-Sectional Time Series, First Quarter 1988 Through First Quarter 1990 (ICPSR 6373)

Released/updated on: 2006-01-12

Geographic coverage: United States

Time period: 1988-01-01--1990-03-31

This research project studied the effects of Preferred Provider Organizations (PPOs) on health care use and costs in comparison with indemnity health care plans and indemnity plans with utilization review (UR). The data cover nine quarters of a single insurer's claims experience with these types of health care plans. The unit of observation is the employer group covered by a given plan. Variables describing claims experience include number of claims, reimbursed costs after copayments and deductibles, hospital expenditures, number of hospital admissions, percent of claims in different diagnostic categories (surgery, tumors, births, and mental health), and number of tonsillectomy/adenoidectomy and colonoscopy cases. Reported characteristics of these groups include coinsurance rates, plan type, industry of employer, group mean age, percent of covered lives with dental or prescription drug coverage, and percent of covered lives that were women or dependents. In addition, the data contain variables describing the market in which each group was located, such as number of hospital beds in the city or county, number of hospitals and health maintenance organizations in the metropolitan statistical area, median rental cost for housing units in the city or county, percent of county or city that was Black or age 65 or older, number of nonfederal physicians in the county, and number of PPOs in the state.

Curated

Partially restricted

Local Health Department Infrastructure Study, 1999-2000: [United States] (ICPSR 3185)

Released/updated on: 2024-02-14

Time period: 1999-01-01--2000-01-01

The purpose of this survey was to address the paucity of current data on the United States' local public health infrastructure and to advance understanding of the many ways local public health agencies contribute to keeping the nation's population and environment healthy. The survey collected information on local health department (LHD) characteristics (e.g., type of jurisdiction served, office to which the LHD reported directly, total expenditures, and sources of the LHD's total budget), priority program areas, and public health services provided directly or through contracts with others. Additional data cover LHD workforce composition, staffing needs, workforce training, and partnerships and collaborations with other groups and organizations, such as state or federal agencies, hospitals, HMOs, community health centers, universities, community-based organizations, professional associations, faith communities/churches, and business/private corporations. LHDs also reported on completion of community health assessments and development of community health improvement plans.

Curated

Partially restricted

Simple Crosstabs

Massachusetts Health Reform Survey, 2018 (ICPSR 37411)

Released/updated on: 2019-10-24

Geographic coverage: Massachusetts

Time period: 2018-02-05--2018-05-03

In April 2006, Massachusetts passed a comprehensive health care reform bill entitled An Act Providing Access To Affordable, Quality, Accountable Health Care (Chapter 58 of the Acts of 2006), that sought to move the state to near universal coverage. In order to track the impacts of Chapter 58, the Blue Cross Blue Shield of Massachusetts Foundation began funding an annual telephone survey of nonelderly adults in the Commonwealth in fall 2006, just prior to the implementation of key elements of the law. That survey, called the Massachusetts Health Reform Survey (MHRS), was fielded in the fall of 2006-2010, 2012, 2013, 2015, and 2018. This data collection comprises data from the 2018 round of the Massachusetts Health Reform Survey (MHRS). Topics covered by the survey include health insurance status; specific types of health insurance coverage held by the survey respondents; insurance premiums and covered services for those with insurance; access to and use of health care; out-of-pocket health care costs and medical debt; health and disability status; mental health and substance use disorders. Demographic variables include income, race, and employment status.

Curated

Simple Crosstabs

National Survey of Health Attitudes, [United States], 2015 (ICPSR 37405)

Released/updated on: 2021-12-14

Geographic coverage: United States

Time period: 2015-03-13--2015-04-14

Since 2013, the Robert Wood Johnson Foundation (RWJF) has led the development of a pioneering national action framework to advance a "culture that enables all in our diverse society to lead healthier lives now and for generations to come." Accomplishing these principles requires a national paradigm shift from a traditionally disease and health care-centric view of health toward one that focuses on well-being. Recognizing that paradigm shifts require intentional actions, RWJF worked with RAND researchers to design an actionable path to fulfill the Culture of Health (CoH) vision. A central piece of this work is the development of measures to assess constructs underlying a CoH.

The National Survey of Health Attitudes is a survey that RWJF and RAND analysts developed and conducted as part of the foundation's CoH strategic framework. The foundation undertook this survey to measure key constructs that could not be measured in other data sources. Thus, the survey was not meant to capture the full action framework that informs CoH, but rather just selected measure areas. The questions in this survey primarily addressed the action area: making health a shared value. The survey covers a variety of topics, including views regarding what factors influence health, such as the notion of health interdependence (peer, family, neighborhood, and workplace drivers of health), values related to national and community investment for health and well-being; behaviors around health and well-being, including civic engagement on behalf of health, and the role of community engagement and sense of community in relation to health attitudes and values.

Curated

Simple Crosstabs

National Survey of Health Attitudes, [United States], 2018 (ICPSR 37633)

Released/updated on: 2021-12-16

Geographic coverage: United States

Time period: 2018-07-11--2018-08-30

Since 2013, the Robert Wood Johnson Foundation (RWJF) has led the development of a pioneering national action framework to advance a "culture that enables all in our diverse society to lead healthier lives now and for generations to come." Accomplishing these principles requires a national paradigm shift from a traditionally disease and health care-centric view of health toward one that focuses on well-being. Recognizing that paradigm shifts require intentional actions, RWJF worked with RAND researchers to design an actionable path to fulfill the Culture of Health (CoH) vision. A central piece of this work is the development of measures to assess constructs underlying a CoH.

The National Survey of Health Attitudes is a survey that RWJF and RAND analysts developed and conducted as part of the foundation's CoH strategic framework. The foundation undertook this survey to measure key constructs that could not be measured in other data sources. Thus, the survey was not meant to capture the full action framework that informs CoH, but rather just selected measure areas. The questions in this survey primarily addressed the action area: making health a shared value. The survey covers a variety of topics, including views regarding what factors influence health, such as the notion of health interdependence (peer, family, neighborhood, and workplace drivers of health), values related to national and community investment for health and well-being; behaviors around health and well-being, including civic engagement on behalf of health, and the role of community engagement and sense of community in relation to health attitudes and values.

This study includes the results from the 2018 RWJF National Survey of Health Attitudes. This 2018 survey is considered the second wave, the first wave of the survey was conducted in 2015 (ICPSR 37405). In 2018, the study team fielded an updated version that included many of the same questions but added some new constructs that were of interest as part of the larger Culture of Health effort. This study complements the overview of the 2015 survey described in the RAND report Development of the Robert Wood Johnson Foundation National Survey of Health Attitudes (Carman et al., 2016).

Curated

Simple Crosstabs

National Survey of Health Attitudes, [United States], 2023 (ICPSR 39205)

Released/updated on: 2024-12-05

Geographic coverage: United States

Time period: 2023-11-27--2023-12-19

Since 2013, the Robert Wood Johnson Foundation (RWJF) has led the development of a pioneering national action framework to advance a "culture that enables all in our diverse society to lead healthier lives now and for generations to come." Accomplishing these principles requires a national paradigm shift from a traditionally disease and health care-centric view of health toward one that focuses on well-being. Recognizing that paradigm shifts require intentional actions, RWJF worked with RAND researchers to design an actionable path to fulfill the Culture of Health (CoH) vision. A central piece of this work is the development of measures to assess constructs underlying a CoH.

The National Survey of Health Attitudes (NSHA) is a survey that RWJF and RAND analysts developed and conducted as part of the foundation's CoH strategic framework. The foundation undertook this survey to measure key constructs that could not be measured in other data sources. Thus, the survey was not meant to capture the full action framework that informs CoH, but rather just selected measure areas. The questions in this survey primarily addressed the action area: making health a shared value. The survey covers a variety of topics, including views regarding what factors influence health, such as the notion of health interdependence (peer, family, neighborhood, and workplace drivers of health), values related to national and community investment for health and well-being; behaviors around health and well-being, including civic engagement on behalf of health, and the role of community engagement and sense of community in relation to health attitudes and values.

This study includes the results from the 2023 RWJF National Survey of Health Attitudes. The 2023 survey is the third wave of the NSHA. The first wave was conducted in 2015 (ICPSR 37405) and the second wave in 2018 (ICPSR 37633). The 2023 report complements the overview of the 2015 survey described in the RAND report Development of the Robert Wood Johnson Foundation National Survey of Health Attitudes (Carman et al., 2016), and its subsequent topline 2018 Survey of National Health Attitudes: Description and Top-Line Summary (Carman et al., 2019) and is organized similarly for consistency. A companion set of longitudinal surveys during the COVID-19 pandemic was fielded between 2020 and 2021 and is further described in four top-line reports, COVID-19 and the Experiences of Populations at Greater Risk (Carman et al., 2020-2021).

The questions in the 2023 survey uniquely capture aspects of American mindset about health, health equity, structural racism, and wellbeing in ways that are not present in other surveys. This version of the NSHA can be viewed in three main sections: (1) individual health experiences, perspectives, and knowledge (making health a shared value); (2) health equity perspectives; and (3) community wellbeing, including climate views and barriers to community engagement. Insights from the surveys referenced above, including this one, have established a baseline and set of cross-sectional pulse checks on where the American public is regarding their recognition of social determinants of health, their understanding of health inequities including structural racism, their willingness to address those inequities and their indication of who in society should be responsible for solving health inequities.

Curated

Partially restricted

New York Medicaid Expenditures for People with Developmental Disabilities, 1987-1991 (ICPSR 6350)

Released/updated on: 2024-02-14

Geographic coverage: United States, New York (state)

Time period: 1987-01-01--1991-01-01

This study provides information on Medicaid expenditures for adults with developmental disabilities in New York State. The data were derived from two sources: the New York Office of Mental Retardation and Developmental Disabilities' Developmental Disabilities Profile (OMRDD-DDP) and the New York State Medicaid Management Information System (MMIS). Variables from OMRDD-DDP include client's age, sex, race, Hispanic origin, spoken language, level of intellectual functioning, living arrangement, type of developmental disability (mental retardation, cerebral palsy, autism, epilepsy, learning disability, neurological impairment), whether the client was on medication, and whether he or she had been institutionalized for five years or more. MMIS variables include expenditures for medications and expenditures from Medicaid claims submitted by hospital outpatient departments and clinics. Additional MMIS variables include expenditures from Medicare claims submitted by providers of day treatment, home health care, and medical supplies, as well as providers of physician, nursing, dental, vision, psychological, and laboratory services.