000721009 000__ 05901cam\a2200457\i\4500 000721009 001__ 721009 000721009 005__ 20210515103403.0 000721009 006__ m\\\\\o\\d\\\\\\\\ 000721009 007__ cr\cn\nnnunnun 000721009 008__ 130626t20122012dcua\\\\ob\\\\000\0\eng\d 000721009 020__ $$z9780309266048$$qpaperback 000721009 020__ $$z0309266041$$qpaperback 000721009 020__ $$a9780309266055$$qelectronic book 000721009 035__ $$a(CaPaEBR)ebr10863922 000721009 035__ $$a(OCoLC)880439904 000721009 040__ $$aCaPaEBR$$beng$$erda$$epn$$cCaPaEBR 000721009 043__ $$an-us--- 000721009 05014 $$aRA410$$b.P36 2012eb 000721009 08204 $$a338.4/336210973$$223 000721009 1102_ $$aPanel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure,$$eissuing body. 000721009 24510 $$aMedical care economic risk$$h[electronic resource] :$$bmeasuring financial vulnerability from spending on medical care /$$cPanel on Measuring Medical Care Risk in Conjunction with the New Supplemental Income Poverty Measure ; Michael J. O'Grady and Gooloo S. Wunderlich, editors ; Committee on National Statistics, Division of Behavioral and Social Sciences and Education and Board on Health Care Services ; Institute of Medicine ; National Research Council and Institute of Medicine of the National Academies. 000721009 264_1 $$aWashington, District of Columbia :$$bNational Academies Press,$$c[2012] 000721009 264_4 $$c©2012 000721009 300__ $$a1 online resource (311 pages) :$$billustrations 000721009 336__ $$atext$$2rdacontent 000721009 337__ $$acomputer$$2rdamedia 000721009 338__ $$aonline resource$$2rdacarrier 000721009 504__ $$aIncludes bibliographical references. 000721009 5050_ $$aReview and recommendations (Introduction -- Concepts of medical care economic burden and risk -- Concepts of resources -- Measures of medical care economic risk and recommended approach -- Data sources -- Implementing measures of medical care economic burden and risk) -- Resources for the study: developing a measure of medical care economic risk-workshop summary (Introduction -- Context for the workshop -- Measuring medical care economic risk -- Issues in the development of thresholds -- issues in defining resources -- Implementation issues -- Recap of issues and next steps) -- Resources for the study: background papers (Conceptual framework for measuring medical care ecnomic risk -- Incorporating data on assets into measures of financial burdens of health -- An assessment of data sources for measuring medical care economic risk). 000721009 506__ $$aAccess limited to authorized users. 000721009 520__ $$a"The United States has seen major advances in medical care during the past decades, but access to care at an affordable cost is not universal. Many Americans lack health care insurance of any kind, and many others with insurance are nonetheless exposed to financial risk because of high premiums, deductibles, co-pays, limits on insurance payments, and uncovered services. One might expect that the U.S. poverty measure would capture these financial effects and trends in them over time. Yet the current official poverty measure developed in the early 1960s does not take into account significant increases and variations in medical care costs, insurance coverage, out-of-pocket spending, and the financial burden imposed on families and individuals. Although medical costs consume a growing share of family and national income and studies regularly document high rates of medical financial stress and debt, the current poverty measure does not capture the consequences for families' economic security or their income available for other basic needs. In 1995, a panel of the National Research Council (NRC) recommended a new poverty measure, which compares families' disposable income to poverty thresholds based on current spending for food, clothing, shelter, utilities, and a little more. The panel's recommendations stimulated extensive collaborative research involving several government agencies on experimental poverty measures that led to a new research Supplemental Poverty Measure (SPM), which the U.S. Census Bureau first published in November 2011 and will update annually. Analyses of the effects of including and excluding certain factors from the new SPM showed that, were it not for the cost that families incurred for premiums and other medical expenses not covered by health insurance, 10 million fewer people would have been poor according to the SPM. The implementation of the patient Protection and Affordable Care Act (ACA) provides a strong impetus to think rigorously about ways to measure medical care economic burden and risk, which is the basis for Medical Care Economic Risk. As new policies - whether part of the ACA or other policies - are implemented that seek to expand and improve health insurance coverage and to protect against the high costs of medical care relative to income, such measures will be important to assess the effects of policy changes in both the short and long term on the extent of financial burden and risk for the population, which are explained in this report"--Publisher's description. 000721009 588__ $$aDescription based on print version record. 000721009 650_0 $$aMedical care, Cost of$$xRisk assessment$$zUnited States. 000721009 7001_ $$aO'Grady, Michael J.$$c(Health policy expert),$$eeditor. 000721009 7001_ $$aWunderlich, Gooloo S.,$$eeditor. 000721009 7102_ $$aNational Research Council (U.S.).$$bCommittee on National Statistics,$$eissuing body. 000721009 7102_ $$aInstitute of Medicine (U.S.).$$bBoard on Health Care Services,$$eissuing body. 000721009 77608 $$iPrint version:$$aInstitute of Medicine (U.S.).$$tMedical care economic risk : measuring financial vulnerability from spending on medical care.$$dWashington, District of Columbia : National Academies Press, [2012]$$z9780309266048$$w(OCoLC)813210735 000721009 852__ $$bebk 000721009 85640 $$3ProQuest Ebook Central Academic Complete$$uhttps://univsouthin.idm.oclc.org/login?url=http://site.ebrary.com/lib/usiricelib/Doc?id=10863922$$zOnline Access 000721009 909CO $$ooai:library.usi.edu:721009$$pGLOBAL_SET 000721009 980__ $$aEBOOK 000721009 980__ $$aBIB 000721009 982__ $$aEbook 000721009 983__ $$aOnline