Examining Measures of Income and Poverty in Medicare Administrative Data.

Abstract:

:Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, because Medicare administrative data contains limited information about individual economic status. Information gleaned from other sources-such as the Medicaid and Supplemental Security Income programs-can be used in some cases to approximate the income of Medicare beneficiaries. However, such information is limited in its availability and applicability to all beneficiaries. Neighborhood-level measures of income can be used to infer individual-level income, but level of neighborhood aggregation impacts accuracy and usability of the data. Community-level composite measures of economic status have been shown to be associated with health and health outcomes of Medicare beneficiaries and may capture neighborhood effects that are separate from individual effects, but are not readily available in Medicare data and do not serve to replace information about individual economic status. There is no single best method of obtaining income data from Medicare files, but understanding strengths and limitations of different approaches to identifying economic status will help researchers choose the best method for their particular purpose, and help policymakers interpret studies using measures of income.

journal_name

Med Care

journal_title

Medical care

authors

Samson LW,Finegold K,Ahmed A,Jensen M,Filice CE,Joynt KE

doi

10.1097/MLR.0000000000000606

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

e158-e163

issue

12

eissn

0025-7079

issn

1537-1948

pii

00005650-201712000-00024

journal_volume

55

pub_type

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