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Medical Care Economic Risk Measuring Financial Vulnerability from Spending on Medical Care (2012) / Chapter Skim
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1 Introduction
Pages 121-124

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From page 121...
... , requested the National Academies to convene an ad hoc panel of experts to organize, commission papers for, and conduct a public workshop toexplore the development and implementation of a new measure of medical care economic risk as a companion measure to the new supplemental income poverty measure. The workshop will examine retrospective and prospective measures of medical care risk, defined as the risk of incurring high out-of-pocket medical care expenses, including insurance premiums, relative to income (referred to from here on as measure of medical care economic risk)
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From page 122...
... Workshop participants examined • Concepts of medical care economic risk, examining retrospective and prospective measures of risk; • Issues surrounding the development of thresholds -- the variability of risk across populations, including geographic variations in expo sure to medical care economic risk; the vulnerability of population groups, including the insured, underinsured, and uninsured and those with chronic health conditions and acute catastrophic and noncatastrophic conditions; • Issues in defining resources -- what is included in income in de termining the ability to pay for insurance and for medical out of-pocket expenditures, how the self-employed and different age groups pay for big expenses (assets, loans, free care) ; and • Implementation issues -- data availability currently and prospec tively, data quality concerns, and timeliness concerns.
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From page 123...
... Chapter 4 discusses issues in the development of thresholds, tracking geographic variations in exposure to medical care economic risk, trends in financial burden of expenditures from chronic conditions, and trends in health insurance. Chapter 5 addresses issues in defining resources, starting with assessing the distribution and measurement of resources and using income and asset data from the Medical Expenditures Panel Survey, followed by presentations on how the elderly finance medical care and the financial burden of long-term care among the elderly.
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Key Terms

  • economic risk
  • health insurance
  • care risk
  • poverty measure
  • care reform

  • prospective measures
  • financial burden
  • companion measure
  • insurance premiums
  • health conditions

  • insurance coverage
  • cal care
  • risk measure
  • chronic health
  • catastrophic conditions

  • contract charge
  • supplemental income
  • care expenses
  • income poverty
  • panel developed

  • addresses issues
  • determining poverty
  • measure held
  • examining retrospective
  • significantly increases

  • commission papers
  • potential participants
  • affordable care
  • providing coverage
  • panel survey


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