Discount Adjustment Factor. An adjustment was also applied to some HC-reported expenditure data because an evaluation of matched HC/MPC data showed that respondents who reported that charges and payments were equal were often unaware that insurance payments for the care had been based on a discounted charge. To compensate for this systematic reporting error, a weighted sequential hot-deck imputation procedure was implemented to determine an adjustment factor for HC-reported insurance payments when charges and payments were reported to be equal. As for the other imputations, selected predictor variables were used to form groups of donor and recipient events for the imputation process.
Discount Adjustment Factor. An adjustment was also applied to some HC reported expenditure data because an evaluation of matched HC/MPC data showed that respondents who reported that charges and payments were equal were often unaware that insurance payments for the care had been based on a discounted charge. To compensate for this systematic reporting error, a weighted sequential hot-deck imputation procedure was implemented to determine an adjustment factor for HC reported insurance payments when charges and payments were reported to be equal. As for the other imputations, selected predictor variables were used to form groups of donor and recipient events for the imputation process. Sources of Payment In addition to total expenditures, variables are provided which itemize expenditures according to major sources of payment categories. These categories are:
Discount Adjustment Factor. C-13 2.5.6.8 Sources of Payment ........................ C-14 2.5.6.9 Office-Based Expenditure Variables (OBSF14X – OBTC14X) ............... C-15 2.5.7 Rounding ....................................................... C-15 Table of Contents (continued) 3.0 Sample Weight (PERWT14F) ................................................... C-15 3.1 Overview ..................................................................... C-15 3.2 Details on Person Weight Construction ...................... C-15 3.2.1 MEPS Panel 18 Weight Development Process C-16
Discount Adjustment Factor. An adjustment was also applied to some HC-reported expenditure data because an evaluation of matched HC/MPC data showed that respondents who reported that charges and payments were equal were often unaware that insurance payments for the care had been based on a discounted charge. To compensate for this systematic reporting error, a weighted sequential hot-deck imputation procedure was implemented to determine an adjustment factor for HC-reported insurance payments when charges and payments were reported to be equal. As for the other imputations, selected predictor variables were used to form groups of donor and recipient events for the imputation process. Mother/Newborn Expenditures Expenditure data for newborns were edited to exclude discharges after birth when the newborn left the hospital before or on the same day as the mother. As a result, inpatient expenditures reported for 2021 births were usually applied to the mother and not treated as separate expenditures for the infant. However, if a newborn was discharged at a later date than the mother’s discharge date, then the hospitalization was treated as a separate hospital stay for the newborn. This means that, in most cases, expenditure data for the newborn is included on the mother’s record. A separate record for the newborn only exists if the newborn was discharged after the mother. In this case, the expenditure for the newborn is on the newborn’s record. Hospital Inpatient Stay/Emergency Room Expenditures Records in the MEPS 2021 data files include the HC survey data collected using the new CAPI instrument. For persons reporting an emergency room visit that preceded a hospital stay, the instrument creates links between the two events. For events where provider-reported data are not available, a final link between a hospital inpatient stay and an emergency room visit of a person is created using the household-reported information in addition to the CAPI generated links. For a given person and facility provider pair, if the emergency room visit occurred anytime within two days before and one day after the hospital inpatient event, then the two events are linked. The facility expenditures, if any, reported for the emergency room visit are rolled onto the facility expenditures of the inpatient event linked to the emergency room visit. For events where the provider-reported data are available, the provider-reported information is used. That is, such a relationship could be identified (using the MPC star...
