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Health Serv Res. 2011 Feb;46(1 Pt 1):210-31. doi: 10.1111/j.1475-6773.2010.01193.x. Epub 2010 Oct 28.

Counting uninsurance and means-tested coverage in the American community survey: a comparison to the current population survey.

Author information

  • 1University of Minnesota, 2221 University Ave SE, Suite 345, Minneapolis, MN 55414, USA. boudr019@umn.edu

Abstract

OBJECTIVE:

To compare health insurance coverage estimates from the American Community Survey (ACS) to the Current Population Survey (CPS-ASEC).

DATA SOURCES/STUDY SETTING:

The 2008 ACS and CPS-ASEC, 2009.

STUDY DESIGN:

We compare age-specific national rates for all coverage types and state-level rates of uninsurance and means-tested coverage. We assess differences using t-tests and p-values, which are reported at <.05, <.01, and <.001. An F-test determines whether differences significantly varied by state.

PRINCIPAL FINDINGS:

Despite substantial design differences, we find only modest differences in coverage estimates between the surveys. National direct purchase and state-level means-tested coverage levels for children show the largest differences.

CONCLUSIONS:

We suggest that the ACS is well poised to become a useful tool to health services researchers and policy analysts, but that further study is needed to identify sources of error and to quantify its bias.

PMID:
21029089
PMCID:
PMC3034271
DOI:
10.1111/j.1475-6773.2010.01193.x
[PubMed - indexed for MEDLINE]
Free PMC Article
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