Towards an NHI data base: the linking of administrative record systems to national health care survey results.
The Medicare and Medicaid Program have recently been integrated within the Health Care Financing Administration. This integration provides an opportunity to improve existing federal beneficiary statistical systems. Plans currently are being developed to collect uniform data elements across the Medicare and Medicaid programs and to integrate data collection activities to the extent possible. A result of this effort will be a revamping of the Federal Medicaid Reporting System, which will make Medicaid Statistics available at the federal level more comparable to federal level Medicare statistics. Federal beneficiary statistical systems are based on the claims process and are thus limited to claims based information. These systems must be supplemented with survey data in order to acquire beneficiary and nonbeneficiary health care utilization and related expenditures that are not covered by the entitlement programs. The National Medical Care Utilization and Expenditure Survey, which will collect 1980 data, will provide this type of information and serve as a validation of claims based information. Such information will be of use in program management and have obvious relationship to debates concerning the future implementation of NHI.
D003625:Data Collection; D006306:Health Surveys; D007256:Information Systems; D008484:Medicaid; D006278:Medicare; D009310:National Health Insurance, United States; D014481:United States