HHS Plan for Integration of Surveys. Tab B: Summary of Selected HHS Surveys: Health Status, Access to Care, Health Care Use, Expenditures and Insurance Coverage


Health Care Use, Expenditures and Insurance Coverage


National Medical Expenditure Survey (NMES): Household Survey Households; personal interviews

Person-level and family-level data (for calendar year):

  • utilization
  • expenditures
  • sources of payment
  • insurance status
  • functional limitations and disabilities
  • restricted activity days
  • access to care
  • acute and chronic conditions
14,500 households, 38,000 individuals approximately every 10 years

Scheduled for 1996

NMES: Health Insurance Provider Survey (HIPS) Employers, unions, and other sources of insurance Linked to household sample, to provide person and family level data on:
  • premiums
  • deductible and copayment provisions
  • distribution of premium costs across employers, employees and other payers
  • health insurance options
Identified by household respondents; approximately 13,000 employers and 2,100 other providers of health insurance
Medicare Current Beneficiary Survey (MCBS) Medicare beneficiaries (institutionalized and noninstitutionalized).

Personal interviews

Person-level, across calendar years:
  • utilization
  • expenditures
  • sources of payment
  • insurance status
  • functional limitations and disabilities
  • restricted activity days
  • access to care
  • acute and chronic conditions
Approximately 12,000 individuals; rotating panel design with persons interviewed every 4 months for 3 years.
National Employer Health Insurance Survey (NEHIS) Establishments; telephone interviews National and state-level estimates of:
  • employers offering health insurance
  • associated costs
  • scope of coverage
  • characteristics of offered plans
  • administrative costs
Planned as 52,000; 38,000 sampled in 1994. Annual (planned).
National Health Interview Survey (NHIS)


Households; personal interviews Annual data on:
  • Health status and disability
  • Utilization of health care
  • AIDS knowledge and attitudes
  • Family resources

Special topics include:

  • Health insurance
  • Year 2000 Health Objectives
  • Access to care
  • Disability
  • Immunization
  • 40,000 Households
  • 50,000-110,000 individuals (depending on sampling for individuals)
  • Annual
National Health and Nutrition Examination Survey (NHANES) Personal interview; physical examination; laboratory tests; nutritional assessment
  • Prevalence of disease or conditions, including those unrecognized or undetected
  • Nutrition monitoring
  • Monitor heart disease, diabetes, lead exposure, iron deficiency, and children's growth and development, as examples
30,000 persons aged 2 months and older; oversampling of Blacks and Mexican Americans; most recent cycle conducted over a 6 year period ending 1994
National Health Interview Survey on Disability Households; personal interviews
  • Sensory, mobility, and communication impairments
  • Function limitations
  • Personal assistance
  • Special education
  • Mental health conditions
  • Employment and transportation limitations
  • Therapeutic services
  • Children w/special health needs
  • Post polio syndrome
Phase 1 screens 50,000 households

Phase 2 is a followup of those persons with moderate to severe disabilities; approximately 20,000 per year

Special 2-year study

National Survey on Family Growth (NSFG) personal interviews; telephone reinterviews
  • Contraception and sterilization
  • Teenage sexual activity & pregnancy
  • Family planning & unintended pregnancy
  • Adoption
  • Breastfeeding
  • Infertility
10,000 women 15-44 years of age, drawn from the NHIS sample; oversampling of Blacks and Hispanics; conducted every 5 years, including 1995
National Nursing Home Survey (NNHS) Institutions and next of kin;

Personal Interviews

  • Number and characteristics of residents in nursing homes
  • Functional status
  • Persons discharged
  • Characteristics of nursing homes
  • Expenditures of nursing homes
1,500 Nursing Homes

6,500 Nursing Home Residents

7,800 Nursing Home Discharges

Planned for 1995

NMES - National Nursing Home Expenditure Survey Institutions and next of kin;

Personal and telephone interviews

Person level
  • NH utilization and expenditures
  • Resident's history
  • Functional status
  • Present medicine utilization

Facility Level

  • Characteristics of nursing home
800 Nursing Homes

5,600 Nursing Home Residents

(3,200 1/1 residents)

(2,400 admissions)

Scheduled for 1996.

NHSDA - National Household Survey on Drug Abuse personal interviews in households and group quarters
  • incidence, prevalence, patterns, and consequences of drug use and abuse
18,000 household interviews of population aged 12 and older; oversampling of blacks and Hispanics, 12-34 year olds and cigarette smokers; conducted annually