Percentage of Families with High Out-of-Pocket Medical Expenses for Care

This measure reports the percentage of all Americans with high medical expenses for care that are paid 'out-of-pocket', generally because they are not covered by health insurance coverage. High out-of-pocket cost is defined as exceeding a threshold percentage of income (i.e. 10%, 15%, 20% of income).

Data Source: Medical Expenditure Panel Survey (MEPS)

Metrics Calculation

Percentage of population of American families with out-of-pocket medical costs,excluding premium payments, that are not covered by government or third party exceeding particular threshold of reported income. These out-of-pocket costs are defined as payments made by self or family for all health care for the family. The ratio is calculated at the family-level. The numerator is families with out-of-pocket health care expenses above a given threshold. The denominator is family-level total income. The result is then allocated to one of the following categories: Exceeding 10% of Income; Exceeding 15% of Income; Exceeding 20% of Income.

Additional Information

Inclusion Criteria: This measure includes people in the civilian non-institutional population.

Exclusion Criteria: Excluded from this measure are people in the military and those living in institutions.

 

This measure is calculated by AHRQ from the MEPS.

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Percentage of Families with High Out-of-Pocket Medical Expenses for Care

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Percentage of Families with High Out-of-Pocket Medical Expenses by Coverage Overview

( Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Coverage Type

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Percentage of Families with High Out-of-Pocket Medical Expenses by Ethnicity

[ Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Ethnicity

For more information on how ethnicity was defined, please see the Glossary under Help.

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Percentage of Families with High Out-of-Pocket Medical Expenses by Race

] Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Race

For more information on how race was defined, please see the Glossary under Help.

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Percentage of Families with High Out-of-Pocket Medical Expenses by Age Group

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Age Group

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Percentage of Families with High Out-of-Pocket Medical Expenses by Number of Chronic Conditions

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Chronic Condition

For more information on how chronic conditions were defined, please see the Glossary under Help.

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Percentage of Families with High Out-of-Pocket Medical Expenses by Disability Status

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Disability Status

Individuals were identified as having a disability if any of the following conditions existed: One or more Activities of Daily Living impairments, blindness, or deafness.

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Percentage of Families with High Out-of-Pocket Medical Expenses by Education Level

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Education Level

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Percentage of Families with High Out-of-Pocket Medical Expenses by Income Level

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Income Level

Poverty is defined by Census Bureau poverty thresholds. For more information on the definition of poverty, please see the Glossary under Help.

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Percentage of Families with High Out-of-Pocket Medical Expenses by Metropolitan Status

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Metropolitan Status

For more information on how metropolitan status was defined, please see the Glossary under Help.

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Percentage of Families with High Out-of-Pocket Medical Expenses by Region

Measure 17 : Percentage of Families with High Out-of-Pocket Medical Expenses | Region

For more information on how regions are defined, please see the Glossary under Help.