Common use of Data File Information Clause in Contracts

Data File Information. The 2013 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 home health records; of these records, 5,784 are associated with persons having a positive person-level weight (PERWT13F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 2013. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 portion of Round 3, and Rounds 4 and 5 for Panel 17, as well as Rounds 1, 2, and the 2013 portion of Round 3 for Panel 18 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 eligibility (i.e., persons with a positive 2013 full-year person-level weight (PERWT13F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F > 0). Note that FAMIDYR and FAMWT13F are variables on the 2013 Full-Year Consolidated Data file. Persons with no home health events for 2013 are not included on this event-level Home Health file but are represented on the person-level 2013 Full-Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 MEPS HC person-level data (e.g. Full- Year Consolidated or Full-Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 Appendix File, HC-160I, for details on how to link MEPS data files.

Data File Information. The 2013 2011 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 4,226 home health records; of these records, 5,784 4,096 are associated with persons having a positive person-level weight (PERWT13FPERWT11F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 20132011. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2011 portion of Round 3, and Rounds 4 and 5 for Panel 1715, as well as Rounds 1, 2, and the 2013 2011 portion of Round 3 for Panel 18 16 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2011 eligibility (i.e., persons with a positive 2013 2011 full-year person-level weight (PERWT13F PERWT11F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT11F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT11F > 0). Note that FAMIDYR and FAMWT13F FAMWT11F are variables on the 2013 Full-Year Consolidated Data 2011 Population Characteristics file. Persons with no home health events for 2013 2011 are not included on this event-level Home Health file but are represented on the person-level 2013 2011 Full-Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2011 MEPS HC person-level data (e.g. Full- Year Consolidated or Full-Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 2011 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2011 Appendix File, HC-160IHC-144I, for details on how to link MEPS data files.

Data File Information. The 2013 2009 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 4,692 home health records; of these the records, 5,784 4,625 are associated with persons having a positive person-level weight (PERWT13FPERWT09F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 20132009. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2009 portion of Round 3, and Rounds 4 and 5 for Panel 1713, as well as Rounds 1, 2, and the 2013 2009 portion of Round 3 for Panel 18 14 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2009 eligibility (i.e., persons with a positive 2013 2009 full-year person-level weight (PERWT13F PERWT09F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT09F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT09F > 0). Note that FAMIDYR and FAMWT13F FAMWT09F are variables on the 2013 Full-Year Consolidated Data 2009 Population Characteristics file. Persons with no home health events for 2013 2009 are not included on this event-level Home Health HH file but are represented on the person-level 2013 Full-2009 Full Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include include: home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, family and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, payment and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2009 MEPS HC person-level data (e.g. Full- Full Year Consolidated or Full-Full Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 2009 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2009 Appendix File, HC-160IHC-126I, for details on how to link MEPS data files.

Data File Information. The 2013 2012 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 4,797 home health records; of these records, 5,784 4,677 are associated with persons having a positive person-level weight (PERWT13FPERWT12F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 20132012. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2012 portion of Round 3, and Rounds 4 and 5 for Panel 1716, as well as Rounds 1, 2, and the 2013 2012 portion of Round 3 for Panel 18 17 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2012 eligibility (i.e., persons with a positive 2013 2012 full-year person-level weight (PERWT13F PERWT12F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT12F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT12F > 0). Note that FAMIDYR and FAMWT13F FAMWT12F are variables on the 2013 2012 Full-Year Consolidated Data file. Persons with no home health events for 2013 2012 are not included on this event-level Home Health file but are represented on the person-level 2013 2012 Full-Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2012 MEPS HC person-level data (e.g. Full- Year Consolidated or Full-Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 2012 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2012 Appendix File, HC-160IHC-152I, for details on how to link MEPS data files.

Data File Information. The 2013 2014 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is represents a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 5,890 home health records; of these records, 5,784 5,716 are associated with persons having a positive person-level weight (PERWT13FPERWT14F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 20132014. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2014 portion of Round 3, and Rounds 4 and 5 for Panel 1718, as well as Rounds 1, 2, and the 2013 2014 portion of Round 3 for Panel 18 19 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2014 eligibility (i.e., persons with a positive 2013 2014 full-year person-level weight (PERWT13F PERWT14F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT14F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT14F > 0). Note that FAMIDYR and FAMWT13F FAMWT14F are variables on the 2013 2014 Full-Year Consolidated Data file. Persons with no home health events for 2013 2014 are not included on this event-level Home Health file but are represented on the person-level 2013 2014 Full-Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2014 MEPS HC person-level data (e.g. Full- Year Consolidated or Full-Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 2014 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2014 Appendix File, HC-160IHC-168I, for details on how to link MEPS data files.

Data File Information. The 2013 2015 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is represents a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 6,663 home health records; of these records, 5,784 6,563 are associated with persons having a positive person-level weight (PERWT13FPERWT15F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 20132015. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2015 portion of Round 3, and Rounds 4 and 5 for Panel 1719, as well as Rounds 1, 2, and the 2013 2015 portion of Round 3 for Panel 18 20 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2015 eligibility (i.e., persons with a positive 2013 2015 full-year person-level weight (PERWT13F PERWT15F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT15F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT15F > 0). Note that FAMIDYR and FAMWT13F FAMWT15F are variables on the 2013 2015 Full-Year Consolidated Data file. Persons with no home health events for 2013 2015 are not included on this event-level Home Health file but are represented on the person-level 2013 2015 Full-Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2015 MEPS HC person-level data (e.g. Full- Year Consolidated or Full-Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 2015 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2015 Appendix File, HC-160IHC-178I, for details on how to link MEPS data files.

Data File Information. The 2013 2010 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 4,021 home health records; of these the records, 5,784 3,954 are associated with persons having a positive person-level weight (PERWT13FPERWT10F). It includes all records related to home health events for all household members who resided in eligible responding households and for whom at least one home health event was reported. Each record represents one household-reported home health event that occurred during calendar year 20132010. Some persons may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2010 portion of Round 3, and Rounds 4 and 5 for Panel 1714, as well as Rounds 1, 2, and the 2013 2010 portion of Round 3 for Panel 18 15 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2010 eligibility (i.e., persons with a positive 2013 2010 full-year person-level weight (PERWT13F PERWT10F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT10F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT10F > 0). Note that FAMIDYR and FAMWT13F FAMWT10F are variables on the 2013 Full-Year Consolidated Data 2010 Population Characteristics file. Persons with no home health events for 2013 2010 are not included on this event-level Home Health HH file but are represented on the person-level 2013 Full-2010 Full Year Population Characteristics file. Home health providers include formal, i.e., paid, and informal, i.e., unpaid, providers. Formal or paid providers include include: home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, family and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, payment and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2010 MEPS HC person-level data (e.g. Full- Full Year Consolidated or Full-Full Year Population Characteristics files) using the person identifier, DUPERSID. Home Health events can also be linked to the MEPS 2013 2010 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2010 Appendix File, HC-160IHC-135I, for details on how to link MEPS data files.

Data File Information. The 2013 2007 Home Health event public use data set consists of one event-level data file. The file contains characteristics associated with the home health event and imputed expenditure data. The home health services represented on this file are provided by three kinds of home health providers: formal (paid) home health agency providers, paid independent providers (self- employed), and informal providers who do not reside in the same household as the MEPS sampled person (care from informal providers who live in the same household as the sampled person are not represented on this file). Each record on this file represents a household-reported home health event. A home health event is a MONTH of similar services provided to a sampled person by the same PROVIDER (i.e., an employer in the case of formal agency care and an individual in the case of paid independent and informal care providers). For example, if a person received, from Provider Agency A, four visits from a nurse, ten visits from a homemaker, and four visits from a physical therapist each from the same provider one for each month every month during the months of January, February, and March, and also received, from Provider B, a physician visit in the months month of January and February, there would be five event records on the file (NOT 56 records). There would be one event record representing all the visits from Provider A for the month of January, another record for Provider A A’s February visits, a third Provider A record for the March visits, a fourth record representing the Provider B physician visit in January and a fifth representing the Provider B physician visit in February. Data were collected (and represented on this file) in this manner because agencies, hospitals, and nursing homes provide MEPS expenditure data in this manner. In order to be consistent with the definition of what is considered a home health event on this file, this same definition (i.e., a month of similar services) was applied to all types of home health providers. This public use data set contains 5,982 4,645 home health records; of these the records, 5,784 4,529 are associated with persons having a positive person-level weight (PERWT13FPERWT07F). It includes all records related to home health events for all household members survey respondents who resided in eligible responding households and for whom reported at least one home health event was reportedevent. Each record represents one household-household- reported home health event that occurred during calendar year 20132007. Some persons household respondents may have been reported to have multiple events and thus will be represented in multiple records on the file. Other persons household respondents may have been reported to have no events and thus will have no records on this file. These data were collected during the 2013 2007 portion of Round 3, and Rounds 4 and 5 for Panel 1711, as well as Rounds 1, 2, and the 2013 2007 portion of Round 3 for Panel 18 12 of the MEPS HC. The persons represented on this file had to meet either (a) or (b): a) Be classified as a key in-scope person who responded for his or her entire period of 2013 2007 eligibility (i.e., persons with a positive 2013 2007 full-year person-level weight (PERWT13F PERWT07F > 0)), or b) Be an eligible member of a family all of whose key in-scope members have a positive person-level weight (PERWT13F PERWT07F > 0). (Such a family consists of all persons with the same value for FAMIDYR.) That is, the person must have a positive full- year family-level weight (FAMWT13F FAMWT07F > 0). Note that FAMIDYR and FAMWT13F FAMWT07F are variables on the 2013 Full-Year Consolidated Data 2007 Population Characteristics file. Persons with no home health events for 2013 2007 are not included on this event-level Home Health HH file but are represented on the person-level 2013 Full-2007 Full Year Population Characteristics file. Home health providers include formal, i.e., formal or paid, and informal, i.e., unpaid, informal or unpaid providers. Formal or paid providers include include: home health agency and other independent paid providers. Informal or unpaid providers include family and friends that reside outside of the sampled person’s household. For home health agencies it is important to distinguish between the provider and the home health worker. In these cases, the provider is the agency or the facility that employs the workers. The home health workers are the people who administer the care. Examples of home health care workers are the following: nurses, physical therapists, home health aides, homemakers, and hospice workers, among others. These examples are generally the types of workers associated with agencies. Paid independent providers generally include companions, nursing assistants, physicians, etc. For each record on this file, one or more types of workers can be reported. The respondent is asked to mention all of the types of home health workers who provided home health care (since records represent a month of service, there can be more than one type of worker on a single record). For example, an agency that provides two types of aides that provide home health care to the same person during a specific month is represented as one event on the file even though two workers employed at the same agency provided care. When using this file, analysts must keep in mind that a record on the file corresponds to a provider entity, not an individual or particular worker. Expenditure data for home health agency events are collected exclusively in the MPC. Expenditure data for other paid independent home health care events are collected from the household, since these types of events are not included in the MPC. Friends, family, family and volunteers providing home health care to a person are considered unpaid and are not included in the MPC. No expenditure information is available for them. Each home health record also includes the following: the month the provider visited the household; type of provider; types of services provided and if this was a repeat event; whether or not care was received due to hospitalization; whether or not a person was taught how to use medical equipment; imputed sources of payment, total payment, payment and total charge for the home health event expenditure; and a full-year person-level weight. To append person-level information such as demographic or health insurance coverage to each event record, data from this file can be merged with 2013 2007 MEPS HC person-level data (e.g. Full- Full Year Consolidated or Full-Full Year Population Characteristics files) using the person identifier, DUPERSID. , Home Health events can also be linked to the MEPS 2013 2007 Medical Conditions File. Please see Section 5.0 or the MEPS 2013 2007 Appendix File, HC-160IHC-110I, for details on how to link MEPS data files.