OMB Memo

Generic Clearance Collection Request:

Cognitive Testing for Additional Questions on the Medical Expenditure Panel Survey – Insurance Component

Request: This letter is to inform you of our plans to conduct additional research under the generic clearance for questionnaire pretesting research (OMB number 0607-0725). The Census Bureau plans to conduct telephone respondent pretest interviews on additional proposed questions for the Medical Expenditure Panel Survey – Insurance Component (MEPS-IC). Additionally, the interviews will include follow up questions related to the 2017 MEPS-IC. The MEPS-IC is a self-administered mail out/mail return survey conducted by the Census Bureau for the Agency for Healthcare Research and Quality (AHRQ) on an annual basis. This survey is collected under the authority of Title 13, United States Code (U.S.C.), and Section 8(b) and Section 913 of the Public Health Service Act (Title 42, U.S.C., Section 299b-2(a)). Further information regarding the MEPS-IC can be found at this website: https://meps.ahrq.gov/survey_comp/Insurance.jsp

Purpose: The purpose of this pretest is to determine the respondent’s interpretation of and ability to answer proposed questions that would collect additional data from businesses and government units, and to better understand respondent’s interpretation of questions asked in the 2017 MEPS-IC. The pretest, which is sponsored by the Agency for Healthcare Research and Quality (AHRQ), will include questions about the availability of ‘Tiered Health Plans’ as they relate to exclusive provider plans, questions on whether a self-insured plan is a ‘Level Funded Plans’; or if a Qualified Small Employer Health Reimbursement Arrangement (QSEHRA) was offered to employees, as well as questions about deductibles and out-of- pocket maximums for employee-plus-one coverage. Respondents will be asked these questions for a plan they reported on their original response to the MEPS form. A report will be produced that outlines the findings of the pretest and discusses the possibility of adding new questions in subsequent survey years.

Population of Interest: The population of interest is respondents to the MEPS-IC survey. The MEPS-IC is an annual sample survey, with the sample consisting of approximately 40,000 private industry establishments and 4,000 state and local governments. Data from the survey are used to create national and state level estimates on employer sponsored health insurance coverage. These estimates are used to track industry trends and examine how these trends have changed health insurance coverage over time. Policymakers at the national and state level use the data to assess the status of employer-sponsored health insurance throughout the U.S. and monitor the impact of laws governing health insurance. Researchers, policy analysts, and other government agencies also use the data for a variety of analyses.

Timeline: Testing will occur in August, 2018.

Language: Testing will be conducted in English only.

Method: Staff from the Health Surveys Branch (HSB) will conduct a maximum of 100 telephone interviews from the Census Bureau Headquarters in Suitland, MD. The goal is to obtain at least 25 responses for each question. Training of the HSB staff will be conducted by Belitza Rojas, a survey statistician, who will oversee the work of the HSB staff and will also conduct pretest interviews.

Sample: We plan to conduct up to 100 interviews. HSB will sample from the 2017 MEPS-IC for recruiting. This sample will include contact information and a size indicator for the company. We will contact potential participants via phone, explain the nature of our research, and ask them to participate in our study. The sample of participants will be those who are able to be contacted and who agree to participate in the study. Efforts will be made to sample respondents with a variety of sizes and types (i.e., industries) of businesses, though the sample will ultimately be dependent on who chooses to participate in the research. Participants will be informed that their response is voluntary and that the information they provide is confidential and will be seen only by Census Bureau employees. Respondents who are interested in participating will be given the choice of scheduling the interview for a future date, or having the interview take place at that moment. For respondents who opt to schedule for a future date, researchers will send respondents a confirmation via email, and may conduct reminder calls a few days before the interview.

Recruitment: Cases to be selected for this pretest will include responding units from the 2017 MEPS-IC that offered health insurance. Cases will be selected to cover both private industry establishments and government establishments. In addition, a small number of respondents who indicated during the 2017 MEPS-IC that they did not provide health insurance to its employees will be sampled and asked whether or not they offered Qualified Small Employer Health Reimbursement Arrangement (QSEHRA). Respondents will be informed that their participation is voluntary. The interviews will not be audio recorded.

Use of incentives: Monetary incentives for participation will not be offered.

Length of interview: We expect that each interview will last no more than 20 minutes (100 cases x 20 minutes per case = 33.33 hours). Additionally, to recruit respondents we expect to make up to 5 phone contacts per completed case. The recruiting calls are expected to last on average 3 minutes per call (5 attempted phone calls per completed case x 100 cases x 3 minute per case = 25 hours). Thus, the estimated burden for this project is 58.33 hours (33.33 hours for interviews + 25 hours for recruiting).

Enclosures: Enclosed are a copy of the current MEPS-IC questionnaires, and a draft of the respondent pretest protocol, which includes the proposed new questions.

Contact: The contact person for questions regarding data collection and analysis of the pretest is listed below:

Temika Holland

Data Collection Methodology & Research Branch

Economic Statistics and Methodology Division

U.S. Census Bureau

Washington, D.C. 20233

(301) 763-5241

Temika.holland@census.gov

CC:

Ron Jarmin          (DIR) with enclosures

Nick Orsini (DIR)        “          ”
Carol Caldwell             (ESMD)    “          ”
Diane Willimack             (ESMD)     “          ”
Amy Anderson Riemer  (ESMD)     “          ”

Kristin Stettler (ESMD) “ “

Carma Hogue (ESMD) “ ”

Danielle Norman (PCO) “ ”

Mary Lenaiyasa (PCO) “ “

Jennifer Hunter Childs (ADRM) “ “

Jasmine Luck (ADRM) ” “

Marleen Livesay (HSB) “ “

Susanna Winder (HSB) “ “

Belitza Rojas Lopez (HSB) “ “

Karen Davis (AHRQ) “ “ (Karen.Davis@ahrq.hhs.gov)

David Kashihara (AHRQ) “ “ (David.Kashihara@ahrq.hhs.gov)