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Updates to the Processing of Out-of-Pocket Medical Expenditures and Medicare Premiums

Working Paper Number 2019-31

  • The U.S. Census Bureau recently completed implementation of a two-stage survey redesign to the CPS ASEC.  The first stage introduced a redesign of the CPS ASEC questionnaire in 2014.  The second stage, unveiled in 2019, updated the processing system for extracting, imputing, and weighting survey data.
  • The updated processing system introduces a number of improvements to the imputation of missing and incomplete information for out-of-pocket medical expenditures and the estimation of Medicare premiums.
  • New measures of out-of-pocket medical spending and Medicare premium spending accompany existing measures.
  • Measures of out-of-pocket medical expenditures and Medicare premiums are not comparable across legacy and updated processing systems.

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