175955 Difficult decisions - Data and methods underlying the Elder Economic Security Standard

Monday, October 27, 2008: 3:00 PM

L. Cricel Molina, MPH , UCLA Center for Health Policy Research & School of Public Health, University of California-Los Angeles, Los Angeles, CA
Steven P. Wallace, PhD , School of Public Health, University of California-Los Angeles, Los Angeles, CA
Developing the Elder Economic Security Standard required a number of decisions about what elements to include and where to obtain recent data to support county-level information when possible. This presentation outlines the key methodological steps and decisions made in calculating the Elder Standard. It describes the components of housing costs for both renters and homeowners, and how those costs were assigned in multigenerational households. While the cost of food using USDA standards was straightforward, adjusting national costs to local levels was an additional step. Determining health care costs required calculating the premium costs of Medicare Part B, selecting Medi-gap and Part D prescription policies to price, as well as identify out of pocket costs for different health statuses. Transportation costs were based on a national survey, and miscellaneous costs were calculated as 20% of the other costs based on data from the Consumer Expenditure Survey. The Elder Standard was developed by Wider Opportunities for Women in Washington, DC and the Gerontology Institute at the University of Massachusetts-Boston, and refined in collaboration with the UCLA Center for Health Policy Research. The discussion of important analytical decisions made by these groups shows that the Elder Standard provides an adequate, but very basic, standard of living for older adults.

Learning Objectives:
Describe three decisions in calculating the Elder Standard that keeps it as a basic cost of living amount Identify the health care components of the Elder Standard that explain why this component is an important part of the total Analyze how Elder Standard for counties in other states might be higher or lower than those in California because of variations in the cost components

Keywords: Poverty, Statistics

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been involved in the planning, analysis, and writing of this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.