MarketScan Benefit Plan Design Database

UID: 10776
Description

MarketScan is one of the largest and longest running proprietary US claims databases used for healthcare research. The data come from a selection of large employers, health plans, and government and public organizations. The database includes de-identified, patient-level longitudinal data for nearly 300 million unique patients, using data from several domains.

The Benefit Plan Design Database consists of data for selected benefit plans represented in the MarketScan Research Databases from 1995 forward. It includes information about plan enrollment start and end dates, deductibles, coinsurance, copayments, and out-of-pocket-maximum amounts. It links to the other MarketScan Research Databases using the enrollee identifier (ENROLID) field. There is one record in the Benefit Plan Design Database for each linked ENROLID. The record contains the plan provisions of that individual’s medical plan.

Publisher
Timeframe
1995 - Present
Geographic Coverage
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York (State)
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington (State)
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Local Expert
Subject of Study
Subject Domain
Population Age
Child (2 years - 12 years)
Adolescent (13 years - 18 years)
Adult (19 years - 64 years)
Senior (65 years - 79 years)
Aged (80 years and over)
Newborn (under 1 month)
Infant (1 month - 23 months)
Keywords

Access

Restrictions
Application Required
Instructions

The 8 most recent years of data are available upon request from the Population Health Data Hub. Users should review the data dictionaries and include a detailed description of cohort criteria and requested data elements when submitting their request. Please allow several months for the data extraction process depending on the complexity of the request.

There are no fees to use MarketScan data for unfunded research purposes. For grant-funded research, Merative charges a fee based on award amount; for commercially-funded research, the fee is negotiated with Merative on a case-by-case basis.

Data Type
Study Type
Observational
PubMed Search
View articles which use this dataset
Other Resources
Documentation

Data dictionary and user guide

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