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As a nationally representative cohort of middle-aged and elderly adults with longitudinal data spanning nearly two decades, the Health and Retirement Study (HRS) is an important resource for researchers studying the dynamics of health insurance coverage in the United States and the relation of insurance coverage to the use of health services and to health outcomes.  We assessed the strengths and limitations of currently available HRS data for such research, focusing on survey items in these domains and Medicare claims data that have been linked to HRS survey data. The process for researchers to obtain Medicare claims has greatly improved in recent years. The additions of biomarkers (e.g. blood pressure and serum cholesterol) and objective measures of physical functioning for HRS participants have also been notable improvements.  We propose changes to the HRS to enhance its value for health services research, particularly regarding the effects of health care reform as the Patient Protection and Affordable Care Act of 2010 is implemented over the next decade.

Potential Enhancements to Data on Health Insurance, Health Services, and Medicare in the Health and Retirement Study