Thomas C Buchmueller
Biographic Data
| ID | 1097778 |
|---|---|
| NAME | Thomas C Buchmueller |
| GIVEN NAMES | Thomas C |
| FAMILY NAME | Buchmueller |
| SIGNATURE | BUCHMUELLER T C |
| AFFILIATIONS | Ross School |
| ORCID | 0000-0002-3068-7419 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 120 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2021 |
| H-INDEX | 5 |
Medicaid Expansion and the Unemployed
Beneficiaries' perspectives on improved oral health and its mediators after Medicaid expansion in Michigan
Michigan's Medicaid expansion contributed to self-reported improved oral health, which was associated with improved job outcomes. Policymakers should consider the importance of Medicaid dental coverage in reducing oral health disparities and improving the health and socioeconomic well-being of low-income adults and communities when considering this optional benefit
The ACA’s Impact On Racial And Ethnic Disparities In Health Insurance Coverage And Access To Care
Large disparities in health insurance coverage and access to health services have long persisted in the US health care system. We considered how the insurance coverage expansions of the Affordable Care Act have affected disparities related to race and ethnicity. In the years since the law went into effect, insurance coverage has increased significantly for all racial/ethnic groups. Because coverage increased more for non-Hispanic blacks and Hispa…
The Benefits of Medicaid Expansion
Since 2012, states have had the option of expanding Medicaid to all low-income adults, with nearly full financing from the federal government. To date, 36 states and the District of Columbia have expanded their programs in this way, while 14 states have not. This unintentional experiment means that we now have evidence on what happens when a state expands Medicaid coverage. To be specific, we know that Medicaid expansion yields tangible benefits …
L'Obamacare
Aux États-Unis, les principales mesures de l' Affordable Care Act (ACA), mieux connu en France sous le nom d'« Obamacare », sont entrées en vigueur au début de l'année 2014. Il est dès maintenant possible de tirer un bilan des premiers mois d'application de cette réforme ambitieuse. Après avoir dressé un rapide constat du système de santé américain avant la réforme et rappelé les objectifs centraux de l'ACA, les principaux dispositifs de la réfor…
Health Reform and Retirement
Although many observers had predicted that an unintended consequence of health reform would be reduced labor supply, we find no evidence of this for older workers in the first 2.5 years after the law's major coverage provisions took effect
Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage
Objectives. To document how health insurance coverage changed for White, Black, and Hispanic adults after the Affordable Care Act (ACA) went into effect. Methods. We used data from the American Community Survey from 2008 to 2014 to examine changes in the percentage of nonelderly adults who were uninsured, covered by Medicaid, or covered by private health insurance. In addition to presenting overall trends by race/ethnicity, we stratified the anal…
Obesity and health expenditures
The Affordable Care Act Has Led To Significant Gains In Health Insurance And Access To Care For Young Adults
The Affordable Care Act enables young adults to remain as dependents on their parents' health insurance until age twenty-six, and recent evidence suggests that as many as three million young adults have gained coverage as a result. However, there has been no evidence yet on the policy's effect on access to care, and questions remain about the coverage impact on important subgroups. Using data from two nationally representative surveys, comparing …
The Effect of Requiring Private Employers to Extend Health Benefit Eligibility to Same‐Sex Partners of Employees
Health disparities related to sexual orientation are well documented and may be due to unequal access to a partner's employer‐sponsored insurance (ESI). We provide the literature's first evaluation of legislation enacted by California in 2005 that required private employers within the state to treat employees in committed same‐sex relationships in the same way as employees in different‐sex marriages with respect to ESI. Our analysis uses data on …
Disparities in Health Insurance Coverage, Access, and Outcomes for Individuals in Same-Sex Versus Different-Sex Relationships, 2000–2007
Objectives. We used data from the Behavioral Risk Factor Surveillance System to compare health insurance coverage, access to care, and women's cancer screenings for individuals in same-sex versus different-sex relationships. Methods. We estimated logistic regression models by using data on 5265 individuals in same-sex relationships and 802 659 individuals in different-sex relationships. Results. Compared with women in different-sex relationships,…
Employer-Sponsored Health Insurance and the Promise of Health Insurance Reform
The central role that employers play in financing health care is a distinctive feature of the U.S. health care system, and the provision of health insurance through the workplace has important implications well beyond its role as a source of health care financing. In this paper, we consider the "goodness of fit" of employer-sponsored health insurance (ESI) in the current economic and health insurance environments and in light of prospects for a v…
Preferences and choices for care and health insurance
Changes in Racial Disparities in Access to Coronary Artery Bypass Grafting Surgery Between the Late 1990s and Early 2000s
BACKGROUND: Racial disparities in medical care in the United States are pervasive and persistent. Minorities, African American patients in particular, have lower utilization rates for coronary artery bypass graft surgery (CABG) and, compared with white patients, they receive care from surgeons with worse records of performance. OBJECTIVES: We sought to examine the persistence of disparities in CABG care (overall access to surgery and access to hi…
Health Insurance Reform and HMO Penetration in the Small Group Market
This study uses data from several national employer surveys conducted between the late 1980s and the mid-1990s to investigate the effect of state-level underwriting reforms on HMO penetration in the small group health insurance market. We identify reform effects by exploiting cross-state variation in the timing and content of reform legislation and by using mid-sized and large employers, which were not affected by the legislation, as within-state…
The Effect of SCHIP Expansions on Health Insurance Decisions by Employers
This study uses repeated cross-sectional data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC), a large nationally representative survey of establishments, to investigate the effect of the State Children's Health Insurance Program (SCHIP) on health insurance decisions by employers. The data span the years 1997 to 2001, the period when states were implementing SCHIP. We exploit cross-state variation in the timing of SCHIP im…
Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program
Consumer decisions to switch health plans have implications for quality of care and risk selection. We examine factors related to time to disenrollment in a Medicaid managed care program where beneficiaries face a menu of plans and can change plans every month. Several findings have direct policy relevance. Families and individuals who make active choices upon entering the program are at substantially lower risk of disenrollment than those who ar…
Health Care Factors Related to Stage at Diagnosis and Survival Among Medicare Patients With Colorectal Cancer
BACKGROUND: With the growth in enrollment of Medicare patients in HMOs the effectiveness of care received by Medicare/HMO patients continues to be of concern. By considering the relationship of insurance to stage at diagnosis, this study inquires whether HMOs emphasize early diagnosis of colorectal cancer to a greater extent than FFS plans, if particular HMO types (group/nongroup models) are more successful in doing so, and how this pertains to s…
Union Effects on Health Insurance Provision and Coverage in the United States
During the past two decades, union density has declined in the United States and employer provision of health benefits has changed substantially in extent and form. Using individual survey data spanning the years 1983–97 combined with employer survey data for 1993, the authors update and extend previous analyses of private-sector union effects on employer-provided health benefits. They find that the union effect on health insurance coverage rates…
The Relationship of HMOs, Health Insurance, and Delivery Systems to Breast Cancer Outcomes
BACKGROUND: The current climate of anger and frustration with managed care has heightened interest in the quality of health care provided by managed-care plans, particularly health maintenance organizations (HMOs). This breast cancer outcomes study, investigating relationships of health insurance and delivery systems to stage at diagnosis, treatment selected, and survival, is based in a heavily penetrated, highly competitive HMO market. METHODS: …
The Effects of Employer-Provided Health Insurance on Worker Mobility
The authors use data from the 1984 Survey of Income and Program Participation (SIPP) to investigate whether employer-provided health insurance reduced worker mobility (a phenomenon termed "job-lock"). The SIPP provides Information on variables-particularly pension receipt, job tenure, and spouse job change-that were omitted from previous studies and are, the authors argue, key to the estimation of well-defined mobility models. For dual-earner mar…
Disparities in Health Insurance Coverage, Access, and Outcomes for Individuals in Same-Sex Versus Different-Sex Relationships, 2000–2007
Objectives. We used data from the Behavioral Risk Factor Surveillance System to compare health insurance coverage, access to care, and women's cancer screenings for individuals in same-sex versus different-sex relationships. Methods. We estimated logistic regression models by using data on 5265 individuals in same-sex relationships and 802 659 individuals in different-sex relationships. Results. Compared with women in different-sex relationships,…
Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage
Objectives. To document how health insurance coverage changed for White, Black, and Hispanic adults after the Affordable Care Act (ACA) went into effect. Methods. We used data from the American Community Survey from 2008 to 2014 to examine changes in the percentage of nonelderly adults who were uninsured, covered by Medicaid, or covered by private health insurance. In addition to presenting overall trends by race/ethnicity, we stratified the anal…
The Effects of Employer-Provided Health Insurance on Worker Mobility
The authors use data from the 1984 Survey of Income and Program Participation (SIPP) to investigate whether employer-provided health insurance reduced worker mobility (a phenomenon termed "job-lock"). The SIPP provides Information on variables-particularly pension receipt, job tenure, and spouse job change-that were omitted from previous studies and are, the authors argue, key to the estimation of well-defined mobility models. For dual-earner mar…
Union Effects on Health Insurance Provision and Coverage in the United States
During the past two decades, union density has declined in the United States and employer provision of health benefits has changed substantially in extent and form. Using individual survey data spanning the years 1983–97 combined with employer survey data for 1993, the authors update and extend previous analyses of private-sector union effects on employer-provided health benefits. They find that the union effect on health insurance coverage rates…
The Effect of Requiring Private Employers to Extend Health Benefit Eligibility to Same‐Sex Partners of Employees
Health disparities related to sexual orientation are well documented and may be due to unequal access to a partner's employer‐sponsored insurance (ESI). We provide the literature's first evaluation of legislation enacted by California in 2005 that required private employers within the state to treat employees in committed same‐sex relationships in the same way as employees in different‐sex marriages with respect to ESI. Our analysis uses data on …
Preferences and choices for care and health insurance
L'Obamacare
Aux États-Unis, les principales mesures de l' Affordable Care Act (ACA), mieux connu en France sous le nom d'« Obamacare », sont entrées en vigueur au début de l'année 2014. Il est dès maintenant possible de tirer un bilan des premiers mois d'application de cette réforme ambitieuse. Après avoir dressé un rapide constat du système de santé américain avant la réforme et rappelé les objectifs centraux de l'ACA, les principaux dispositifs de la réfor…
Health Reform and Retirement
Although many observers had predicted that an unintended consequence of health reform would be reduced labor supply, we find no evidence of this for older workers in the first 2.5 years after the law's major coverage provisions took effect
The Effects of Employer-Provided Health Insurance on Worker Mobility
The authors use data from the 1984 Survey of Income and Program Participation (SIPP) to investigate whether employer-provided health insurance reduced worker mobility (a phenomenon termed "job-lock"). The SIPP provides Information on variables-particularly pension receipt, job tenure, and spouse job change-that were omitted from previous studies and are, the authors argue, key to the estimation of well-defined mobility models. For dual-earner mar…
The Relationship of HMOs, Health Insurance, and Delivery Systems to Breast Cancer Outcomes
BACKGROUND: The current climate of anger and frustration with managed care has heightened interest in the quality of health care provided by managed-care plans, particularly health maintenance organizations (HMOs). This breast cancer outcomes study, investigating relationships of health insurance and delivery systems to stage at diagnosis, treatment selected, and survival, is based in a heavily penetrated, highly competitive HMO market. METHODS: …
Health Care Factors Related to Stage at Diagnosis and Survival Among Medicare Patients With Colorectal Cancer
BACKGROUND: With the growth in enrollment of Medicare patients in HMOs the effectiveness of care received by Medicare/HMO patients continues to be of concern. By considering the relationship of insurance to stage at diagnosis, this study inquires whether HMOs emphasize early diagnosis of colorectal cancer to a greater extent than FFS plans, if particular HMO types (group/nongroup models) are more successful in doing so, and how this pertains to s…
Union Effects on Health Insurance Provision and Coverage in the United States
During the past two decades, union density has declined in the United States and employer provision of health benefits has changed substantially in extent and form. Using individual survey data spanning the years 1983–97 combined with employer survey data for 1993, the authors update and extend previous analyses of private-sector union effects on employer-provided health benefits. They find that the union effect on health insurance coverage rates…
Health Plan Disenrollment in a Choice-Based Medicaid Managed Care Program
Consumer decisions to switch health plans have implications for quality of care and risk selection. We examine factors related to time to disenrollment in a Medicaid managed care program where beneficiaries face a menu of plans and can change plans every month. Several findings have direct policy relevance. Families and individuals who make active choices upon entering the program are at substantially lower risk of disenrollment than those who ar…
Health Insurance Reform and HMO Penetration in the Small Group Market
This study uses data from several national employer surveys conducted between the late 1980s and the mid-1990s to investigate the effect of state-level underwriting reforms on HMO penetration in the small group health insurance market. We identify reform effects by exploiting cross-state variation in the timing and content of reform legislation and by using mid-sized and large employers, which were not affected by the legislation, as within-state…
The Effect of SCHIP Expansions on Health Insurance Decisions by Employers
This study uses repeated cross-sectional data from the Medical Expenditure Panel Survey-Insurance Component (MEPS-IC), a large nationally representative survey of establishments, to investigate the effect of the State Children's Health Insurance Program (SCHIP) on health insurance decisions by employers. The data span the years 1997 to 2001, the period when states were implementing SCHIP. We exploit cross-state variation in the timing of SCHIP im…
Changes in Racial Disparities in Access to Coronary Artery Bypass Grafting Surgery Between the Late 1990s and Early 2000s
BACKGROUND: Racial disparities in medical care in the United States are pervasive and persistent. Minorities, African American patients in particular, have lower utilization rates for coronary artery bypass graft surgery (CABG) and, compared with white patients, they receive care from surgeons with worse records of performance. OBJECTIVES: We sought to examine the persistence of disparities in CABG care (overall access to surgery and access to hi…
Preferences and choices for care and health insurance
Employer-Sponsored Health Insurance and the Promise of Health Insurance Reform
The central role that employers play in financing health care is a distinctive feature of the U.S. health care system, and the provision of health insurance through the workplace has important implications well beyond its role as a source of health care financing. In this paper, we consider the "goodness of fit" of employer-sponsored health insurance (ESI) in the current economic and health insurance environments and in light of prospects for a v…
Disparities in Health Insurance Coverage, Access, and Outcomes for Individuals in Same-Sex Versus Different-Sex Relationships, 2000–2007
Objectives. We used data from the Behavioral Risk Factor Surveillance System to compare health insurance coverage, access to care, and women's cancer screenings for individuals in same-sex versus different-sex relationships. Methods. We estimated logistic regression models by using data on 5265 individuals in same-sex relationships and 802 659 individuals in different-sex relationships. Results. Compared with women in different-sex relationships,…
The Effect of Requiring Private Employers to Extend Health Benefit Eligibility to Same‐Sex Partners of Employees
Health disparities related to sexual orientation are well documented and may be due to unequal access to a partner's employer‐sponsored insurance (ESI). We provide the literature's first evaluation of legislation enacted by California in 2005 that required private employers within the state to treat employees in committed same‐sex relationships in the same way as employees in different‐sex marriages with respect to ESI. Our analysis uses data on …
The Affordable Care Act Has Led To Significant Gains In Health Insurance And Access To Care For Young Adults
The Affordable Care Act enables young adults to remain as dependents on their parents' health insurance until age twenty-six, and recent evidence suggests that as many as three million young adults have gained coverage as a result. However, there has been no evidence yet on the policy's effect on access to care, and questions remain about the coverage impact on important subgroups. Using data from two nationally representative surveys, comparing …
Obesity and health expenditures
Health Reform and Retirement
Although many observers had predicted that an unintended consequence of health reform would be reduced labor supply, we find no evidence of this for older workers in the first 2.5 years after the law's major coverage provisions took effect
Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage
Objectives. To document how health insurance coverage changed for White, Black, and Hispanic adults after the Affordable Care Act (ACA) went into effect. Methods. We used data from the American Community Survey from 2008 to 2014 to examine changes in the percentage of nonelderly adults who were uninsured, covered by Medicaid, or covered by private health insurance. In addition to presenting overall trends by race/ethnicity, we stratified the anal…
L'Obamacare
Aux États-Unis, les principales mesures de l' Affordable Care Act (ACA), mieux connu en France sous le nom d'« Obamacare », sont entrées en vigueur au début de l'année 2014. Il est dès maintenant possible de tirer un bilan des premiers mois d'application de cette réforme ambitieuse. Après avoir dressé un rapide constat du système de santé américain avant la réforme et rappelé les objectifs centraux de l'ACA, les principaux dispositifs de la réfor…
The ACA’s Impact On Racial And Ethnic Disparities In Health Insurance Coverage And Access To Care
Large disparities in health insurance coverage and access to health services have long persisted in the US health care system. We considered how the insurance coverage expansions of the Affordable Care Act have affected disparities related to race and ethnicity. In the years since the law went into effect, insurance coverage has increased significantly for all racial/ethnic groups. Because coverage increased more for non-Hispanic blacks and Hispa…
The Benefits of Medicaid Expansion
Since 2012, states have had the option of expanding Medicaid to all low-income adults, with nearly full financing from the federal government. To date, 36 states and the District of Columbia have expanded their programs in this way, while 14 states have not. This unintentional experiment means that we now have evidence on what happens when a state expands Medicaid coverage. To be specific, we know that Medicaid expansion yields tangible benefits …
Medicaid Expansion and the Unemployed
Beneficiaries' perspectives on improved oral health and its mediators after Medicaid expansion in Michigan
Michigan's Medicaid expansion contributed to self-reported improved oral health, which was associated with improved job outcomes. Policymakers should consider the importance of Medicaid dental coverage in reducing oral health disparities and improving the health and socioeconomic well-being of low-income adults and communities when considering this optional benefit
Health care (17 works) · Healthcare Policy and Management (16 works) · Business (12 works) · Health insurance (11 works) · Medicine (11 works) · Economics (10 works) · Economic growth (9 works) · Actuarial science (8 works) · Environmental health (8 works) · Global Health Care Issues (7 works)