Roger Feldman
Dados Biográficos
| ID | 3772096 |
|---|---|
| NOME | Roger Feldman |
| PRENOMES | Roger |
| SOBRENOME | Feldman |
| ASSINATURA | FELDMAN R |
| AFILIAÇÕES | University of Minnesota |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAÇÕES | 14 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1976 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 2 |
Potentially Inappropriate Medication Use Among Patients With Dementia in Traditional Medicare and Medicare Advantage
BACKGROUND: Older adults with dementia are susceptible to receiving potentially inappropriate medications (PIMs), where the risks likely outweigh the benefits. Medicare advantage prescription drug plans (MA-PDs) cover both medical and prescription drug benefits, creating a financial incentive to reduce PIM use and unnecessary health care costs from adverse drug events, whereas standalone Medicare prescription drug plans (PDPs) used by traditional…
Racial-Ethnic Disparities in Uptake of New Hepatitis C Drugs in Medicare
Filled Radar Charts Should not be Used to Compare Social Indicators
What Factors Influence Participation in an Exercise-Focused, Employer-Based Wellness Program
Following the recent introduction of an incentive-based, exercise-focused wellness program at a large public university, this paper investigates the factors that influence employees' behavior with respect to participation and regular exercise. Results suggest that an employee's probability of signing up for the program is related to her exercise behavior prior to the program's inception, the time cost of exercise, taste for fitness center exercis…
Taking up or Turning Down
This study provides new estimates of demand for employer-sponsored health insurance, using the 1997-2001 linked Household Component-Insurance Component of the Medical Expenditure Panel Survey (MEPS). Our focus is on households' decisions to take up coverage through a worker's employer. We found a significant inverse relationship between the out-of-pocket premium and the probability of taking up coverage, with the price effect considerably larger …
Consumer-Directed Health Plans
This study examined three-year spending and utilization trends associated with enrollment in a consumer-directed health plan (CDHP) offered by a large employer alongside a preferred provider organization (PPO) and a point-of-service (POS) plan. The CDHP cohort spent considerably more money on hospital care than the POS cohort. Results found evidence of pent-up demand in the CDHP, but not enough to explain the spending trend. Lower prescription dr…
Policy Watch
This feature contains short articles on topics that are currently on the agendas of policymakers, thus illustrating the role of economic analysis in illuminating current debates. Suggestions for future columns and comments on past ones should be sent to C. Eugene Steuerle, c/o Journal of Economic Perspectives, The Urban Institute, 2100 M Street NW, Washington, D.C. 20037
Uncovering the Missing Medicaid Cases and Assessing their Bias for Estimates of the Uninsured
General population surveys of health insurance coverage are thought to undercount Medicaid enrollment, which may bias estimates of the uninsured. This article describes the results of an experiment undertaken in conjunction with a general population survey in Minnesota. Responses to health insurance questions by a known sample of public program enrollees are analyzed to determine possible reasons for the undercount and the amount of bias introduc…
A Demand-Side View of Risk Adjustment
This paper analyzes the efficient allocation of consumers to health plans. Specifically, we address the question of why employers that offer multiple health plans often make larger contributions to the premiums of the high-cost plans. Our perspective is that the subsidy for high-cost plans represents a form of demand-side risk adjustment that improves efficiency. Without such subsidies (and in the absence of formal risk adjustment), too few emplo…
Some Observations about Risk Adjustment Research
Research on risk adjustment has made an important contribution to the health economics and health pol? icy literature. Currently, however, there is a pressing need for improved communication among research? ers and their readers. We suggest improvements in three areas: more precise terminology; agreement on some simple results; and clarification of the assump? tions underlying specific analyses. In this note, we make modest proposals for each are…
Who Uses Flexible Spending Accounts
BACKGROUND: Many large employers offer flexible spending accounts (FSAs) to shelter their employees' out-of-pocket medical expenses from taxes and thereby to encourage the purchase of health insurance policies with higher cost sharing. However, very little empirical research has examined the individual employee's decision to contribute to an FSA. OBJECTIVES: To estimate equations for the probability that single employees with no dependents and em…
Does Publishing the Parameters that Trigger Review of Medicare Claims Change Provider Behavior
In April 1989, the Health Care Financing Administration stopped publishing the parameters that trigger review of Medicare claims because they thought that knowledge of the parameters would permit providers to schedule visits to avoid review. In this article, the authors report the results of an experimental study where previously unrevealed parameters were revealed to some providers of Medicare services and not to others. The authors find little …
Health Plan Choice in the Twin Cities Medicare Market
This paper examines the relationship between characteristics of Medicare beneficiaries and their choice of health plan in the Twin Cities during 1988. This analysis provides the first comparison of beneficiaries in the basic fee-for-service (FFS) Medicare sector (without a supplementary policy) to beneficiaries in the FFS sector with a supplementary policy, enrollees in independent practice associations (IPAs), and network health maintenance orga…
Measuring the Dimensions of Physician Work
Medicare has adopted a physician fee schedule that places emphasis on measuring physicians' work. We assessed the construct validity of self-reported work scores for 11 selected medical services performed by 44 internists in two large group practices. These physicians' work scores correlated highly with their ratings of time, physical and mental effort, and stress required to produce the services. Eighty-five percent of the variance in total work…
Health Plan Choice and the Utilization of Health Care Services
The effect of health-plan membership on the utilization of health-care services is of interest to both consumers and policymakers. Often estimation of that effect is difficult because data are nonexperimental and the dependent variable exhibits a high proportion of zeros. The authors propose a model of utilization that addresses both problems. After controlling for chronic illness and other observed variables, they find no evidence of further sel…
A Decline in Earning Losses Associated With a Community-Based Cardiovascular Disease Prevention Project
Permanent and temporary disability pension award data and survey data were used to estimate the lower bound of earning losses related to cardiovascular disease during a community-based cardiovascular disease prevention program in Eastern Finland. Earning losses due to death totaled $39.94 million but were not affected by the project. Earning losses due to permanent disability totalled +29.01 million and were $4.25 million less than expected (p le…
The Union Impact on Hospital Wages and Fringe Benefits
This paper uses 1977 data from a national probability sample of 1,200 hospitals to estimate the effect of unions on wages and fringe benefits in four occupations: registered nurses, practical nurses, secretaries, and housekeepers. The results show that unionization has a significant impact on wages that increases with the length of time collective bargaining has been in effect at the individual hospital. The overall wage effect of unions is about…
Some More Problems with Income-contingent Loans
The Union Impact on Hospital Wages and Fringe Benefits
This paper uses 1977 data from a national probability sample of 1,200 hospitals to estimate the effect of unions on wages and fringe benefits in four occupations: registered nurses, practical nurses, secretaries, and housekeepers. The results show that unionization has a significant impact on wages that increases with the length of time collective bargaining has been in effect at the individual hospital. The overall wage effect of unions is about…
Filled Radar Charts Should not be Used to Compare Social Indicators
Some More Problems with Income-contingent Loans
A Decline in Earning Losses Associated With a Community-Based Cardiovascular Disease Prevention Project
Permanent and temporary disability pension award data and survey data were used to estimate the lower bound of earning losses related to cardiovascular disease during a community-based cardiovascular disease prevention program in Eastern Finland. Earning losses due to death totaled $39.94 million but were not affected by the project. Earning losses due to permanent disability totalled +29.01 million and were $4.25 million less than expected (p le…
The Union Impact on Hospital Wages and Fringe Benefits
This paper uses 1977 data from a national probability sample of 1,200 hospitals to estimate the effect of unions on wages and fringe benefits in four occupations: registered nurses, practical nurses, secretaries, and housekeepers. The results show that unionization has a significant impact on wages that increases with the length of time collective bargaining has been in effect at the individual hospital. The overall wage effect of unions is about…
Health Plan Choice and the Utilization of Health Care Services
The effect of health-plan membership on the utilization of health-care services is of interest to both consumers and policymakers. Often estimation of that effect is difficult because data are nonexperimental and the dependent variable exhibits a high proportion of zeros. The authors propose a model of utilization that addresses both problems. After controlling for chronic illness and other observed variables, they find no evidence of further sel…
Health Plan Choice in the Twin Cities Medicare Market
This paper examines the relationship between characteristics of Medicare beneficiaries and their choice of health plan in the Twin Cities during 1988. This analysis provides the first comparison of beneficiaries in the basic fee-for-service (FFS) Medicare sector (without a supplementary policy) to beneficiaries in the FFS sector with a supplementary policy, enrollees in independent practice associations (IPAs), and network health maintenance orga…
Measuring the Dimensions of Physician Work
Medicare has adopted a physician fee schedule that places emphasis on measuring physicians' work. We assessed the construct validity of self-reported work scores for 11 selected medical services performed by 44 internists in two large group practices. These physicians' work scores correlated highly with their ratings of time, physical and mental effort, and stress required to produce the services. Eighty-five percent of the variance in total work…
Does Publishing the Parameters that Trigger Review of Medicare Claims Change Provider Behavior
In April 1989, the Health Care Financing Administration stopped publishing the parameters that trigger review of Medicare claims because they thought that knowledge of the parameters would permit providers to schedule visits to avoid review. In this article, the authors report the results of an experimental study where previously unrevealed parameters were revealed to some providers of Medicare services and not to others. The authors find little …
Uncovering the Missing Medicaid Cases and Assessing their Bias for Estimates of the Uninsured
General population surveys of health insurance coverage are thought to undercount Medicaid enrollment, which may bias estimates of the uninsured. This article describes the results of an experiment undertaken in conjunction with a general population survey in Minnesota. Responses to health insurance questions by a known sample of public program enrollees are analyzed to determine possible reasons for the undercount and the amount of bias introduc…
A Demand-Side View of Risk Adjustment
This paper analyzes the efficient allocation of consumers to health plans. Specifically, we address the question of why employers that offer multiple health plans often make larger contributions to the premiums of the high-cost plans. Our perspective is that the subsidy for high-cost plans represents a form of demand-side risk adjustment that improves efficiency. Without such subsidies (and in the absence of formal risk adjustment), too few emplo…
Some Observations about Risk Adjustment Research
Research on risk adjustment has made an important contribution to the health economics and health pol? icy literature. Currently, however, there is a pressing need for improved communication among research? ers and their readers. We suggest improvements in three areas: more precise terminology; agreement on some simple results; and clarification of the assump? tions underlying specific analyses. In this note, we make modest proposals for each are…
Who Uses Flexible Spending Accounts
BACKGROUND: Many large employers offer flexible spending accounts (FSAs) to shelter their employees' out-of-pocket medical expenses from taxes and thereby to encourage the purchase of health insurance policies with higher cost sharing. However, very little empirical research has examined the individual employee's decision to contribute to an FSA. OBJECTIVES: To estimate equations for the probability that single employees with no dependents and em…
Policy Watch
This feature contains short articles on topics that are currently on the agendas of policymakers, thus illustrating the role of economic analysis in illuminating current debates. Suggestions for future columns and comments on past ones should be sent to C. Eugene Steuerle, c/o Journal of Economic Perspectives, The Urban Institute, 2100 M Street NW, Washington, D.C. 20037
Consumer-Directed Health Plans
This study examined three-year spending and utilization trends associated with enrollment in a consumer-directed health plan (CDHP) offered by a large employer alongside a preferred provider organization (PPO) and a point-of-service (POS) plan. The CDHP cohort spent considerably more money on hospital care than the POS cohort. Results found evidence of pent-up demand in the CDHP, but not enough to explain the spending trend. Lower prescription dr…
Taking up or Turning Down
This study provides new estimates of demand for employer-sponsored health insurance, using the 1997-2001 linked Household Component-Insurance Component of the Medical Expenditure Panel Survey (MEPS). Our focus is on households' decisions to take up coverage through a worker's employer. We found a significant inverse relationship between the out-of-pocket premium and the probability of taking up coverage, with the price effect considerably larger …
What Factors Influence Participation in an Exercise-Focused, Employer-Based Wellness Program
Following the recent introduction of an incentive-based, exercise-focused wellness program at a large public university, this paper investigates the factors that influence employees' behavior with respect to participation and regular exercise. Results suggest that an employee's probability of signing up for the program is related to her exercise behavior prior to the program's inception, the time cost of exercise, taste for fitness center exercis…
Filled Radar Charts Should not be Used to Compare Social Indicators
Racial-Ethnic Disparities in Uptake of New Hepatitis C Drugs in Medicare
Potentially Inappropriate Medication Use Among Patients With Dementia in Traditional Medicare and Medicare Advantage
BACKGROUND: Older adults with dementia are susceptible to receiving potentially inappropriate medications (PIMs), where the risks likely outweigh the benefits. Medicare advantage prescription drug plans (MA-PDs) cover both medical and prescription drug benefits, creating a financial incentive to reduce PIM use and unnecessary health care costs from adverse drug events, whereas standalone Medicare prescription drug plans (PDPs) used by traditional…
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