T M Selden

Summary

Affiliation: Agency for Healthcare Research and Quality
Country: USA

Publications

  1. ncbi request reprint Tax incidence and net benefits in the market for employment-related health insurance: sensitivity of estimates to the incidence of employer costs
    Thomas M Selden
    Center for Financing, Access, and Cost Studies, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
    Int J Health Care Finance Econ 4:167-92. 2004
  2. doi request reprint The distribution of public spending for health care in the United States, 2002
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality AHRQ, in Rockville, Maryland, USA
    Health Aff (Millwood) 27:w349-59. 2008
  3. ncbi request reprint How much can really be saved by rolling back SCHIP? The net cost of public health insurance for children
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Inquiry 42:16-28. 2005
  4. ncbi request reprint Tracking changes in eligibility and coverage among children, 1996-2002
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access, and Cost Trends, at the Agency for Healthcare Research and Quality in Rockville, Maryland, USA
    Health Aff (Millwood) 23:39-50. 2004
  5. ncbi request reprint Access to care and utilization among children: estimating the effects of public and private coverage
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
    Med Care 44:I19-26. 2006
  6. doi request reprint Cost sharing in Medicaid and CHIP: how does it affect out-of-pocket spending?
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland, USA
    Health Aff (Millwood) 28:w607-19. 2009
  7. doi request reprint The effect of tax subsidies on high health care expenditure burdens in the United States
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
    Int J Health Care Finance Econ 8:209-23. 2008
  8. ncbi request reprint Health care expenditure burdens among elderly adults: 1987 and 1996
    Thomas M Selden
    Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
    Med Care 41:III13-III23. 2003
  9. ncbi request reprint Reconciling medical expenditure estimates from the MEPS and the NHA, 1996
    T M Selden
    Health Care Financ Rev 23:161-78. 2001
  10. pmc The within-year concentration of medical care: implications for family out-of-pocket expenditure burdens
    Thomas M Selden
    Department of Health and Human Services, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Health Serv Res 44:1029-51. 2009

Detail Information

Publications25

  1. ncbi request reprint Tax incidence and net benefits in the market for employment-related health insurance: sensitivity of estimates to the incidence of employer costs
    Thomas M Selden
    Center for Financing, Access, and Cost Studies, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
    Int J Health Care Finance Econ 4:167-92. 2004
    ..Our results provide evidence regarding the distribution of tax subsidies and net benefits under a range of scenarios that we believe bound the true incidence of employer premium contributions...
  2. doi request reprint The distribution of public spending for health care in the United States, 2002
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality AHRQ, in Rockville, Maryland, USA
    Health Aff (Millwood) 27:w349-59. 2008
    ..The public sector accounted for 56.1 percent of health spending within the civilian noninstitutionalized population. Our analysis highlights this sector's role in financing the care of seniors and people in poor health...
  3. ncbi request reprint How much can really be saved by rolling back SCHIP? The net cost of public health insurance for children
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Inquiry 42:16-28. 2005
    ..Our results strengthen the benefit-cost argument against implementing rollbacks in SCHIP...
  4. ncbi request reprint Tracking changes in eligibility and coverage among children, 1996-2002
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access, and Cost Trends, at the Agency for Healthcare Research and Quality in Rockville, Maryland, USA
    Health Aff (Millwood) 23:39-50. 2004
    ..Nevertheless, we find evidence of dramatic improvements in program participation, reflecting the success of efforts to improve outreach, simplify enrollment, and increase retention...
  5. ncbi request reprint Access to care and utilization among children: estimating the effects of public and private coverage
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
    Med Care 44:I19-26. 2006
    ..We also examine indicators for ambulatory visits, well-child visits, dental visits, emergency room use, and inpatient hospital stays...
  6. doi request reprint Cost sharing in Medicaid and CHIP: how does it affect out-of-pocket spending?
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland, USA
    Health Aff (Millwood) 28:w607-19. 2009
    ..Our results also suggest that implementing income-based caps on family spending can help address the burden of high spending for low-income families...
  7. doi request reprint The effect of tax subsidies on high health care expenditure burdens in the United States
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Road, Rockville, MD 20850, USA
    Int J Health Care Finance Econ 8:209-23. 2008
    ..A range of health expenditure burden measures are computed, with and without tax subsidies, showing the impact that tax subsidies have on both the prevalence and magnitude of high health care spending burdens among the nonelderly...
  8. ncbi request reprint Health care expenditure burdens among elderly adults: 1987 and 1996
    Thomas M Selden
    Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
    Med Care 41:III13-III23. 2003
    ..We examine burdens for this population using data from the 1987 National Medical Expenditure Survey (NMES) and the 1996 Medical Expenditure Panel Survey (MEPS)...
  9. ncbi request reprint Reconciling medical expenditure estimates from the MEPS and the NHA, 1996
    T M Selden
    Health Care Financ Rev 23:161-78. 2001
    ..We adjusted the NHA for differences in included populations and types of services covered, finding a much smaller difference between MEPS and a comparably-defined NHA...
  10. pmc The within-year concentration of medical care: implications for family out-of-pocket expenditure burdens
    Thomas M Selden
    Department of Health and Human Services, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Health Serv Res 44:1029-51. 2009
    ..To examine the within-year concentration of family health care and the resulting exposure of families to short periods of high expenditure burdens...
  11. ncbi request reprint Tax subsidies for employment-related health insurance: estimates for 2006
    Thomas M Selden
    Center for Financing, Access, and Cost Trends, Division of Modeling and Simulation, Agency for Healthcare Research and Quality AHRQ, in Rockville, Maryland, USA
    Health Aff (Millwood) 25:1568-79. 2006
    ..We present per worker tax-subsidy estimates and an analysis of insurance incidence by establishment characteristics...
  12. ncbi request reprint Compliance with well-child visit recommendations: evidence from the Medical Expenditure Panel Survey, 2000-2002
    Thomas M Selden
    Division of Modeling and Simulation, Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, 540 Gaither Rd, Rockville, MD 20850, USA
    Pediatrics 118:e1766-78. 2006
    ..The Medical Expenditure Panel Survey provides nationally representative information on preventative care for children, combining visit-level data over a 2-year period with a rich array of socioeconomic and health status measures...
  13. ncbi request reprint The ABCs of children's health care: how the Medicaid expansions affected access, burdens, and coverage between 1987 and 1996
    Jessica S Banthin
    Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Inquiry 40:133-45. 2003
    ....
  14. ncbi request reprint Medical savings accounts: microsimulation results from a model with adverse selection
    D Zabinski
    Center for Cost and Financing Studies, Agency for Health Care Policy and Research, Rockville, MD 20852, USA
    J Health Econ 18:195-218. 1999
    ..Our estimates also raise concerns about equity, insofar as those who stand to lose the most tend to be poorer and in families with infant children...
  15. ncbi request reprint Children's eligibility and coverage: recent trends and a look ahead
    Julie L Hudson
    Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland, USA
    Health Aff (Millwood) 26:w618-29. 2007
    ..We also examine the impact of potential changes in SCHIP income thresholds--both an expansion and a rollback--and estimate the number and characteristics of the children potentially affected...
  16. ncbi request reprint Premium subsidies for health insurance: excessive coverage vs. adverse selection
    T M Selden
    Agency for Health Care Policy and Research, Rockville, MD 20852, USA
    J Health Econ 18:709-25. 1999
    ..Indeed, a capped premium subsidy may mitigate adverse selection without creating incentives for excessive coverage...
  17. pmc How would mental health parity affect the marginal price of care?
    S H Zuvekas
    Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, MD 20852, USA
    Health Serv Res 35:1207-27. 2001
    ..The survey was carefully aged and reweighted to represent 1995 population and coverage characteristics...
  18. doi request reprint Mental health and family out-of-pocket expenditure burdens
    Samuel H Zuvekas
    Agency for Healthcare Research and Quality, Rockville, MD, USA
    Med Care Res Rev 67:194-212. 2010
    ..Most of the burden was due to other medical conditions and lower average incomes among families with mental health problems...
  19. ncbi request reprint Workers who decline employment-related health insurance
    Didem M Bernard
    Division of Modeling and Simulation, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland 20850, USA
    Med Care 44:I12-8. 2006
    ..Families of workers who decline coverage represent a substantial share of the uninsured and publicly-insured population in the United States...
  20. ncbi request reprint The impact of SCHIP on insurance coverage of children
    Julie L Hudson
    Division of Modeling and Simulation, Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Inquiry 42:232-54. 2005
    ..Associated estimates of SCHIP crowd-out had wide confidence intervals and were sensitive to estimation strategy...
  21. ncbi request reprint Employer offers, private coverage, and the tax subsidy for health insurance: 1987 and 1996
    Didem Bernard
    Division of Modeling and Simulation, Center for Cost and Financing Studies, Agency for Healthcare Research and Quality, Rockville, MD, USA
    Int J Health Care Finance Econ 2:297-318. 2002
    ..In addition, we present family-level elasticities that allow for joint decision-making in two-worker families...
  22. ncbi request reprint Health care expenditures and GDP: panel data unit root test results
    S K McCoskey
    Agency for Health Care Policy and Research, Rockville, MD 20852, USA
    J Health Econ 17:369-76. 1998
    ..No single test is likely to be definitive in this rapidly-evolving area of econometric research; however, our results help to mitigate concern that panel data analyses of national health care expenditures are misspecified...
  23. ncbi request reprint Designing employer health benefits for a heterogeneous workforce: risk adjustment and its alternatives
    W E Encinosa
    Agency for Healthcare Research and Quality, 2101 East Jefferson St, Rockville, MD 20852, USA
    Inquiry 38:270-9. 2001
    ..We argue that while formal risk adjustment is rare, employers commonly use strategies that accomplish some of the same objectives at less cost...
  24. ncbi request reprint Reconciling medical expenditure estimates from the MEPS and NHEA, 2002
    Merrile Sing
    Agency for Healthcare Research and Quality, Rockville, MD 20850, USA
    Health Care Financ Rev 28:25-40. 2006
    ..This article compares MEPS and NHEA expenditure estimates for 2002 and discusses the differences. When MEPS and the NHEA are adjusted to be on a consistent basis, their expenditure estimates differ by 13.8 percent...
  25. doi request reprint A discrete choice decomposition analysis of racial and ethnic differences in children's health insurance coverage
    Yuriy Pylypchuk
    Social and Scientific Systems, 8757 Georgia Avenue, 12th Floor, Silver Spring, MD 20910, United States
    J Health Econ 27:1109-28. 2008
    ..Comparison of our linear, nonlinear, and nonparametric results suggests researchers may face a trade-off between robustness and precision when selecting among decomposition methodologies for discrete outcomes...