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Center for Financing, Access, and Cost Trends (CFACT): Publications by Staff

Joel W. Cohen

Authors: Rhoades J, Cohen J, Machlin S
Title: Methodological comparison of estimates of ambulatory health care use from the Medical Expenditure Panel Survey and other data sources
Publication: JSM Proceedings of the Section on Health Policy Statistics, 2828-2837.
Date: 2010

Authors: Fleishman J, Cohen J
Title: Using information on clinical conditions to predict high-cost patients
Publication: Health Services Research 45(2):532-52
Date: April 2010
Abstract: Available on PubMed®

Authors: Cohen J, Rhoades J
Title: Group and non-group private health insurance coverage, 1996 to 2007: Estimates for the U.S. civilian noninstitutionalized population under age 65
Publication: MEPS Statistical Brief No. 267. Available on the MEPS Web site.
Date: October 2009
Abstract: Health insurance helps people secure timely access to medical care and protects them against the risk of expensive and unanticipated medical events. This Statistical Brief examines the trends in group and non-group private health insurance coverage between 1996 and 2007 for the U.S. civilian noninstitutionalized population under age 65.

Authors: Cohen J, Cohen S, Banthin J
Title: The Medical Expenditure Panel Survey: A national information resource to support healthcare cost research and inform policy and practice
Publication: Medical Care 47(7 Suppl 1):S44-50
Date: July 2009
Abstract: Available on PubMed®.

Authors: Machlin S, Cohen J, Elixhauser A, Beauregard K, Steiner C
Title: Sensitivity of household reported medical conditions in the Medical Expenditure Panel Survey
Publication: Medical Care 47(6):618-625
Date: June 2009
Abstract: Available on PubMed®.

Authors: Machlin S, Cohen J
Title: Persons with high health care expenditures: Proportions by age and insurance coverage, 2005
Publication: MEPS Statistical Brief No. 217. Available on the MEPS Web site
Date: August 2008
Abstract: This brief provides estimates from the 2005 Medical Expenditure Panel Survey (MEPS) of proportions of the population with high medical expenditures by age and insurance coverage. Estimates are provided separately for total and out-of-pocket expenses.

Authors: Machlin S, Cohen J, Beauregard K
Title: Health care expenses for adults with chronic conditions, 2005
Publication: MEPS Statistical Brief No. 203. Available on the MEPS Web site
Date: May 2008
Abstract: Using data from the Household Component of the 2005 Medical Expenditure Panel Survey (MEPS-HC), this Statistical Brief presents overall expenditures among adults for chronic conditions and acute care expenses for adults. These expenses are presented by type of service and age.

Authors: Zuvekas S, Cohen J
Title: Prescription drugs and the changing concentration of health care expenditures
Publication: Health Affairs 26(1):249-57
Date: Jan-Feb 2007
Abstract: Available on PubMed®

Authors: Fleishman J, Cohen J, Manning W, Kosinski M
Title: Using the SF-12 health status measure to improve predictions of medical expenditures
Publication: Medical Care 44(5 Suppl):154-63
Date: May 2006
Abstract: Available on PubMed®

Authors: Zuvekas S, Cohen J
Title: Trends in provider capitation, 1996-2000
Publication: J Econ Social Measurem 30(2,3):145-56
Date: 2005

Authors: Conwell L, Cohen J
Title: Characteristics of persons with high medical expenditures in the U.S. civilian noninstitutionalized population, 2002
Publication: MEPS Statistical Brief No. 73. Available on the MEPS Web site
Date: March 2005
Abstract: Using data from the 2002 MEPS-HC, this statistical brief presents characteristics of persons in the U.S. civilian noninstitutionalized (community) population in calendar year 2002 who were in the top 5 percent of the medical expenditure distribution compared with persons in the bottom 50 percent of that distribution.

Authors: Rhoades J, and Cohen J
Title: The uninsured in America, 1996-2003: Estimates for the U.S. population under age 65
Publication: MEPS Statistical Brief No. 45. Available on the MEPS Web site
Date: 2004
Abstract: This statistical brief presents estimates from the MEPS-HC on the uninsured in America under age 65 for calendar years 1996 through 2002, as well as the first half of 2003.

Authors: Rhoades J, and Cohen J
Title: Health insurance status of children in America, 1996-2003: Estimates for the U.S. population under age 18
Publication: MEPS Statistical Brief No. 44. Available on the MEPS Web site
Date: 2004
Abstract: This statistical brief presents estimates from the MEPS-HC concerning the health insurance status of the civilian noninstitutionalized child population, a key element related to their health care. Estimates are presented from the first half of calendar years 1996 through 2003.

Authors: Spector W, Cohen J, Pesis-Katz I
Title: Home care before and after the Balanced Budget Act of 1997: shifts in financing and services
Publication: Gerontologist 44:39-47
Date: 2004
Abstract: Available on PubMed®

Authors: Kirby J, Machlin S, Cohen J
Title: Has the increase in HMO enrollment within the Medicaid population changed the pattern of health service use and expenditures?
Publication: Med Care 41(7):III-24-34
Date: July 2003
Abstract: Available on PubMed®

Authors: Cohen J, Krauss N
Title: Spending and service use among people with the fifteen most costly medical conditions, 1997
Publication: Health Affairs 22(2):129-38. AHRQ Pub. No. 03-R029
Date: March/April 2003
Abstract: Available on PubMed®

Authors: Rhoades J, Cohen J
Title: Health insurance status of children in America: 1996-2002: Estimates for the non-institutionalized population under age 18
Publication: MEPS Statistical Brief No. 28. Available on the MEPS Web site
Date: 2003
Abstract: This statistical brief presents data from MEPS concerning the health insurance status of children, a key element related to their health care. This brief makes comparisons of health insurance status by age groups, race/ethnicity, and health status for children under 18 for the years 1996-2002.

Authors: Zuvekas S, Cohen J
Title: A guide to comparing health care expenditures in the 1996 MEPS to the 1987 NMES
Publication: Inquiry 39:76-86
Date: 2002
Abstract: Available on PubMed®

Authors: Rhoades J, Vistnes J, Cohen J
Title: The Uninsured in America: 1996-2000
Publication: MEPS Chartbook No. 9. AHRQ Pub. No. 02-0027. Available on the MEPS Web site
Date: 2002
Abstract: This chartbook presents data from the first year of the MEPS survey, 1996, through 2000. Following an overview of the uninsured in America, this chartbook examines the problem of lack of insurance in terms of predictors of insurance status: age, race/ethnicity, and employment status.

Authors: Taylor A, Cohen J, Machlin S
Title: Being uninsured in 1996 compared to 1987: how has the experience of the uninsured changed over time?
Publication: Health Serv Res 36(6) Part II:16-31. AHRQ Pub. No. 02-R038
Date: 2001
Abstract: Our objective was to explore trends in the nonelderly uninsured population between 1987 and 1996 and examine whether the broad disparities in medical care utilization and out-of-pocket spending between the privately insured and uninsured populations that existed in 1987 continued over the following decade. Data are taken from the 1996 MEPS and the 1987 NMES.

Authors: Newacheck P, Leiu T, Kalkbrenner A, et al
Title: A comparison of health care experiences for Medicaid and commercially enrolled children in a large, nonprofit health maintenance organization
Publication: Ambul Pediatr 1(1):28-35. AHRQ Pub. No. 01-R039
Date: 2001
Abstract: Available on PubMed®

Authors: Selden T, Levit K, Cohen J, et al
Title: Reconciling Medical Expenditure Estimates from the MEPS and the NHA, 1996
Publication: Health Care Fin Rev 23(1):161-78. AHRQ Pub. No. 02-R027
Date: 2001
Abstract: Available on PubMed®

Authors: Machlin S, Cohen J, Zuvekas S, et al
Title: Health care expenses in the community population, 1996
Publication: MEPS Chartbook No. 5. AHRQ Pub. No. 01-0027. Available on the MEPS Web site
Date: 2001
Abstract: This chartbook presents data from MEPS on spending in 1996 for medical services and supplies for the civilian noninstitutionalized (community) population.

Authors: Ray G, Lieu T, Weinick R, et al
Title: Comparing the medical expenses of children with Medicaid and commercial insurance in an HMO
Publication: Am J Managed Care 6(7):753-60. AHRQ Pub. No. 00-R044
Date: 2000
Abstract: Available on PubMed®

Authors: Weinick R, Zuvekas S, Cohen J
Title: Racial and ethnic differences in access to and use of health care services, 1977 to 1996
Publication: Med Care Res Rev 57:36-54. AHRQ Pub. No. 01-R006
Date: 2000
Abstract: Available on PubMed®

Authors: Weinick R, Cohen J
Title: Leveling the playing field: Managed care enrollment and hospital use, 1987-1996
Publication: Health Aff 19(3):178-84. AHRQ Pub. No. 00-R029
Date: 2000
Abstract: Available on PubMed®

Authors: Cohen J, Machlin S, Zuvekas S, et al
Title: Health care expenses in the United States, 1996
Publication: MEPS Research Findings No. 12. AHRQ Pub. No. 01-0009. Available on the MEPS Web site
Date: 2000
Abstract: This report presents descriptive data on health care spending in the United States. Data come from the 1996 MEPS and cover the civilian noninstitutionalized U.S. population. Information is given on total health care expenses combined and also for hospital inpatient services, ambulatory services, prescription medicines, dental services, home health services, and other medical equipment and supplies.

Authors: Selden T, Banthin J, Cohen J
Title: Waiting in the wings: Eligibility and enrollment in the State Children's Health Insurance Program
Publication: Health Aff 18(2):126-33. AHCPR Pub. No. 99-R050
Date: 1999
Abstract: Available on PubMed®

Authors: Machlin S, Cohen J, Thorpe J
Title: Measuring inpatient care use in the United States: A comparison across five federal data sources
Publication: J Econ Social Measurem 23:1-11
Date: 1999
Abstract: Despite declines in recent years, inpatient care remains the largest component of national medical expenditures. The U.S. Department of Health and Human Services currently sponsors five data-collection efforts that can be used to estimate the utilization of inpatient hospital care in the United States. Through a comparison of 1996 inpatient utilization estimates, this paper describes important methodological considerations when using the different data sources for measuring inpatient use. The results show that surveys with similar target populations and methodologies produced similar estimates. In particular, estimates for the household-based surveys (NHIS and MEPS-HC) were comparable, while those for the hospital discharge surveys (NHDS and HCUP-NIS) were not comparable. Hospital discharge surveys produced substantially higher estimates of total discharges than household surveys, which is partly attributable to differences in target populations. Also, data from the Medicare Current Beneficiary Survey suggest that underreporting may be another explanation for lower estimates from the household surveys.

Authors: Banthin J, Cohen J
Title: Changes in the Medicaid community population: 1987-96
Publication: MEPS Research Findings No. 9. AHCPR Pub. No. 99-0042. Available on the MEPS Web site
Date: 1999
Abstract: This report uses data from MEPS and NMES to compare the composition of the noninstitutionalized Medicaid population in 1996 and 1987.

Authors: Machlin S, Cohen J, Zuvekas S, Thorpe J
Title: Accuracy of household reported payments for physician visits in the 1996 Medical Expenditure Panel Survey
Publication: Proceedings of the American Statistical Association
Date: 1999

Authors: Weinick R, Weigers M, Cohen J
Title: Children's health insurance, access to care, and health status: New findings
Publication: Health Aff 17(2):127-36. AHCPR Pub. No. 98-R035
Date: 1998
Abstract: Available on PubMed®

Authors: Weigers M, Weinick R, Cohen J
Title: Children's health—1996
Publication: MEPS Chartbook No. 1. AHCPR Pub. No. 98-0008. Available on the MEPS Web site
Date: 1998
Abstract: This report presents the latest available information concerning three key elements related to children's health.

Authors: Spector W, Selden T, Cohen J
Title: The impact of ownership type on nursing home outcomes
Publication: Health Econ 7:639-53. AHCPR Pub. No. 99-R026
Date: 1998
Abstract: Available on PubMed®

Authors: Selden T, Banthin J, Cohen J
Title: Medicaid's problem children: Eligible but not enrolled
Publication: Health Aff 17(3):192-200. AHCPR Pub. No. 98-R067
Date: 1998
Abstract: Available on PubMed®

Author: Cohen J
Title: Design and methods of the MEPS Household Component
Publication: MEPS Methodology Report No. 1. AHCPR Pub. No. 97-0026. Available on the MEPS Web site
Date: 1997
Abstract: New panel design features for the MEPS Household Component are detailed.

Authors: Cohen J, Monheit A, Beauregard K, et al.
Title: The Medical Expenditure Panel Survey: A national health information resource
Publication: Inquiry 33:373-89. AHCPR Pub. No. 97-R043
Date: 1996/97
Abstract: Available on PubMed®

Authors: Spector W, Reschovsky J, and Cohen J
Title: Appropriate placement of nursing-home residents in lower levels of care
Publication: Milbank Q 74(1):139-60. AHCPR Pub. No. 96-R067
Date: 1996
Abstract: Available on PubMed®

Authors: Cohen J, Spector W
Title: The effect of Medicaid reimbursement on quality of care in nursing homes
Publication: J Health Econ 15:23-48. AHCPR Pub. No. 96-R116
Date: 1996
Abstract: Available on PubMed®


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