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Publications by Jeremy Roth for Health Policy Center

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More about Jeremy Roth's areas of expertise can be found on this Urban Institute expert's page.


Viewing 1-6 of 6. Most recent listed first.

Trends in Prescription Drug Spending Leading Up to Health Reform (Article)
Fredric Blavin, Timothy Waidmann, Linda J. Blumberg, Jeremy Roth

Over the past decade, prescription drug expenditures grew faster than any other service category and comprised an increasing share of per capita health spending. Using the 2005 and 2009 Medical Expenditure Panel Surveys, this analysis identifies the sources of spending growth for prescription drugs among the nonelderly population. We find that prescription drug expenditures among the nonelderly increased by $14.9 billion (9.2%) from 2005 to 2009 and expenditures increased in 12 out of the 16 therapeutic classes. Changes in the number of users and expenditures per fill were the drivers of spending fluctuations in these categories. The main results also provide insight into generic entry, the price gap between brand and generic drugs, and from a health reform evaluation perspective, the importance of separating pre-policy secular trends in expenditures from changes attributable to specific forces, such as shifts toward generic versions of blockbuster drugs.

Posted: May 19, 2014Availability: HTML

Wide Variation in Medical Loss Ratios within States In 2010 Suggests the Affordable Care Act's Standards Could Lead to Higher Value Insurance Options (Article)
Lisa Clemans-Cope, Linda J. Blumberg, Stephen Zuckerman, Jeremy Roth

Medical loss ratios in the individual health insurance market varied widely by state in 2010, but group markets varied less. During 2010, prior to the enforcement of the ACA's new federal standards, insurers with low medical loss ratios dominated coverage in the individual market in more than one-third of states, and smaller insurers had lower medical loss ratios than larger insurers. States that regulated loss ratios and premiums in 2010 generally had higher average medical loss ratios. Findings suggest that the new federal standards could support a transition to higher value choices in many state markets.

Posted: January 02, 2014Availability: HTML

The Basic Health Program in Utah (Research Report)
Matthew Buettgens, Stan Dorn, Jeremy Roth, Caitlin Carroll

Using the American Community Survey augmented with results from the Urban Institute's Health Insurance Policy Simulation Model, we estimated eligibility, enrollment, and costs for a Basic Health Program (BHP) for Utah under the Affordable Care Act. We find that 55,000 Utahns would qualify for BHP; between 31,000 and 41,000 would likely enroll. Federal BHP payments would likely exceed state costs, with the amount depending on BHP plan cost sharing. BHP would reduce the size of the nongroup exchange by about a quarter, leaving about 120,000 covered lives.

Posted: November 09, 2012Availability: HTML | PDF

Massachusetts under the Affordable Care Act: Employer-Related Issues and Policy Options (Research Report)
Fredric Blavin, Linda J. Blumberg, Matthew Buettgens, Jeremy Roth

Using the Health Insurance Policy Simulation Model, this report analyzes four policy options for assessing employers who do not provide affordable health insurance to their workers as Massachusetts brings its health reform law into compliance with the Affordable Care Act (ACA). Overall coverage and costs are similar across all options, but replacing the state's Fair Share Contribution (FSC) requirement with the ACA assessment would eliminate a source of state revenue. Similarly, maintaining the FSC for small employers only would raise one-fifth as much revenue as leaving the current assessment in place.

Posted: July 25, 2012Availability: HTML | PDF

The Coverage and Cost Effects of Implementation of the Affordable Care Act in New York State (Research Report)
Fredric Blavin, Linda J. Blumberg, Matthew Buettgens, Jeremy Roth

The Affordable Care Act provides states with the opportunity to develop health benefit exchanges – structured marketplaces for the purchase of health insurance coverage by small employers and individual purchasers. The law provides an array of design choices to the states in an effort to allow the exchanges to reflect varying preferences across the country. This analysis uses the Health Insurance Policy Simulation Model (HIPSM) to delineate the cost and coverage implications of a standard implementation of the ACA in New York compared to the no reform case, along with the differential effects of a number of alternative design options.

Posted: April 04, 2012Availability: HTML | PDF

State Progress Toward Health Reform Implementation: Slower Moving States Have Much to Gain (Research Report)
Fredric Blavin, Matthew Buettgens, Jeremy Roth

We use the Health Insurance Policy Simulation Model to explore the correlations between a state's progress toward implementing the Affordable Care Act and the anticipated benefits of the reform for state residents, as measured by the expected state gains in insurance coverage and federal subsidies. We group states in three categories based on the status of legislative action and the receipt of level 1 federal establishment grants. We find that states that have made the least progress in establishing health insurance exchanges are in general those that have the largest potential gains in coverage and federal subsidy dollars per capita.

Posted: January 23, 2012Availability: HTML | PDF

 

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