Evidence map›Paper›PMID 19840136›Full record

ArticleHealth services research2010

The utility of the state buy-in variable in the Medicare denominator file to identify dually eligible Medicare-Medicaid beneficiaries: a validation study.

Siran M Koroukian, Bassam Dahman, Glenn Copeland, Cathy J Bradley

Abstract readComparative StudyValidation Study
In one paragraph

Article in Health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Siran M KoroukianDepartment of Epidemiology and Biostatistics, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, WG-49, Cleveland, OH 44106-4945, USA. skoroukian@case.edu
Bassam Dahman
Glenn Copeland
Cathy J Bradley

Funding

Aging-Cancer Research Program Development at CWRU CCCP20CA103736 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BERGER, NATHAN A. · 2003 to 2007
$3.8M
In-Depth Examination of Disparities in Cancer OutcomesR01CA101835 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI BRADLEY, CATHY J. · 2004 to 2007
$1.3M
Cancer-Related Disparities in the Elderly PopulationK07CA096705 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI KOROUKIAN, SIRAN M. · 2003 to 2007
$696k
NCI NIH HHS K07 CA096705NCI NIH HHS P20 CA103736NCI NIH HHS R01 CA101835NCI NIH HHS R01-CA101835-01
6 · The paper itself

Abstract

objectiveTo compare the adequacy of the state buy-in variable (SBI) in the Medicare denominator file to identify dually eligible patients. DATA SOURCE/STUDY SETTINGS: We used linked Medicare and Medicaid data from Michigan and Ohio for elders diagnosed with incident breast, prostate, or colorectal cancer between 1996 and 2001. STUDY

designUsing the Medicaid enrollment file as the "gold standard," we assessed the number of duals from Medicare files in cross-sectional and longitudinal analyses. DATA COLLECTION/EXTRACTION

methodsData for the study population were linked with Medicare and Medicaid files using patient identifiers. PRINCIPAL

findingsSensitivity was low (74.2 percent, 95 percent confidence interval [CI]: 72.7, 75.6 and 80.8 percent, 79.7, 81.9, in Michigan and Ohio, respectively). PPV was above 95 percent in Michigan and 88.8 percent in Ohio. Both sensitivity and PPV varied between and within the states. Both in Michigan and in Ohio, we observed limited agreement on the length of enrollment in Medicaid between the two data sources.

conclusionsExcept to examine disparities by dual status at a very broad level, the SBI variable alone may be inadequate to identify duals. The findings call for improvements in Medicare and Medicaid information management systems and for uniformity in database linking strategies.

Indexed as

MedicaidMedicareState GovernmentAgedAged, 80 and overCross-Sectional StudiesDatabases, FactualEligibility DeterminationFemaleHumansMaleMichiganNeoplasmsOhioRegistriesUnited States

Identifiers

PMID19840136
PMCPMC2813448

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.