ArticleHealth affairs (Project Hope)2015
High-Cost Patients Had Substantial Rates Of Leaving Medicare Advantage And Joining Traditional Medicare.
Article in Health affairs (Project Hope), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.
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.
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.
Who cites it
72 citing papers in PubMed, 114 citations in OpenAlex.
- Quality, Cost, and Timeliness of Cancer Treatment in Medicare Advantage and Traditional Medicare.JAMA internal medicine · 2026Article
- Medicare Advantage Beneficiary Enrollment Decisions Following New Complex Conditions.JAMA health forum · 2026Article
- Health care access, affordability, and satisfaction following enrollment in Medicare Advantage.Health affairs scholar · 2026Article
- The financial implications of selective disenrollment from Medicare advantage.Health affairs scholar · 2026Article
- Access to Specialty Cancer Care and Plan Disenrollment Among Medicare Beneficiaries.JAMA network open · 2026Article
- Increasing the Probability of Comparing Between Traditional Medicare and Medicare Advantage.Health literacy research and practice · 2026Article
- State Medigap Policies and Disenrollment From Medicare Advantage Among Beneficiaries With Cancer.JCO oncology practice · 2026Article
- Risk Adjustment for Alzheimer Disease and Related Dementias in Medicare Advantage and Health Care Experiences.JAMA network open · 2026Article
- Mental health care use after leaving Medicare Advantage for traditional Medicare.The American journal of managed care · 2025Article
- Medicare Advantage Has Lower Resource Use and Better Quality of Care than Traditional Medicare.American journal of health economics · 2025Article
- U.S. adults with diagnosed diabetes enrolled in Medicare by age and insurance type.Preventive medicine reports · 2025Article
- Enrollment in Dual-Eligible Special Needs Plans and Disenrollment Rates.JAMA health forum · 2025Article
- The effect of providing Medicare Advantage enrollees diagnosed with cancer additional time to reassess enrollment.Health affairs scholar · 2025Article
- Medigap Protection and Plan Switching Among Medicare Advantage Enrollees With Cancer.JAMA health forum · 2025Article
- Older adults living with dementia enrolled in similar Medicare Advantage plans compared to those without dementia.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2025Article
- Switching between Medicare Advantage and Traditional Medicare for individuals newly diagnosed with cancer 2015-2019.Journal of the National Cancer Institute · 2025Article
- Examining Trends in Medicare Advantage Plan Disenrollment Associated With Expanded Supplemental Benefit Adoption.Health services research · 2025Article
- Should I stay or should I go again: Multiple switching between fee-for-service Medicare and Medicare advantage among older beneficiaries.Health services research · 2025Article
- Understanding the Effect of Race on Medicare Advantage Enrollment.Health services research · 2025Article
- The Effect of Extending the Window to Disenroll From Medicare Advantage Among Post-Acute Users.Medical care research and review : MCRR · 2025Article
12 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
Abstract
Medicare Advantage payment regulations include risk-adjusted capitated reimbursement, which was implemented to discourage favorable risk selection and encourage the retention of members who incur high costs. However, the extent to which risk-adjusted capitation has succeeded is not clear, especially for members using high-cost services not previously considered in assessments of risk selection. We examined the rates at which participants who used three high-cost services switched between Medicare Advantage and traditional Medicare. We found that the switching rate from 2010 to 2011 away from Medicare Advantage and to traditional Medicare exceeded the switching rate in the opposite direction for participants who used long-term nursing home care (17 percent versus 3 percent), short-term nursing home care (9 percent versus 4 percent), and home health care (8 percent versus 3 percent). These results were magnified among people who were enrolled in both Medicare and Medicaid. Our findings raise questions about the role of Medicare Advantage plans in serving high-cost patients with complex care needs, who account for a disproportionately high amount of total health care spending.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.