Evidence map›Paper›PMID 26602175›Full record

ReviewMedical care research and review : MCRR2016

Cost Sharing in Medicaid: Assumptions, Evidence, and Future Directions.

Victoria Powell, Brendan Saloner, Lindsay M Sabik

Abstract readReview
In one paragraph

Review in Medical care research and review : MCRR, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

3 authors.

Victoria PowellJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Brendan SalonerJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA bsaloner@gmail.com.
Lindsay M SabikVirginia Commonwealth University, Richmond, VA, USA.

Funding

Disparities in Cancer Screening: The Role of Medicaid PolicyR01CA178980 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI SABIK, LINDSAY MARIE · 2013 to 2016
$1.2M
NCI NIH HHS R01 CA178980
6 · The paper itself

Abstract

Several states have received waivers to expand Medicaid to poor adults under the Affordable Care Act using more cost sharing than the program traditionally allows. We synthesize literature on the effects of cost sharing, focusing on studies of low-income U.S. populations from 1995 to 2014. Literature suggests that cost sharing has a deterrent effect on initiation of treatments, and can reduce utilization of ongoing treatments. Furthermore, cost sharing may be difficult for low-income populations to understand, patients often lack sufficient information to choose medical treatment, and cost sharing may be difficult to balance within the budgets of poor adults. Gaps in the literature include evidence of long-term effects of cost sharing on health and financial well-being, evidence related to effectiveness of cost sharing combined with patient education, and evidence related to targeted programs that use financial incentives for wellness. Literature underscores the need for evaluation of the effects of cost sharing on health status and spending, particularly among the poorest adults.

Indexed as

Cost SharingForecastingHealth Services AccessibilityHumansMedicaidPatient Protection and Affordable Care ActPovertyUnited StatesAffordable Care Actcost sharinghealth literacyMedicaid

Identifiers

PMID26602175
PMCPMC4879115

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.