Evidence map›Paper›PMID 28462266›Full record

ArticleHealth services research and managerial epidemiology

Chronic Disease Prevalence and Medicare Advantage Market Penetration: Findings From the Medical Expenditure Panel Survey.

Steven W Howard, Stephanie Lazarus Bernell, Faizan M Casim, Jennifer Wilmott, Lindsey Pearson, Caitlin M Byler, Zidong Zhang

Abstract read
In one paragraph

Article in Health services research and managerial epidemiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Steven W HowardHealth Management and Policy, Saint Louis University, St Louis, MO, USA.
Stephanie Lazarus BernellSchool of Social and Behavioral Health Sciences, Corvallis, OR, USA.
Faizan M CasimUSDA Food and Nutrition Service, VA, USA.
Jennifer WilmottBiostatistics, Saint Louis University, St Louis, MO, USA.
Lindsey PearsonSt Luke's Health System, Kansas City, MO, USA.
Caitlin M BylerUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Zidong ZhangJefferson County Health Department, MO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

By March 2015, 30% of all Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans. Research to date has not explored the impacts of MA market penetration on individual or population health outcomes. The primary objective of this study is to examine the relationships between MA market penetration and the beneficiary's portfolio of cardiometabolic diagnoses. This study uses 2004 to 2008 Medical Expenditure Panel Survey (MEPS) Household Component data to construct an aggregate index that captures multiple diagnoses in one outcome measure (Chronic Disease Severity Index [CDSI]). The MEPS data for 8089 Medicare beneficiaries are merged with MA market penetration data from Centers for Medicare and Medicaid Services (CMS). Ordinary least squares regressions are run with SAS 9.3 to model the effects of MA market penetration on CDSI. The results suggest that each percentage increase in MA market penetration is associated with a greater than 2-point decline in CDSI (lower burden of cardiometabolic chronic disease). Spill-over effects may be driving improvements in the cardiometabolic health of beneficiary populations in counties with elevated levels of MA market penetration.

Indexed as

cardiometabolic conditionscardiovascular diseasediabetesmarket penetrationMedicare AdvantageMEPSspill-over effects

Identifiers

PMID28462266
PMCPMC5266451

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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.