Evidence map›Paper›PMID 29309215›Full record

ArticleHealth affairs (Project Hope)2018

Medicare Advantage Enrollees More Likely To Enter Lower-Quality Nursing Homes Compared To Fee-For-Service Enrollees.

David J Meyers, Vincent Mor, Momotazur Rahman

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing 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

57 citing papers in PubMed.

  1. Article
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  8. Medicare Advantage Enrollment in Nursing Homes: 2010-2023.Journal of the American Geriatrics Society · 2026
    Article
  9. Article
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  15. Observational
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  19. Article
  20. United States' Nursing Home Finances: Spending, Profitability, and Capital Structure.International journal of social determinants of health and health services · 2024
    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.

David J MeyersDavid J. Meyers ( david_meyers@brown.edu ) is a doctoral student in the Department of Health Services, Policy, and Practice at the Brown University School of Public Health, in Providence, Rhode Island.
Vincent MorVincent Mor is a professor in the Department of Health Services, Policy, and Practice, Brown University School of Public Health, and a health scientist at the Providence Veterans Affairs Medical Center.
Momotazur RahmanMomotazur Rahman is an assistant professor in the Department of Health Services, Policy, and Practice, Brown University School of Public Health.

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
Emerging Role of Medicare Advantage in Nursing Home CareR01AG047180 · NIA · BROWN UNIVERSITY · PI MOR, VINCENT · 2014 to 2016
$1.2M
Cost-Sharing, Use, and Outcomes of Post-Acute Care in Medicare Advantage PlansR01AG044374 · NIA · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 2013 to 2015
$993k
Nursing Home Selection of Medicare Advantage Patients and Its Implications on Health OutcomesR03AG050002 · NIA · BROWN UNIVERSITY · PI RAHMAN, MD MOMOTAZUR · 2016 to 2017
$163k
NIA NIH HHS P01 AG027296NIA NIH HHS R01 AG044374NIA NIH HHS R01 AG047180NIA NIH HHS R03 AG050002
6 · The paper itself

Abstract

Unlike fee-for-service (FFS) Medicare, most Medicare Advantage (MA) plans have a preferred network of care providers that serve most of a plan's enrollees. Little is known about how the quality of care MA enrollees receive differs from that of FFS Medicare enrollees. This article evaluates the differences in the quality of skilled nursing facilities (SNFs) that Medicare Advantage and FFS beneficiaries entered in the period 2012-14. After we controlled for patients' clinical, demographic, and residential neighborhood effects, we found that FFS Medicare patients have substantially higher probabilities of entering higher-quality SNFs (those rated four or five stars by Nursing Home Compare) and those with lower readmission rates, compared to MA enrollees. The difference between MA and FFS Medicare SNF selections was less for enrollees in higher-quality MA plans than those in lower-quality plans, but Medicare Advantage still guided patients to lower-quality facilities.

Indexed as

AgedAged, 80 and overDatabases, FactualHumansMedicareMedicare Part CNursing HomesPatient ReadmissionQuality Indicators, Health CareUnited StatesInsuranceLong-Term CareManaged Care - Medicare < Managed CareMedicareQuality Of Care

Identifiers

PMID29309215
PMCPMC5822393

What OpenQuestion holds

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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.