ArticleHealth affairs (Project Hope)2018
Medicare Advantage Ratings And Voluntary Disenrollment Among Patients With End-Stage Renal Disease.
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 30 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
30 citing papers in PubMed.
- The financial implications of selective disenrollment from Medicare advantage.Health affairs scholar · 2026Article
- State Medigap Policies and Disenrollment From Medicare Advantage Among Beneficiaries With Cancer.JCO oncology practice · 2026Article
- Mental health care use after leaving Medicare Advantage for traditional Medicare.The American journal of managed care · 2025Article
- Enrollment in Dual-Eligible Special Needs Plans and Disenrollment Rates.JAMA health forum · 2025Article
- Medigap Regulations Provide Protections For Beneficiaries, Especially After Health Shocks, But May Raise Premiums.Health affairs (Project Hope) · 2025Article
- Medigap Protection and Plan Switching Among Medicare Advantage Enrollees With Cancer.JAMA health forum · 2025Article
- Association of Social Vulnerability and Access to Higher Quality Medicare Advantage Plans.Journal of general internal medicine · 2025Article
- Examining Trends in Medicare Advantage Plan Disenrollment Associated With Expanded Supplemental Benefit Adoption.Health services research · 2025Article
- Understanding the Effect of Race on Medicare Advantage Enrollment.Health services research · 2025Article
- Medigap-guaranteed issue associated with Medicare Advantage disenrollment for beneficiaries administered a part B drug.Health affairs scholar · 2024Article
- Comparing Medicare Fee-for-Service Beneficiaries with ESKD Who Switched to Medicare Advantage versus Remained in Traditional Medicare.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- Medicare Advantage Plan Star Ratings and County Social Vulnerability.JAMA network open · 2024Article
- Medicare advantage and dialysis facility choice.Health services research · 2023Article
- Trends in Cumulative Disenrollment in the Medicare Advantage Program, 2011-2020.JAMA health forum · 2023Article
- Article
- Turnover among new Medicare Advantage enrollees may be greater than perceived.The American journal of managed care · 2022Article
- The Relationship Between Medicare Advantage Star Ratings and Enrollee Experience.Journal of general internal medicine · 2021Article
- Opening the black box: Evaluating the care of people with serious illness in Medicare Advantage.Journal of the American Geriatrics Society · 2021Article
- Incentivizing Excellent Care to At-Risk Groups with a Health Equity Summary Score.Journal of general internal medicine · 2021Article
- Higher Medicare Advantage Star Ratings Are Associated With Improvements In Patient Outcomes.Health affairs (Project Hope) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Populations with intensive health care needs and high care costs may be attracted to insurance plans that have high quality ratings, but patients may be likely to disenroll from a plan if their care needs are not met. We assessed the association between publicly reported Medicare Advantage plan star ratings and voluntary disenrollment of incident dialysis patients in the following year over the period 2007-13. We found that Medicare Advantage (MA) plans with lower star ratings had significantly higher rates of disenrollment by incident dialysis patients in the following year. Compared to MA plans with 4.0 or more stars, adjusted disenrollment rates were 3.9 percentage points higher for plans with 3.5 stars, 5.0 percentage points higher for those with 3.0 stars, and 12.1 percentage points higher for those with 2.5 or fewer stars. These findings suggest that low plan quality may lead to increased expenditures, as this high-cost population generally must shift from Medicare Advantage to traditional Medicare upon disenrollment.
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.