Evidence map›Paper›PMID 29952062›Full record

ArticleHealth services research2018

The Impact of Medicaid Managed Care Plan Type on Continuous Medicaid Enrollment: A Natural Experiment.

Sarah H Gordon, Yoojin Lee, Chima D Ndumele, Patrick M Vivier, Roee Gutman, Shailender Swaminathan, Emily A Gadbois, Renee R Shield, Amy Jo Haavisto Kind, Amal N Trivedi

Open access · bronzeAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 10% of its field
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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Analysis of travel burden and travel support among patients treated at a comprehensive cancer center in the Southeastern United States.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  4. Persistent Disparity: Socioeconomic Deprivation and Cancer Outcomes in Patients Treated in Clinical Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Observational
  5. 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

10 authors at 3 institutions in 2 countries.

Sarah H GordonDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.ORCID 0000-0003-4743-2014
Yoojin LeeCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI.
Chima D NdumeleYale School of Public Health, New Haven, CT.ORCID 0000-0002-4887-0043
Patrick M VivierDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.
Roee GutmanDepartment of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, RI.
Shailender SwaminathanCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI.
Emily A GadboisCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI.ORCID 0000-0003-1643-2732
Renee R ShieldCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI.
Amy Jo Haavisto KindDepartment of Medicine, Geriatrics Division, University of Wisconsin School of Medicine and Public Health, William S. Middleton VA Hospital-GRECC, Madison, WI.
Amal N TrivediCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI.ORCID 0000-0002-9695-4727
Brown University · USGeriatric Research Education and Clinical Center · USYale University · US

Funding

Neighborhood Socioeconomic Disadvantage and Medicare's 30-Day Rehospitalization Policy: Eliminating Rehospitalization Disparities by Informing Policy Design and ImplementationR01MD010243 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2015 to 2019
$2.8M
NIMHD NIH HHS R01 MD010243
6 · The paper itself

Abstract

objectiveTo assess the impact of assignment to a Medicaid-focused versus mixed managed care plan on continuity of Medicaid coverage. DATA SOURCES: 2011-2016 Medicaid claims from a Northeastern state. STUDY

designFollowing the exit of a Medicaid managed care insurer, Medicaid administrators prioritized provider networks in reassigning enrollees, but randomly assigned beneficiaries whose providers were equally represented in the two plans. We leveraged the natural experiment created by random plan assignment and conducted an instrumental variable analysis. DATA COLLECTION: We analyzed Medicaid claims for 12,083 beneficiaries who were members of the exiting Blue Cross Blue Shield plan prior to January 1, 2011. PRINCIPAL

findingsManaged care plan type did not significantly impact continuous enrollment in the Medicaid program. Greater outpatient utilization and the presence of a special need among children were associated with longer enrollment in Medicaid.

conclusionsManaged care plans did not differ in their capacity to keep Medicaid beneficiaries continuously enrolled in coverage, despite differences in plan features.

Indexed as

Blue Cross Blue Shield Insurance PlansHumansInsurance CoverageManaged Care ProgramsMedicaidState Health PlansUnited Statescontinuity of coveragemanaged careMedicaidnatural experiment

Identifiers

PMID29952062
PMCPMC6153165
OpenAlexW2810318848

What OpenQuestion holds

Textmetadata
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.