ArticleHealth affairs (Project Hope)2018
Impact Of Risk Adjustment For Socioeconomic Status On Medicare Advantage Plan Quality Rankings.
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 32 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
32 citing papers in PubMed.
- Examining key sociodemographic characteristics of adolescents and young adults with cancer: A post hoc analysis of the Promoting Resilience in Stress Management randomized clinical trial.Palliative medicine · 2020Trial
- Hospitalizations and long-term care for older adults with Alzheimer's disease and related dementia: Differences across geographic regions of the United States.Journal of Alzheimer's disease : JAD · 2026Article
- Exploring the cost-effectiveness and optimization strategies of nursing caring for children and older adults: a perspective.Frontiers in public health · 2026Article
- Geographic variation in Medicare Advantage nonemergency medical transportation benefits 2020-2024.Health affairs scholar · 2025Article
- Disparities in Clinical Trial Participation in Children and Adolescent Patients With a Hematologic Malignancy.Pediatric blood & cancer · 2025Article
- No Association Between Medicare Advantage Providers' Network Restrictiveness and Star Rating Between 2013 and 2017: An Observational Study.Journal of general internal medicine · 2025Observational
- A Framework for the Design of Risk-Adjustment Models in Health care Provider Payment Systems.Medical care research and review : MCRR · 2025Review
- Racial/Ethnic Disparities in Hospital Readmission and Frequent Hospitalizations Among Medicare Beneficiaries With Alzheimer's Disease and Related Dementia: Traditional Medicare Versus Medicare Advantage.The journals of gerontology. Series B, Psychological sciences and social sciences · 2024Article
- Food insecurity screening and local food access: Contributions to nutritional outcomes among children and adults with cystic fibrosis in the United States.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2024Article
- Racial and ethnic disparities in access to and enrollment in high-quality Medicare Advantage plans.Health services research · 2023Article
- Adjustment for Social Risk Factors in a Measure of Clinician Quality Assessing Acute Admissions for Patients With Multiple Chronic Conditions.JAMA health forum · 2023Article
- Specialist Availability and Drug Adherence in Older Adults with Dementia Across Regions of the United States.Journal of Alzheimer's disease : JAD · 2023Article
- Area deprivation and respiratory morbidities in children with bronchopulmonary dysplasia.Pediatric pulmonology · 2022Article
- Accounting for past patient composition in evaluations of quality reporting.Health services research · 2022Article
- Adjusting for Social Risk Factors in Pediatric Quality Measures: Adding to the Evidence Base.Academic pediatrics · 2022Article
- Chronic Pain Severity and Sociodemographics: An Evaluation of the Neurobiological Interface.The journal of pain · 2022Observational
- The Relationship Between Medicare Advantage Star Ratings and Enrollee Experience.Journal of general internal medicine · 2021Article
- Geospatial Analysis of Food Deserts and Their Impact on Health Outcomes in Children with Cystic Fibrosis.Nutrients · 2021Article
- "It's Time to Represent": shifting the paradigm to improve the quality of inputs into value assessment frameworks.Journal of managed care & specialty pharmacy · 2021Article
- Incentivizing Excellent Care to At-Risk Groups with a Health Equity Summary Score.Journal of general internal medicine · 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
7 authors.
Funding
Abstract
Sociodemographically disadvantaged patients have worse outcomes on some quality measures that inform Medicare Advantage plan ratings. Performance measurement that does not adjust for sociodemographic factors may penalize plans that disproportionately serve disadvantaged populations. We assessed the impact of adjusting for socioeconomic and demographic factors (sex, race/ethnicity, dual eligibility, disability, rurality, and neighborhood disadvantage) on Medicare Advantage plan rankings for blood pressure, diabetes, and cholesterol control. After adjustment, 20.3 percent, 19.5 percent, and 11.4 percent of Medicare Advantage plans improved by one or more quintiles in rank on the diabetes, cholesterol, and blood pressure measures, respectively. Plans that improved in ranking after adjustment enrolled higher proportions of disadvantaged enrollees. Adjusting quality measures for socioeconomic factors is important for equitable payment and quality reporting. Our study suggests that plans serving disadvantaged populations would have improved relative rankings for three important outcome measures if socioeconomic factors were included in risk-adjustment models.
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.