ArticleHealth affairs (Project Hope)2018
Regional Variations: The Use Of Hospitals, Home Health, And Skilled Nursing In Traditional Medicare And Medicare Advantage.
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 27 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
27 citing papers in PubMed, 41 citations in OpenAlex.
- Comparing Health Care Utilization Between Medicare Advantage and Traditional Medicare by Dementia Status: A Propensity-Weighted Analysis.Health services research · 2026Observational
- Defining and Measuring Delays in Postacute Care: Toward a Standardized Definition of Rehabilitation Access.Medical care · 2026Article
- Match Rates Between Home Health Assessment and Medicare Claims Data.JAMA network open · 2026Article
- Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke.JAMA network open · 2026Article
- Length of stay of post-acute care: determinants and differences between traditional medicare and medicare advantage.Health affairs scholar · 2025Article
- Estimating financial and health burden by initial Medicare plan choice and history of cancer.Health affairs scholar · 2025Article
- Home Health Care Use and Outcomes After Coronary Artery Bypass Grafting Among Medicare Beneficiaries.Circulation. Cardiovascular quality and outcomes · 2024Article
- Regional variation in length of stay for stroke inpatient rehabilitation in traditional Medicare and Medicare Advantage.Health affairs scholar · 2024Article
- Medicare Advantage Plan Star Ratings and County Social Vulnerability.JAMA network open · 2024Article
- Long-term outcomes after rehabilitation in Medicare Advantage and fee-for-service beneficiaries.Journal of the American Geriatrics Society · 2024Article
- Getting to the root: Examining within and between home health agency inequities in functional improvement.Health services research · 2024Article
- Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage.JAMA health forum · 2024Article
- Postacute Care Services Use and Outcomes Among Traditional Medicare and Medicare Advantage Beneficiaries.JAMA health forum · 2023Article
- Potentially More Out of Reach: Public Reporting Exacerbates Inequities in Home Health Access.The Milbank quarterly · 2023Article
- Defining a taxonomy of Medicare-funded home-based clinical care using claims data.BMC health services research · 2023Article
- Drivers of Individual and Regional Variation in CMS Hierarchical Condition Categories Among Florida Beneficiaries.Risk management and healthcare policy · 2023Article
- Regional variation in healthcare usage for Medicare beneficiaries: a cross-sectional study based on the health and retirement study.BMJ open · 2022Article
- Geographical Variation in Health Spending Across the US Among Privately Insured Individuals and Enrollees in Medicaid and Medicare.JAMA network open · 2022Article
- Out Of Reach: Inequities In The Use Of High-Quality Home Health Agencies.Health affairs (Project Hope) · 2022Article
- Traditional Medicare Spending on Inpatient Episodes as Hospitalizations Decline.Journal of hospital 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
6 authors at 5 institutions in 2 countries.
Funding
Abstract
In the traditional Medicare program, the use of health care services-particularly postacute care-varies substantially across geographic regions. Less is known about such variations in Medicare Advantage (MA), which is growing rapidly. Insurers that are paid on a risk basis, as in MA, may have incentives and tools to restrain the use of services, which could attenuate geographic variations. In this study of fifty-four million Medicare beneficiaries in the period 2007-13, we found that geographic variations in the use of skilled nursing facility and hospital care in the MA population exceeded those in traditional Medicare, though variations in the use of home health care were greater in traditional Medicare. Within hospital referral regions, the correlations between the use of services in MA and traditional Medicare were moderate to strong. The findings suggest that regional variations in hospital and postacute care reflect local factors that influence beneficiaries' use of services irrespective of the way they obtain coverage.
Indexed as
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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.