Evidence map›Paper›PMID 30080463›Full record

ArticleHealth affairs (Project Hope)2018

Medicaid Eligibility Expansions May Address Gaps In Access To Diabetes Medications.

Rebecca Myerson, Tianyi Lu, Ivy Tonnu-Mihara, Elbert S Huang

Open access · bronzeAbstract 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
8.7field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

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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

4 authors at 4 institutions in 2 countries.

Rebecca MyersonRebecca Myerson ( rmyerson@healthpolicy.usc.edu ) is an assistant professor of pharmaceutical and health economics at the School of Pharmacy and the Leonard D. Schaeffer Center for Health Policy and Economics, both at the University of Southern California, in Los Angeles.
Tianyi LuTianyi Lu is a PhD student in the School of Pharmacy and the Leonard D. Schaeffer Center for Health Policy and Economics, University of Southern California.
Ivy Tonnu-MiharaIvy Tonnu-Mihara is a director of program analytics and research for the Pharmacy Service, Veterans Affairs (VA) Long Beach Healthcare System, in Long Beach, California; and a pharmacist consultant for the Veterans Health Administration, Office of Academic Affiliations, in Washington, D.C.
Elbert S HuangElbert S. Huang is a professor of medicine and director of the Center for Chronic Disease Research and Policy at the University of Chicago.
Oklahoma State University Center for Health Sciences · USThe Centre for Health (New Zealand) · NZUniversity of Chicago · USVA Long Beach Healthcare System · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI Ronald T. Ackermann, MARSHALL H CHIN · 2011 to 2026
$10.0M
Research and Mentorship in Improving Diabetes CareK24DK071933 · NIDDK · UNIVERSITY OF CHICAGO · PI CHIN, MARSHALL H · 2005 to 2014
$1.6M
Research and Mentorship in Medical Decision Making in DiabetesK24DK105340 · NIDDK · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S. · 2015 to 2019
$884k
The Impact of State-Varying Components of the Affordable Care Act on Prescription Fills for Diabetes and HypertensionR36HS023964 · AHRQ · UNIVERSITY OF CHICAGO · PI MYERSON, REBECCA · 2015 to 2015
$22k
AHRQ HHS R36 HS023964NIDDK NIH HHS K24 DK071933NIDDK NIH HHS K24 DK105340NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

Diabetes is a top contributor to the avoidable burden of disease. Costly diabetes medications, including insulin and drugs from newer medication classes, can be inaccessible to people who lack insurance coverage. In 2014 and 2015 twenty-nine states and the District of Columbia expanded eligibility for Medicaid among low-income adults. To examine the impacts of Medicaid expansion on access to diabetes medications, we analyzed data on over ninety-six million prescription fills using Medicaid insurance in the period January 2008-December 2015. Medicaid eligibility expansions were associated with thirty additional Medicaid diabetes prescriptions filled per 1,000 population in 2014-15, relative to states that did not expand Medicaid eligibility. Age groups with higher prevalence of diabetes exhibited larger increases. The increase in prescription fills grew significantly over time. Overall, fills for insulin and for newer medications increased by 40 percent and 39 percent, respectively. Our findings suggest that Medicaid eligibility expansions may address gaps in access to diabetes medications, with increasing effects over time.

Indexed as

Eligibility DeterminationInsurance CoverageMedicaidAdultAgedDatabases, FactualDiabetes MellitusFemaleHumansHypoglycemic AgentsMaleMiddle AgedUnited StatesYoung AdultHypoglycemic AgentsAffordable Care ActChronic CareDiabetesMedicaidPharmaceuticals

Identifiers

PMID30080463
PMCPMC6642806
OpenAlexW2886115843

What OpenQuestion holds

Textmetadata
LicenceTDM
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.