ArticleHealth services research2018
Reliance on Medicare Providers by Veterans after Becoming Age-Eligible for Medicare is Associated with the Use of More Outpatient Services.
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 18 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
18 citing papers in PubMed.
- Automated Reminders Enhance Mailed Fecal Immunochemical Test Completion Among Veterans: a Randomized Controlled Trial.Journal of general internal medicine · 2024Trial
- A Postcard Primer Prior to Mailed Fecal Immunochemical Test Among Veterans: a Randomized Controlled Trial.Journal of general internal medicine · 2023Trial
- Automatic medication refills to improve glycaemic control among patients with diabetes and low medication adherence.BMJ open quality · 2023Trial
- Perceptions of event notification following discharge to improve geriatric care: qualitative interviews of care team members from a 2-site cluster randomized trial.Journal of the American Medical Informatics Association : JAMIA · 2021Trial
- Adherence to Posttreatment Surveillance Guidelines in Non-Small Cell Lung Cancer: Retrospective Cohort Study.JMIR cancer · 2025Article
- Veterans Health Administration benefit value has little effect on reliance.The American journal of managed care · 2025Article
- Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans.JAMA network open · 2024Article
- Association between patient-reported social and behavioral risks and health care costs in high-risk Veterans health administration patients.Health services research · 2024Article
- What is the role of selection bias in quality comparisons between the Veterans Health Administration and community care? Example of elective hernia surgery.Health services research · 2023Article
- Clinical Outcome and Utilization Profiles Among Latent Groups of High-Risk Patients: Moving from Segmentation Towards Intervention.Journal of general internal medicine · 2022Article
- Implications of Cross-System Use Among US Veterans With Advanced Kidney Disease in the Era of the MISSION Act: A Qualitative Study of Health Care Records.JAMA internal medicine · 2022Article
- Primary Care Physician Perspectives on the Influence of Patient Values, Health Priorities, and Preferences on Clinical Decision-Making for Complex Patients with Multimorbidity: A Qualitative Study.Risk management and healthcare policy · 2022Article
- Improving Patient Activation among Older Veterans: Results from a Social Worker-Led Care Transitions Intervention.Journal of gerontological social work · 2022Article
- Factors Associated With Low-Value Cancer Screenings in the Veterans Health Administration.JAMA network open · 2021Article
- End-of-Life Cost Trajectories in Cancer Patients Treated by Medicare versus the Veterans Health Administration.Journal of the American Geriatrics Society · 2021Article
- Does machine learning improve prediction of VA primary care reliance?The American journal of managed care · 2020Observational
- HSR Commentary: Linking VA and Non-VA Data to Address Important US Veteran Health Services Research Issues.Health services research · 2018Article
- Reasons Older Veterans Use the Veterans Health Administration and Non-VHA Care in an Urban Environment.Journal of the American Board of Family Medicine : JABFMArticle
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
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the effect of Medicare use on the receipt of outpatient services from 2001 through 2015 for a cohort of Veterans Administration (VA) users who became age-eligible for Medicare in 1998-2000. DATA SOURCES/STUDY
settingVA administrative data linked with Medicare claims for veterans who participated in the 1999 Large Health Survey of Enrolled Veterans. STUDY
designWe coded each veteran as VA-reliant or Medicare-reliant based on the number of visits in each system and compared the health and social risk factors between VA-reliant and Medicare-reliant veterans. We used bivariate probit and instrumental variables models to estimate the association between a veteran's reliance on Medicare and the receipt of outpatient procedures in Medicare and the VA. PRINCIPAL
findingsVeterans who chose to rely on the VA (n = 4,317) had substantially worse social and health risk factors than Medicare-reliant veterans (n = 2,567). Medicare reliance was associated with greater use of outpatient services for 24 of the 28 types of services considered. Instrumental variable estimates found significant effects of Medicare reliance on receipt of advanced imaging and cardiovascular testing.
conclusionsExpanded access to fee-for-service care in the community may be expensive, while the VA will likely continue to care for the most vulnerable veterans.
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