Evidence map›Paper›PMID 30175638›Full record

Observational studyInquiry : a journal of medical care organization, provision and financing

Higher Predictive Value Positive for MMA Than ACA MTM Eligibility Criteria Among Racial and Ethnic Minorities: An Observational Study.

Yanru Qiao, Christina A Spivey, Junling Wang, Ya-Chen Tina Shih, Jim Y Wan, Julie Kuhle, Samuel Dagogo-Jack, William C Cushman, Marie A Chisholm-Burns

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Yanru Qiao1 The University of Tennessee Health Science Center, Memphis, USA.
Christina A Spivey1 The University of Tennessee Health Science Center, Memphis, USA.
Junling Wang1 The University of Tennessee Health Science Center, Memphis, USA.ORCID 0000-0003-3929-6227
Ya-Chen Tina Shih2 The University of Texas MD Anderson Cancer Center, Houston, USA.
Jim Y Wan1 The University of Tennessee Health Science Center, Memphis, USA.
Julie Kuhle3 Pharmacy Quality Alliance, Alexandria, VA, USA.
Samuel Dagogo-Jack1 The University of Tennessee Health Science Center, Memphis, USA.
William C Cushman1 The University of Tennessee Health Science Center, Memphis, USA.
Marie A Chisholm-Burns1 The University of Tennessee Health Science Center, Memphis, USA.

Funding

Resolving Racial/Ethnic Disparities Associated with Star Ratings among the ADRD PopulationR01AG049696 · NIA · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI WANG, JUNLING NONE · 2015 to 2022
$2.9M
NIA NIH HHS R01 AG049696
6 · The paper itself

Abstract

The objective of this study was to examine positive predictive value (PPV) of medication therapy management (MTM) eligibility criteria under Medicare Modernization Act (MMA) and Affordable Care Act (ACA) in identifying patients with medication utilization issues across racial and ethnic groups. The study analyzed Medicare data (2012-2013) for 2 213 594 beneficiaries. Medication utilization issues were determined based on medication utilization measures mostly developed by Pharmacy Quality Alliance. MMA was associated with higher PPV than ACA in identifying individuals with medication utilization issues among non-Hispanic blacks (blacks) and Hispanics than non-Hispanic whites (whites). For example, odds ratio for having medication utilization issues to whites when examining MMA in 2013 and ACA were 1.09 (95% confidence interval [CI] = 1.04-1.15) among blacks, and 1.17 (95% CI = 1.10-1.24) among Hispanics, in the main analysis. Therefore, MMA was associated with 9% and 17% higher PPV than ACA in identifying patients with medication utilization issues among blacks and Hispanics, respectively, than whites.

Indexed as

EthnicityPatient Protection and Affordable Care ActRacial GroupsAgedBlack or African AmericanEligibility DeterminationFemaleHealthcare DisparitiesHispanic or LatinoHumansMaleMedicare Part DMedication Therapy ManagementRetrospective StudiesUnited StatesWhite Peoplecontinental population groupsdrug utilizationefficiencyethnic groupsHispanic AmericansMedicare Prescription Drug and Modernization Act of 2003medication therapy managementPatient Protection and Affordable Care Actpredictive value of tests

Identifiers

PMID30175638
PMCPMC6122237

What OpenQuestion holds

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LicenceCC BY-NC
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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.