Evidence map›Paper›PMID 30175669›Full record

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

Preferred Provider Relationships Between Medicare Advantage Plans and Skilled Nursing Facilities Reduce Switching Out of Plans: An Observational Analysis.

Elizabeth M Goldberg, Laura M Keohane, Vincent Mor, Amal N Trivedi, Hye-Young Jung, Momotazur Rahman

Abstract readObservational Study
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

6 authors.

Elizabeth M Goldberg1 Brown University, Providence, RI, USA.ORCID 0000-0003-1817-0705
Laura M Keohane2 Vanderbilt University School of Medicine, Nashville, TN, USA.
Vincent Mor1 Brown University, Providence, RI, USA.
Amal N Trivedi1 Brown University, Providence, RI, USA.
Hye-Young Jung4 Weill Cornell Medical College, New York, NY, USA.
Momotazur Rahman1 Brown University, Providence, RI, USA.

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
TRAINing in Aging Health & Health Services for Alzheimer's Disease and Related Dementias (TRAIN-ADRD)T32AG023482 · NIA · BROWN UNIVERSITY · PI Vincent Mor, Theresa I. Shireman · 2004 to 2026
$3.0M
Emerging Role of Medicare Advantage in Nursing Home CareR01AG047180 · NIA · BROWN UNIVERSITY · PI MOR, VINCENT · 2014 to 2016
$1.2M
GAPcare: The Geriatric Acute & Post-acute Care Coordination Program for Fall Prevention in the Emergency DepartmentR03AG056349 · NIA · RHODE ISLAND HOSPITAL · PI GOLDBERG, ELIZABETH · 2017 to 2018
$242k
Nursing Home Selection of Medicare Advantage Patients and Its Implications on Health OutcomesR03AG050002 · NIA · BROWN UNIVERSITY · PI RAHMAN, MD MOMOTAZUR · 2016 to 2017
$163k
AHRQ HHS T32 HS000011NIA NIH HHS P01 AG027296NIA NIH HHS R01 AG047180NIA NIH HHS R03 AG050002NIA NIH HHS R03 AG056349NIA NIH HHS T32 AG023482
6 · The paper itself

Abstract

Unlike traditional Medicare, Medicare Advantage (MA) plans contract with specific skilled nursing facilities (SNFs). Patients treated in an MA plan's preferred SNF may benefit from enhanced coordination and have a lower likelihood of switching out of their plan. Using 2011-2014 Medicare enrollment data, the Medicare Healthcare Effectiveness Data and Information Set, and the Minimum Data Set, we examined Medicare enrollees who were newly admitted to SNFs in 2012-2013. We used the Centers for Medicare & Medicaid Services star rating to distinguish between MA plans and show how SNF concentration experienced by patients varies between patients in plans with different star ratings. We found that highly rated MA plans steer their patients to a smaller number of SNFs, and these patients are less likely to switch out of their plans. Strengthening the MA plan-SNF relationship may lower disenrollment rates for SNF beneficiaries, imparting benefits to both patients and payers.

Indexed as

AgedAged, 80 and overCenters for Medicare and Medicaid Services, U.S.FemaleHospitalizationHumansMaleMedicareMedicare Part CQuality Indicators, Health CareSkilled Nursing FacilitiesUnited Statesfederal health insurance planslogistic modelsMedicareMedicare Advantageskilled nursing facilities

Identifiers

PMID30175669
PMCPMC6122232

What OpenQuestion holds

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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.