ArticleHealth services research2018
The Effects of Medicare Advantage Contract Concentration on Patients' Nursing Home Outcomes.
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 8 papers.
What it found
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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
8 citing papers in PubMed, 9 citations in OpenAlex.
- Exposure to Drugs Related to Injurious Falls Risk and to Bisphosphonates in Nursing Home Residents With Recent Fracture.Journal of the American Medical Directors Association · 2026Article
- Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke.JAMA network open · 2026Article
- Algorithmic decision-making in health care: Evidence from post-acute care in Medicare Advantage.Journal of health economics · 2025Article
- Fall risk and cardiovascular outcomes of first-line antihypertensive medications in nursing home residents.Journal of the American Geriatrics Society · 2024Article
- Medicare skilled nursing facilities' occupancy and payer source: The moderating role of financial performance.SAGE open medicine · 2024Article
- Medicare Advantage Patterns of Poststroke Discharge to an Inpatient Rehabilitation or Skilled Nursing Facility: A Consideration of Demographic, Functional, and Payer Factors.Physical therapy · 2023Article
- Comparing Receipt of Prescribed Post-acute Home Health Care Between Medicare Advantage and Traditional Medicare Beneficiaries: an Observational Study.Journal of general internal medicine · 2021Observational
- Post-SNF outcomes and cost comparison: Medicare Advantage vs traditional Medicare.The American journal of managed care · 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
3 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe Medicare Modernization Act of 2004 allowed Medicare Advantage (MA) contracts to form provider networks in order to concentrate their patients among preferred providers. We focus on the skilled nursing facility (SNF) industry to assess patients' health when treating SNFs concentrate more patients from the same MA contract. DATA SOURCES/STUDY
settingWe use Medicare Beneficiary Summary File and Health, HEDIS, and the Minimum Data Set for patient attributes and OSCAR, LTCfocus.org, and Nursing Home Compare for SNF attributes. We include 1,069,436 MA enrollees newly admitted to SNF between 2012 and 2014. STUDY
designUsing a MA contract fixed-effect model, we examine the effect of prevalence of a patient's MA contract in the treating SNF on patient's health outcomes including 180-day survival, 30-day hospital readmission, 30-day home discharge, and nursing home length of stay. We use an Instrumental Variable (IV), the expected share of admissions in a SNF from patient's MA contract calculated using a McFadden choice model. PRINCIPAL
findingsWe find no relationship between SNF contract concentration and patients' outcomes after applying the IV.
conclusionsWhile MA plans appear to steer patients to specific SNFs, we do not observe significant returns to patient outcomes related to concentration.
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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.