ArticleHealth economics2019
What is the marginal benefit of payment-induced family care? Impact on Medicaid spending and health of care recipients.
Article in Health economics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled 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.
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
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effects of Home Care Provider Mix on the Care Recipient: An International, Systematic Review of Articles from 2000 to 2020.Annual review of public health · 2021Pooled it
- Empowering Older Veterans Through Self-Directed Care: A Mixed Methods Evaluation of a Technology Enabled Respite Homecare Model Pilot.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Caregiver Perspectives on Supporting Kidney Transplant Recipients Through Graft Loss.Kidney international reports · 2026Article
- Multiprofessional Family Care for Women With Gynaecological Cancer.Journal of advanced nursing · 2026Article
- Paying family caregivers: self-direction in medicaid personal care.Health affairs scholar · 2025Article
- Home-Based Care Outcomes: Does the Care Provider Matter?Health economics · 2025Article
- Home care workforce participation and household co-residence with people with LTSS needs.Health affairs scholar · 2025Article
- Support for Care Economy Policies by Political Affiliation and Caregiving Responsibilities.JAMA health forum · 2025Article
- Trends in hospital discharge outcomes among high-risk Medicare beneficiaries before and during the COVID-19 pandemic.Health affairs scholar · 2025Article
- Article
- Tracking long-term services and supports rebalancing through workforce data.Health services research · 2024Article
- Integrating family caregivers in older adults' hospital stays: a needed cultural shift.Hospital practice (1995) · 2024Article
- Family spillovers and long-term care insurance.Journal of health economics · 2023Article
- Developing a comprehensive model of home-based formal care for elderly adults in Iran: A study protocol.PloS one · 2023Article
- Article
- Article
- The relationship of caregiver strain with resilience and hardiness in family caregivers of older adults with chronic disease: a cross-sectional study.BMC nursing · 2022Article
- Fewer potentially avoidable health care events in rural veterans with self-directed care versus other personal care services.Journal of the American Geriatrics Society · 2022Observational
- Family Caregivers of Veterans Experience High Levels of Burden, Distress, and Financial Strain.Journal of the American Geriatrics Society · 2020Article
- Comprehensive support of family caregivers: Are there health system cost offsets?Health services research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Research on home-based long-term care has centered almost solely on the costs; there has been very little, if any, attention paid to the relative benefits. This study exploits the randomization built into the Cash and Counseling Demonstration and Evaluation program that directly impacted the likelihood of having family involved in home care delivery. Randomization in the trial is used as an instrumental variable for family involvement in care, resulting in a causal estimate of the effect of changing the combination of home health-care providers on health-care utilization and health outcomes of the beneficiary. We find that some family involvement in home-based care significantly decreases health-care utilization: lower likelihood of emergency room use, Medicaid-financed inpatient days, any Medicaid hospital expenditures, and fewer months with Medicaid-paid inpatient use. We find that individuals who have some family involved in home-based care are less likely to have several adverse health outcomes within the first 9 months of the trial, including lower prevalence of infections, bedsores, or shortness of breath, suggesting that the lower utilization may be due to better health outcomes.
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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.