ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2020
Medicaid and Nursing Home Choice: Why Do Duals End Up in Low-Quality Facilities?
Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 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
25 citing papers in PubMed.
- Medicaid Lesser-of Rules and Disparities in Skilled Nursing Facility Quality.JAMA health forum · 2026Article
- Access to and Choice of High-Quality Skilled Nursing Facility Care for Veterans After Hospitalization: A Cohort Analysis.Journal of general internal medicine · 2026Article
- Trends and Factors in Nursing Home Closures.JAMA health forum · 2026Article
- Post-Hospital Access to Preferred and High-Quality Skilled Nursing Facilities for Patients With Opioid Use Disorder.Health services research · 2026Article
- Association of Dual Eligibility and Medicare Type With Quality of Postacute Care After Stroke.JAMA network open · 2026Article
- Racial disparities in the management of deep vein thrombosis from a nationwide hospitalization study.Blood advances · 2025Article
- A Climate of Stigma, Uncertainty, and Distrust: Stakeholder Perception of Barriers to SNF Placement for Patients with Opioid Use Disorder Treated with Methadone.Journal of general internal medicine · 2025Observational
- Racial Inequities Influencing Admission, Disposition and Hospital Outcomes for Sickle Cell Anemia Patients: Insights from the National Inpatient Sample Database.Hematology reports · 2025Article
- Impact of skilled nursing facility quality on Medicare beneficiaries with dementia: Evidence from vacancies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- The extended impact of the COVID-19 pandemic on long-term care residents in Medicare with frailty or dual Medicaid enrollment.Journal of the American Geriatrics Society · 2024Article
- Disparities in Access to Highly Rated Skilled Nursing Facilities among Medicare Beneficiaries with Opioid Use Disorder.Journal of the American Medical Directors Association · 2024Observational
- Nursing Homes Underreport Antipsychotic Use but Overreport Diagnoses Qualifying for Appropriate Use.Health affairs scholar · 2023Article
- Quality of Nursing Homes Among ADRD Residents Newly Admitted From the Community: Does Race Matter?Journal of the American Medical Directors Association · 2023Article
- Trends in Supply of Nursing Home Beds, 2011-2019.JAMA network open · 2023Article
- Risk of Discharge to Lower-Quality Nursing Homes Among Hospitalized Older Adults With Alzheimer Disease and Related Dementias.JAMA network open · 2023Article
- Luxury or normal goods? Evidence from the utilization of institutional care services for the disabled older adults in China.Frontiers in public health · 2023Article
- Factors Affecting Long-Term Care Preferences in Turkey.Annals of geriatric medicine and research · 2022Article
- Examining Regional Differences in Nursing Home Palliative Care for Black and Hispanic Residents.Journal of palliative medicine · 2022Article
- Quality of Nursing Homes Admitting Working-Age Adults With Serious Mental Illness.Psychiatric services (Washington, D.C.) · 2022Article
- Repeat hospital transfers among long stay nursing home residents: a mixed methods analysis of age, race, code status and clinical complexity.BMC health services research · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
We provide empirical evidence on the relative importance of specific observable factors that can explain why individuals enrolled in both Medicare and Medicaid (duals) are concentrated in lower quality nursing homes, relative to those not on Medicaid. Descriptive results show that duals are 9.7 percentage points more likely than nonduals to be admitted to a low-quality (1-2 stars) nursing home. Using the Blinder-Oaxaca decomposition approach in a multivariate framework, we find that 35.4% of the difference in admission to low-quality nursing homes can be explained by differences in the distribution of observable characteristics. Differences in education and distance to high-quality nursing homes are important drivers, as are health status and race. Our findings highlight the need for creative policy solutions targeting the modifiable factors to reduce the disparity.
Indexed as
Identifiers
What OpenQuestion holds
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.