Evidence map›Paper›PMID 31208262›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Improving Affordability and Equity in Medicare Advantage.

Zirui Song, Sanjay Basu

Abstract read
In one paragraph

Article 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. Selection in Health Insurance Markets and Its Policy Remedies.The journal of economic perspectives : a journal of the American Economic Association
    Article
  2. Implementing Competitive Bidding in the Medicare Program: An Expressway to Solvency.Inquiry : a journal of medical care organization, provision and financing
    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

2 authors.

Zirui Song1 Department of Health Care Policy, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-1042-1162
Sanjay Basu3 Center for Primary Care, Harvard Medical School, Boston, MA, USA.

Funding

Inequities in Health Outcomes in the Twenty-First Century: Understanding New Causes and the Impact of Delivery System Reforms on Health Care DisparitiesDP5OD024564 · OD · HARVARD MEDICAL SCHOOL · PI SONG, ZIRUI · 2017 to 2021
$2.1M
NIH HHS DP5 OD024564
6 · The paper itself

Abstract

Facing projected growth in federal deficits, policymakers may increasingly look to Medicare for opportunities to slow spending. Medicare Advantage, which has grown to over one-third of the Medicare population, now costs the federal government over $230 billion a year. Competition in the program is weak in many parts of the country and federal subsidies are distributed unevenly to beneficiaries who are enrolled. This article offers a potential approach toward reforming the Medicare Advantage payment system, which could lower federal costs and enhance equity in the program. It builds a simple framework containing policy options and uses 2015 Centers for Medicare and Medicaid Services data to estimate the stylized impact on federal spending and enrollee benefits.

Indexed as

Health EquityFinancing, GovernmentHealth ExpendituresHumansMedicare Part CUnited StatesAffordable Care Actcompetitionhealth insuranceMedicare AdvantageMedicare payment

Identifiers

PMID31208262
PMCPMC6582299

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.