ArticleHealth services research2019
State variation in the characteristics of Medicare-Medicaid dual enrollees: Implications for risk adjustment.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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
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Who cites it
20 citing papers in PubMed, 5 citations in OpenAlex.
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- Adjunctive Imaging and Physiology During PCI Among Black and White Medicare Beneficiaries: Disparities in Utilization Patterns and Outcomes.Circulation. Cardiovascular interventions · 2025Article
- Implications of the Growth of Defined Contribution Retirement Plans for Safety Net Eligibility: The Case of Dual Eligibility for Medicare and Medicaid.Journal of aging & social policy · 2025Article
- Mediators of Racial Inequities in Non-Small Cell Lung Cancer Care.Cancer medicine · 2025Article
- Cardio and cerebrovascular diseases risk among Alzheimer's disease patients and racial/ethnic disparities, based on Hawaii Medicare data.Journal of Alzheimer's disease reports · 2024Article
- Social risk adjustment in the hospital readmission reduction program: Pitfalls of peer grouping, measurement challenges, and potential solutions.Health services research · 2023Article
- Racial/Ethnic Disparities in the Alzheimer's Disease Link with Cardio and Cerebrovascular Diseases, Based on Hawaii Medicare Data.Journal of Alzheimer's disease reports · 2023Article
- Characteristics, utilization, and concentration of outpatient care for dual-eligible Medicare beneficiaries.The American journal of managed care · 2022Article
- Predicting health-related social needs in Medicaid and Medicare populations using machine learning.Scientific reports · 2022Article
- Association of Medicare-Medicaid Dual Eligibility and Race and Ethnicity With Ischemic Stroke Severity.JAMA network open · 2022Article
- Association of Burden and Prevalence of Arthritis With Disparities in Social Risk Factors, Findings From 17 US States.Preventing chronic disease · 2022Article
- Factors Associated With Disparities in Hospital Readmission Rates Among US Adults Dually Eligible for Medicare and Medicaid.JAMA health forum · 2022Article
- Article
- Risk adjusting for Medicaid participation in Medicare Advantage.The American journal of managed care · 2020Article
- State variation in the characteristics of Medicare-Medicaid dual enrollees: Implications for risk adjustment.Health services research · 2019Article
- Effects of Medicare predictors in health disparities in the risk of Alzheimer's disease.Alzheimer's & dementia (New York, N. Y.)Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo examine between-state differences in the socioeconomic and health characteristics of Medicare beneficiaries dually enrolled in Medicaid, focusing on characteristics not observable to or used by policy makers for risk adjustment. DATA SOURCE: 2010-2013 Medicare Current Beneficiary Survey. STUDY
designRetrospective analyses of survey-reported health and socioeconomic status (SES) measures among low-income Medicare beneficiaries and low-income dual enrollees. We used hierarchical linear regression models with state random effects to estimate the between-state variation in respondent characteristics and linear models to compare the characteristics of dual enrollees by state Medicaid policies. PRINCIPAL
findingsBetween-state differences in health and socioeconomic risk among low-income Medicare beneficiaries, as measured by the coefficient of variation, ranged from 17.5 percent for an index of socioeconomic risk to 20.3 percent for an index of health risk. Between-state differences were comparable among the subset of low-income beneficiaries dually enrolled in Medicare and Medicaid. Dual enrollees with incomes below the Federal Poverty Level were in better health and had higher SES in states that offered Medicaid to individuals with relatively higher incomes. Duals' average incomes were higher in states with Medically Needy programs.
conclusionsCharacteristics of dual enrollees differ substantially across states, reflecting differences in states' low-income Medicare populations and Medicaid policies. Risk-adjustment methods using dual enrollment to proxy for poor health and low SES should account for this state-level heterogeneity.
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