ArticleHealth affairs (Project Hope)2020
Switching Between Medicare Advantage And Traditional Medicare Before And After The Onset Of Functional Disability.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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
24 citing papers in PubMed, 37 citations in OpenAlex.
- Access to Specialty Cancer Care and Plan Disenrollment Among Medicare Beneficiaries.JAMA network open · 2026Article
- Characteristics and Utilization Patterns of Medicare Beneficiaries Initiating Long-Acting Injectable Antipsychotic Medications.ClinicoEconomics and outcomes research : CEOR · 2026Article
- Mental health care use after leaving Medicare Advantage for traditional Medicare.The American journal of managed care · 2025Article
- Postacute Care Use and Outcomes Among Medicare Advantage vs Traditional Medicare Beneficiaries.JAMA network open · 2025Article
- Identifying Coding Intensity in Medicare Advantage Through Switchers.Health services research · 2025Article
- The effect of providing Medicare Advantage enrollees diagnosed with cancer additional time to reassess enrollment.Health affairs scholar · 2025Article
- Older adults living with dementia enrolled in similar Medicare Advantage plans compared to those without dementia.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2025Article
- Examining Trends in Medicare Advantage Plan Disenrollment Associated With Expanded Supplemental Benefit Adoption.Health services research · 2025Article
- The Effect of Extending the Window to Disenroll From Medicare Advantage Among Post-Acute Users.Medical care research and review : MCRR · 2025Article
- Should I stay or should I go again: Multiple switching between fee-for-service Medicare and Medicare advantage among older beneficiaries.Health services research · 2025Article
- Radiotherapy Utilization in Traditional Medicare and Medicare Advantage.JAMA network open · 2025Article
- Medicare Resource Use Differs by English Reading Proficiency.Innovation in aging · 2025Article
- Frailty in Medicare Advantage Beneficiaries and Traditional Medicare Beneficiaries.JAMA network open · 2024Article
- Medicare-Covered Services Near the End of Life in Medicare Advantage vs Traditional Medicare.JAMA health forum · 2024Article
- Prevalence of Independence at Home-Qualifying Beneficiaries in Traditional Medicare, 2014-2021.JAMA network open · 2024Article
- New Supplemental Benefits and Plan Ratings Among Medicare Advantage Enrollees.JAMA network open · 2024Article
- Long-term outcomes after rehabilitation in Medicare Advantage and fee-for-service beneficiaries.Journal of the American Geriatrics Society · 2024Article
- Bereaved Respondent Perceptions of Quality of Care by Inpatient Palliative Care Utilization in the Last Month of Life.Journal of general internal medicine · 2024Article
- "It shouldn't be like this": Family caregivers navigating insurance for family members with dementia.Journal of the American Geriatrics Society · 2024Article
- Getting to the root: Examining within and between home health agency inequities in functional improvement.Health services research · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
Medicare Advantage (MA) plans have increasing flexibility to provide nonmedical services to support older adults aging in place in the community. However, prior research has suggested that enrollees with functional disability (hereafter, "disability") were more likely than those without disability to leave MA plans. This indicates that MA plans might not meet the needs of older adults with disability. We used data for 2011-16 from the National Health and Aging Trends Study linked to Medicare claims to measure and characterize switches in either direction between Medicare Advantage and traditional Medicare in the twelve months before and after onset of disability. While the rate of switches from Medicare Advantage to traditional Medicare increased slightly after disability onset, people with greater levels of disability were more likely to switch to traditional Medicare, compared to those with lower levels: 36 percent of those who switched from Medicare Advantage to traditional Medicare needed help with two or more activities of daily living, compared to 14.3 percent of those who switched from traditional Medicare to Medicare Advantage. This indicates the potential benefit of including functional measures in MA plan risk adjustment and quality measures. Furthermore, the highest-need older adults with disability may experience lower-quality care in Medicare Advantage and thus leave before accessing the program's expanded benefits.
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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.