Evidence map›Paper›PMID 33468016›Full record

ArticleMedical care research and review : MCRR2022

State Medicaid Financing and Access to Large Assisted Living Settings for Medicare-Medicaid Dual-Eligibles.

Chanee D Fabius, Portia Y Cornell, Wenhan Zhang, Kali S Thomas

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Governance of Assisted Living in Long-Term Care: A Systematic Literature Review.International journal of environmental research and public health · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Assisted living or nursing home: Who is moving in?Journal of the American Geriatrics Society · 2023
    Article
  10. Article
  11. Using Medicare Enrollment Data to Identify Beneficiaries in Assisted Living.Journal of the American Medical Directors Association · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Imperative to Reimagine Assisted Living.Journal of the American Medical Directors Association · 2022
    Article
  17. Evidence for Action: Addressing Systemic Racism Across Long-Term Services and Supports.Journal of the American Medical Directors Association · 2022
    Article
  18. Article
  19. Developments in the Market for Assisted Living: Residential Care Availability in 2017.Journal of the American Medical Directors Association · 2020
    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

4 authors.

Chanee D FabiusJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0003-1217-8415
Portia Y CornellBrown University School of Public Health, Providence, RI, USA.
Wenhan ZhangBrown University School of Public Health, Providence, RI, USA.
Kali S ThomasBrown University School of Public Health, Providence, RI, USA.ORCID 0000-0003-3436-2184

Funding

Do State Regulations Affect the Outcomes of Assisted Living Residents with Dementia?R01AG057746 · NIA · BROWN UNIVERSITY · PI THOMAS, KALI ST. MARIE · 2018 to 2020
$2.9M
Defining a National Cohort of Assisted Living ResidentsR21AG047303 · NIA · BROWN UNIVERSITY · PI THOMAS, KALI ST. MARIE · 2015 to 2016
$444k
Evaluating Cash Benefit Programs for Veterans' Long Term CareIK2HX001775 · VA · PROVIDENCE VA MEDICAL CENTER · PI THOMAS, KALI ST. MARIE · 2020 to 2021
–
HSRD VA IK2 HX001775NIA NIH HHS R01 AG057746
6 · The paper itself

Abstract

Assisted living has become more widely used by dual-eligible Medicare beneficiaries as states try to rebalance their long-term services and supports away from institutional (nursing home) care. In an analysis of 2014 Medicare data for 506,193 adults who live in large (25+ beds) assisted living communities, we found wide variability among states in the share of assisted living residents who were dual-eligible, ranging from 6% in New Hampshire to over 40% in New York. This variation is strongly correlated with the Medicaid support for assisted living care: In states with a Medicaid state plan option covering services in assisted living or both a state plan and waiver, the percent of assisted living residents with dual-eligibility was more than 10 percentage points higher than in states with neither a state plan nor waiver. Findings provide a basis for understanding the role of Medicaid financing in access to assisted living for duals.

Indexed as

MedicaidMedicareAgedEligibility DeterminationHumansNursing HomesSkilled Nursing FacilitiesUnited Statesassisted livingdual-eligibleslong-term services and supportsMedicaid waiverresidential care

Identifiers

PMID33468016
PMCPMC10327408

What OpenQuestion holds

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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.