ArticleHealth affairs (Project Hope)2021
Medicaid Coverage 'Cliff' Increases Expenses And Decreases Care For Near-Poor Medicare Beneficiaries.
Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 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
21 citing papers in PubMed.
- Disparity Considerations in an Alternative Eligibility Criterion for Medicare Medication Therapy Management Programs With Machine Learning.Value in health regional issues · 2026Article
- State Expansions in Medicaid Financial Assistance for Low-Income Medicare Beneficiaries: Changes in Enrollment and Use.Health services research · 2026Article
- Medicaid Retention After Transition to Medicare Among Adults With Expansion Coverage.JAMA network open · 2026Article
- Out-of-pocket expenditure for cataract surgery in rural China: a cross-sectional survey combined with hospital administrative data.International journal for equity in health · 2025Article
- Adherence to GLP-1 receptor agonists and SGLT2 inhibitors by out-of-pocket spending among Medicare beneficiaries with diabetes.Diabetes, obesity & metabolism · 2025Article
- Medicare Savings Program Take-Up Estimates and Profile of Enrolled and Unenrolled Individuals.JAMA network open · 2025Article
- Health Care Affordability Problems by Income Level and Subsidy Eligibility in Medicare.JAMA network open · 2025Article
- Association of Medicare eligibility with access to and affordability of care among older cancer survivors.Journal of cancer survivorship : research and practice · 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
- Qualified Medicare Beneficiary Program: Enrollment Trends And Characteristics Of Low-Income Beneficiaries.Health affairs (Project Hope) · 2025Article
- Medicaid Unwinding Experiences in Dual-Eligible Older Adults.JAMA health forum · 2025Article
- Beneficiary Experience of Care by Level of Integration in Dual Eligible Special Needs Plans.JAMA health forum · 2024Article
- Improving Identification of Medicaid Eligible Community-Dwelling Older Adults in Major Household Surveys with Limited Income or Asset Information.Health services & outcomes research methodology · 2023Article
- Effects of a Medicaid dental coverage "cliff" on dental care access among low-income Medicare beneficiaries.Health services research · 2023Article
- Consequences of forgoing prescription drug subsidies among low-income Medicare beneficiaries with diabetes.Health services research · 2022Article
- Association of Medicaid Expansion With Medicaid Enrollment and Health Care Use Among Older Adults With Low Income and Chronic Condition Limitations.JAMA health forum · 2022Article
- Prescribing of low- versus high-cost Part B drugs in Medicare Advantage and traditional Medicare.Health services research · 2022Article
- The Unintended Cost of High Cost Sharing in Medicare-Assessing Consequences for Patients and Options for Policy.JAMA health forum · 2021Article
- Modernizing Medicaid Coverage for Medicare Beneficiaries with Low Income.JAMA health forum · 2021Article
- Does Medicaid coverage of Medicare cost sharing affect physician care for dual-eligible Medicare beneficiaries?Health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Cost sharing in traditional Medicare can consume a substantial portion of the income of beneficiaries who do not have supplemental insurance from Medicaid, an employer, or a Medigap plan. Near-poor Medicare beneficiaries (with incomes more than 100 percent but less than 200 percent of the federal poverty level) are ineligible for Medicaid but frequently lack alternative supplemental coverage, resulting in a supplemental coverage "cliff" of 25.8 percentage points just above the eligibility threshold for Medicaid (100 percent of poverty). We estimated that beneficiaries affected by this supplemental coverage cliff incurred an additional $2,288 in out-of-pocket spending over the course of two years, used 55 percent fewer outpatient evaluation and management services per year, and filled fewer prescriptions. Lower prescription drug use was partly driven by low take-up of Part D subsidies, which Medicare beneficiaries automatically receive if they have Medicaid. Expanding eligibility for Medicaid supplemental coverage and increasing take-up of Part D subsidies would lessen cost-related barriers to health care among near-poor Medicare beneficiaries.
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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.