Evidence map›Paper›PMID 34968786›Full record

ArticleJournal of health economics2022

Disruptions to the patient-provider relationship and patient utilization and outcomes: Evidence from medicaid managed care.

Becky Staiger

Abstract read
In one paragraph

Article in Journal of health economics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Patient characteristics and degrees of discontinuity of care in Danish general practice: a cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  6. Article
  7. 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

1 author.

Becky StaigerStanford Center for Health Policy, Encina Commons, 615 Crothers Way, Stanford, CA 94305, United States. Electronic address: bstaiger@stanford.edu.

Funding

UNDERSTANDING AND IMPROVING EPISODE-BASED HOSPITAL CAREP01AG019783 · NIA · DARTMOUTH COLLEGE · PI Leila S. Agha · 2001 to 2026
$52.9M
Stanford Health Services Research Training ProgramT32HS026128 · AHRQ · STANFORD UNIVERSITY · PI BAKER, LAURENCE C, OWENS, DOUGLAS K · 2018 to 2024
$3.6M
AHRQ HHS T32 HS026128NIA NIH HHS P01 AG019783
6 · The paper itself

Abstract

The patient-provider relationship is considered a cornerstone to delivering high-value healthcare. However, in Medicaid managed care settings, disruptions to this relationship are disproportionately common. In this paper, I evaluate the impact of a primary provider's exit from a Medicaid managed care plan on adult beneficiary healthcare utilization and outcomes. Using an event study approach, I estimate a 5% decrease in the number of beneficiaries with primary care visits in the year following the exit, with slightly larger effects in terms of percentage points for patients with chronic conditions. Additionally, I observe a nearly 50% increase in the number of beneficiaries with a chronic condition who are hospitalized following a disruption.

Indexed as

Managed Care ProgramsMedicaidAdultChronic DiseaseDelivery of Health CareHumansPatient Acceptance of Health CareUnited StatesCare continuityChronic conditionsDisrupted careMedicaid managed carePatient-provider relationship

Identifiers

PMID34968786
PMCPMC8815618

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.