ArticleHealth services research2022
Effect of Medicare Advantage on health care use and care dissatisfaction in mental illness.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 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
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.
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Who cites it
9 citing papers in PubMed.
- Frequency and Timing of Depression and Anxiety Diagnoses Following Cancer Diagnosis: A Multi-Center Cohort Study.Cancer medicine · 2026Article
- Medicare Eligibility and Health Care Use Among Adults With Psychological Distress.JAMA health forum · 2025Article
- Financial Hardship Among Traditional Medicare and Medicare Advantage Enrollees With and Without Food Insecurity.Journal of general internal medicine · 2024Article
- Health Care Spending, Use, and Financial Hardship Among Traditional Medicare and Medicare Advantage Enrollees With Mental Health Symptoms.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024Article
- Unmet need for mental health care is common across insurance market segments in the United States.Health affairs scholar · 2024Article
- Effects of Medicare Advantage on preventive care use and health behavior.Health services research · 2023Article
- Excess deaths from COVID-19 among Medicare beneficiaries with psychiatric diagnoses: Community versus nursing home.Journal of the American Geriatrics Society · 2023Article
- Effect of Medicare Advantage on health care use and care dissatisfaction in mental illness.Health services research · 2022Article
- Effects of Medicare advantage on patterns of end-of-life care among Medicare decedents.Health services research · 2022Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
objectiveTo examine the effects of Medicare Advantage (MA) enrollment on health care use and dissatisfaction with care received among Medicare beneficiaries with mental illness. DATA SOURCES: I identified traditional Medicare (TM) and MA beneficiaries with mental illness using the Medicare Current Beneficiary Survey for 2012-2016. STUDY
designI included two types of outcomes: four measures of health care use and 10 measures of care dissatisfaction. My primary independent variable was enrollment in TM versus MA. To address selective enrollment into MA, I used an instrumental variable (IV) approach. Following prior research, I decomposed the MA benchmark into exogenous and endogenous components and then used the exogenous component as my instrument. DATA COLLECTION/EXTRACTION
methodsNot Applicable. PRINCIPAL
findingsIV analyses showed that compared with TM enrollment, MA enrollment significantly decreased outpatient hospital visits and medical provider visits by 6.73 (95% CI: -12.10 to -1.36) and 36.48 (95% CI: -52.67 to -20.28). However, there were no significant changes in inpatient hospital admissions and prescription drug purchases. Compared with TM enrollment, MA enrollment significantly increased dissatisfaction with out-of-pocket expenses by 25.51 percentage points (95% CI: 0.43 to 50.60). However, there were no significant changes in other measures of care dissatisfaction in terms of access to care, quality of care, and prescription medication.
conclusionsThese findings suggest that MA enrollment may lead to low health care use among those with mental illness, indicating efficient care delivery. Also, MA enrollment may not preclude those with mental illness from accessing needed care. However, high dissatisfaction with out-of-pocket expenses among MA beneficiaries may imply the use of out-of-network providers. Further research is warranted to investigate whether high dissatisfaction with out-of-pocket expenses may be attributable to MA's narrow networks for mental services.
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Registered trials
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