Evidence map›Paper›PMID 35914212›Full record

ArticleHealth affairs (Project Hope)2022

Medicare Advantage Plans Pay Large Markups To Consolidated Dialysis Organizations.

Eugene Lin, Bich Ly, Erin Duffy, Erin Trish

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 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. What is Medicare Advantage and Why is it the Most Important Contemporary Policy Affecting Kidney Disease?American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Medicare advantage and dialysis facility choice.Health services research · 2023
    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

4 authors.

Eugene LinEugene Lin (eugene.lin@med.usc.edu), University of Southern California, Los Angeles, California.
Bich LyBich Ly, University of Southern California.
Erin DuffyErin Duffy, University of Southern California.
Erin TrishErin Trish, University of Southern California.

Funding

Investigating the Economic and SocialDeterminants of Home Dialysis Drop-OutK08DK118213 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LIN, EUGENE · 2018 to 2022
$854k
NIDDK NIH HHS K08 DK118213
6 · The paper itself

Abstract

The 21st Century Cures Act of 2016 lifted regulations prohibiting Medicare Advantage (MA) enrollment after patients initiate dialysis, starting in 2021, and early reports indicate increased MA enrollment among such patients. Large shifts into Medicare Advantage could disrupt the market because the consolidated dialysis industry can negotiate payment from MA plans that is higher than that for fee-for-service Medicare. For three large insurers representing 48 percent of the 2016-17 MA market, we found that MA plans paid 27 percent more than fee-for-service Medicare. Larger dialysis center chains commanded higher markups. Virtually all facilities of the two largest chains were in network, suggesting that they leverage their market power into all-or-nothing negotiations with plans. Policy makers should consider regulations that limit market consolidation among dialysis providers, as well as their ability to exercise that power in the MA market.

Indexed as

Medicare Part CAgedFee-for-Service PlansHumansRenal DialysisSalaries and Fringe BenefitsUnited States

Identifiers

PMID35914212
PMCPMC11164180

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.