Evidence map›Paper›PMID 36067441›Full record

ArticleHealth affairs (Project Hope)2022

Differences In Care Between Special Needs Plans And Other Medicare Coverage For Dual Eligibles.

Eric T Roberts, Jennifer M Mellor

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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

2 authors.

Eric T RobertsEric T. Roberts (eric.roberts@pitt.edu), University of Pittsburgh, Pittsburgh, Pennsylvania.
Jennifer M MellorJennifer M. Mellor, William and Mary, Williamsburg, Virginia.

Funding

Access to Care by Low Income Senior Medicare Beneficiaries: Direct and Indirect Effects of Medicaid Policy on Enrollment, Healthcare Utilization, Spending and HealthR01HS025422 · AHRQ · TUFTS UNIVERSITY MEDFORD · PI MCINERNEY, MELISSA POWELL · 2017 to 2020
$973k
Financial assistance for low-income Medicare beneficiaries: Using natural experiments to assess effects on care and health outcomesK01HS026727 · AHRQ · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROBERTS, ERIC T · 2019 to 2022
$545k
AHRQ HHS K01 HS026727AHRQ HHS R01 HS025422
6 · The paper itself

Abstract

Policy makers are pursuing strategies to integrate Medicare and Medicaid coverage for people enrolled in both programs, who are known as dual eligibles. Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that exclusively serve this population, with several features intended to enhance care and facilitate integration with Medicaid. This study compared access to, use of, and satisfaction with care among dual eligibles enrolled in D-SNPs versus those enrolled in two other forms of Medicare coverage: other Medicare Advantage (MA) plans not exclusively serving dual eligibles and traditional Medicare. Compared with those in traditional Medicare, dual eligibles generally reported greater access to care, preventive service use, and satisfaction with care in D-SNPs. However, we found fewer differences in these outcomes among dual eligibles in D-SNPs versus other MA plans. Compared with non-Hispanic White dual eligibles, dual eligibles of color (for example, those identifying as Black or Hispanic) were less likely to report receiving better care in D-SNPs versus other Medicare coverage. These findings suggest that D-SNPs altogether have not provided consistently superior or more equitable care, and they highlight areas where federal and state policy could strengthen incentives for D-SNPs to improve care.

Indexed as

Eligibility DeterminationMedicare Part CAgedHumansMedicaidUnited States

Identifiers

PMID36067441
PMCPMC9575653

What OpenQuestion holds

Textmetadata
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.