Evidence map›Paper›PMID 36745837›Full record

ArticleHealth affairs (Project Hope)2023

Dental Services Use: Medicare Beneficiaries Experience Immediate And Long-Term Reductions After Enrollment.

Lisa Simon, Zirui Song, Michael L Barnett

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 22 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Lisa SimonLisa Simon (Lisa_Simon@hms.harvard.edu), Harvard University and Brigham and Women's Hospital, Boston, Massachusetts.
Zirui SongZirui Song, Harvard University and Massachusetts General Hospital, Boston, Massachusetts.
Michael L BarnettMichael L. Barnett, Harvard University and Brigham and Women's Hospital.
Brigham and Women's Hospital · USMassachusetts General Hospital · US

Funding

Tradeoffs in the Design of Public Long-Term Care BenefitsP01AG032952 · NIA · HARVARD MEDICAL SCHOOL · PI Laura Hatfield · 2009 to 2026
$39.0M
Inequities in Health Outcomes in the Twenty-First Century: Understanding New Causes and the Impact of Delivery System Reforms on Health Care DisparitiesDP5OD024564 · OD · HARVARD MEDICAL SCHOOL · PI SONG, ZIRUI · 2017 to 2021
$2.1M
The Changing Landscape of Post-Acute Care and Health Outcomes for Older AdultsK23AG058806 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI BARNETT, MICHAEL LAWRENCE · 2018 to 2022
$1.0M
NIA NIH HHS K23 AG058806NIA NIH HHS P01 AG032952NIH HHS DP5 OD024564
6 · The paper itself

Abstract

Traditional Medicare does not cover routine dental care, but little is known about transitions in dental outcomes upon reaching Medicare eligibility at age sixty-five. Using data from the 2010-19 Medical Expenditure Panel Surveys, we examined dental insurance, utilization, and outcomes among US adults before and after age sixty-five, using a regression discontinuity design and segmented regression analysis. Among 97,108 US adults representing a weighted population of 104,787,300 people, complete edentulism, or the loss of all teeth, increased by 4.8 percentage points at age sixty-five, and the percentage of people receiving restorative dental care decreased by 8.7 percentage points. Enrollment in Medicare Advantage, which may offer a dental benefit, was not associated with greater use of dental services relative to traditional Medicare, and Medicare Advantage enrollees had a significantly larger drop in dental spending from private insurance at age sixty-five than traditional Medicare enrollees. Expanding Medicare to cover dental services may help counteract these effects among all enrollees.

Indexed as

Dental CareMedicare Part CAgedHumansUnited States

Identifiers

PMID36745837
PMCPMC10022587
OpenAlexW4319303625

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.