Evidence map›Paper›PMID 37464149›Full record

ArticleJournal of general internal medicine2023

Essential not Supplemental: Medicare Advantage Members' Use of Non-Emergency Medical Transportation (NEMT).

Na'amah Razon, Laura M Gottlieb, Taressa Fraze

Open access · hybridAbstract read
In one paragraph

Article in Journal of general internal medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.3field-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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Transportation Insecurity and Outcomes in Hemodialysis Patients: A Retrospective Cohort Study.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  8. Ensuring Access to Psychedelic-Assisted Therapy in Rural Communities.Psychedelic medicine (New Rochelle, N.Y.) · 2025
    Article
  9. Article
  10. 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

3 authors at 3 institutions in 1 country.

Na'amah RazonDepartment of Family and Community Medicine, University of California, Davis, Davis, CA, USA. nrazon@ucdavis.edu.ORCID 0000-0002-8785-3406
Laura M GottliebDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.
Taressa FrazeDepartment of Family and Community Medicine, University of California, San Francisco, San Francisco, CA, USA.
Lee University · USUniversity of California, Davis · USUniversity of California, San Francisco · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
Institutional Career Development Core (KL2)KL2TR001859 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F. · 2016 to 2025
$10.1M
NCATS NIH HHS KL2 TR001859NCATS NIH HHS linked award KL2 TR001859NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

backgroundOver five million people in the USA miss or delay medical care because of a lack of transportation. Transportation barriers are especially relevant to Medicare Advantage (MA) health plan enrollees, who are more likely to live with multiple chronic conditions and experience mobility challenges. Non-Emergency Medical Transportation (NEMT) helps to address transportation gaps by providing rides to and from routine medical care (for example, medical appointments, laboratory tests, and pharmacy visits) and has been added as a supplemental benefit to some MA health plans.

objectiveWe aimed to characterize MA enrollees' experiences with supplemental NEMT benefits.

designQualitative interviews focused on participants' experiences with existing NEMT benefits, transportation, and mobility.

participantsTwenty-one MA enrollees who used their MA NEMT benefit in 2019 and who remained eligible for ongoing transportation benefits through 2021. APPROACH: Using purposive sampling from a list of eligible participants, we recruited individuals who used their MA NEMT benefit in 2019 and who remained eligible for benefit-covered transportation services through 2021. KEY

resultsParticipants considered NEMT an essential service, particularly because these services helped them decrease social isolation, reduce financial insecurity, and manage their own medical needs. Navigating logistical challenges associated with arranging NEMT services required participants to commit considerable time and energy and limited the effectiveness and reliability of NEMT.

conclusionParticipants described NEMT as a valued service essential to their ability to access health care. They suggested ways to increase service flexibility and reliability that could inform future NEMT policy and practice. As health systems and payers learn how to best address social risks, particularly as the US population ages, our findings underscore the importance of NEMT services and highlight opportunities to advance comprehensive transportation solutions for MA participants.

Indexed as

Emergency Medical ServicesMedicare Part CAgedHealth Services AccessibilityHumansReproducibility of ResultsTransportation of PatientsUnited Statesmedicare advantagesocial risksupplemental benefitstransportation

Identifiers

PMID37464149
PMCPMC10713950
OpenAlexW4384664107

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.