Evidence map›Paper›PMID 38115756›Full record

ArticleThe Permanente journal2024

Improving Diabetes Control in a Medicaid Managed Care Population With Complex Needs.

Michael L Parchman, Kelsey Stefanik-Guizlo, Robert B Penfold, Erika Holden, Avni C Shah

Open access · hybridAbstract read
In one paragraph

Article in The Permanente journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. A primer on clinical programs in managed care pharmacy.Journal of managed care & specialty pharmacy · 2026
    Review
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

5 authors at 2 institutions in 1 country.

Michael L ParchmanKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.ORCID 0000-0001-7129-2889
Kelsey Stefanik-GuizloKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.ORCID 0009-0009-5774-5779
Robert B PenfoldKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Erika HoldenKaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
Avni C ShahVayu Health, Menlo Park, California, USA.
Kaiser Permanente Washington Health Research Institute · USMenlo School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeople enrolled in Medicaid managed care who struggle with diabetes control often have complex medical, behavioral, and social needs. Here the authors report the results of a program designed to partner with primary care teams to address those needs.

methodsA nonprofit organization partnered with a Medicaid managed care plan and a Federally Qualified Health Center in California to enroll people with A1cs

resultsOf the 51 people enrolled, 83% had at least 1 behavioral health condition. More than 90% reported at least 1 unmet social need. The average monthly A1c among program participants was 0.699 lower than the comparison group post-enrollment ( DISCUSSION: Participants had high levels of unmet medical, behavioral, and social needs. Addressing these needs resulted in a rapid and sustained improvement in A1c control compared to non-enrollees and a reduction in disparity of control among Hispanic participants.

conclusionBy partnering with a primary care team, a program external to Federally Qualified Health Center primary care can improve clinical outcomes for people with complex needs living with diabetes.

Indexed as

Diabetes MellitusMedicaidEducational StatusGlycated HemoglobinHumansManaged Care ProgramsUnited StatesGlycated Hemoglobinbehavioral healthdiabetesMedicaidsocial healthwhole-person care

Identifiers

PMID38115756
PMCPMC10940240
OpenAlexW4390009908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.