Evidence map›Paper›PMID 38756548›Full record

ArticleHealth affairs scholar2024

Comparing Medicare plan selection among beneficiaries with and without a history of cancer.

Shelley A Jazowski, Emma M Achola, Lauren H Nicholas, William A Wood, Christopher R Friese, Stacie B Dusetzina

Abstract read
In one paragraph

Article in Health affairs scholar, 2024. 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.

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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

6 authors.

Shelley A JazowskiDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, TN 37203, United States.ORCID https://orcid.org/0000-0003-3467-2502
Emma M AcholaDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, TN 37203, United States.ORCID https://orcid.org/0000-0002-2559-6627
Lauren H NicholasDepartment of Medicine, University of Colorado School of Medicine, Aurora, CO 80045, United States.
William A WoodDepartment of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, United States.
Christopher R FrieseUniversity of Michigan School of Nursing, Ann Arbor, MI 48109, United States.ORCID https://orcid.org/0000-0002-2281-2056
Stacie B DusetzinaDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, TN 37203, United States.

Funding

Learning Health System training program: PROgRESS--Patient/ pRactice Outcomes and Research in Effectiveness and Systems ScienceT32HS026122 · AHRQ · VANDERBILT UNIVERSITY MEDICAL CENTER · PI GRIJALVA, CARLOS G, ROUMIE, CHRISTIANNE L. · 2018 to 2024
$3.5M
AHRQ HHS T32 HS026122
6 · The paper itself

Abstract

Individuals aging into Medicare must choose among plans that vary in their scope of benefits, access to health care providers, and exposure to out-of-pocket expenses. When faced with complex coverage decisions, it is unclear whether older adults consider their experiences with prior serious illness or current medical conditions. We estimated the association between a self-reported history of cancer and initial plan selection among 3811 Health and Retirement Study participants aging into Medicare between 2008 and 2020. The proportion of individuals with and without a history of cancer who chose Medicare Advantage was similar; however, the probability of selecting traditional Medicare plus supplemental coverage was 8.03 percentage points (95% confidence interval, 2.99-13.07) higher for respondents with a history of cancer compared with those without a history of cancer. Individuals with a history of cancer may have accounted for their previous experiences with high-cost health care services and prioritized plans with robust benefits (eg, greater financial protections). Raising awareness of and enhancing educational resources could ensure that older adults select plans that meet their current and evolving health care needs.

Indexed as

cancerMedicareplan choice

Identifiers

PMID38756548
PMCPMC10986255

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.