Evidence map›Paper›PMID 38934015›Full record

ArticleHealth affairs scholar2024

Medicare Advantage enrollment and outcomes of post-acute nursing home care among patients with dementia.

Daeho Kim, David J Meyers, Laura M Keohane, Hiren Varma, Emma M Achola, Amal N Trivedi

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Daeho KimDepartment of Health Services, Policy and Practice, Brown University, Providence, RI 02903, United States.
David J MeyersDepartment of Health Services, Policy and Practice, Brown University, Providence, RI 02903, United States.ORCID https://orcid.org/0000-0002-4081-1751
Laura M KeohaneDepartment of Health Policy, Vanderbilt University, Nashville, TN 37203, United States.
Hiren VarmaDepartment of Health Services, Policy and Practice, Brown University, Providence, RI 02903, United States.
Emma M AcholaDepartment of Health Policy, Vanderbilt University, Nashville, TN 37203, United States.ORCID https://orcid.org/0000-0002-2559-6627
Amal N TrivediDepartment of Health Services, Policy and Practice, Brown University, Providence, RI 02903, United States.ORCID https://orcid.org/0000-0002-9695-4727

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI · 2007 to 2026
$38.9M
NIA NIH HHS P01 AG027296
6 · The paper itself

Abstract

Enrollment in Medicare Advantage (MA) has been rapidly growing. We examined whether MA enrollment affects the outcomes of post-acute nursing home care among patients with Alzheimer's disease and related dementias (ADRD). We exploited year-to-year changes in MA penetration rates within counties from 2012 through 2019. After adjusting for patient-level characteristics and county fixed effects, we found that MA enrollment was not associated with days spent at home, nursing home days, likelihood of becoming a long-stay resident, hospital days, hospital readmission, or 1-year mortality. There was a modest increase in successful discharge to the community by 0.73 percentage points (relative increase of 2.4%) associated with a 10-percentage-point increase in MA enrollment. The results are consistent among racial/ethnic subgroups and dual-eligible patients. These findings suggest an imperative need to monitor and improve quality of managed care among enrollees with ADRD.

Indexed as

dementiaMedicare Advantagepost-acute care

Identifiers

PMID38934015
PMCPMC11199989

What OpenQuestion holds

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LicenceCC BY
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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.