Evidence map›Paper›PMID 39120543›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2025

Implications of Rebalancing Home-Based Care for Family Caregivers to Older Adults.

Esther M Friedman, Sarah Edgington, José J Escarce, Bonnie Ghosh-Dastidar, Regina A Shih

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

5 authors.

Esther M FriedmanInstitute for Social Research, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-6813-6471
Sarah EdgingtonRAND Corporation, Santa Monica, CA, USA.
José J EscarceUniversity of California, Los Angeles, CA, USA.
Bonnie Ghosh-DastidarRAND Corporation, Santa Monica, CA, USA.
Regina A ShihRAND Corporation, Santa Monica, CA, USA.ORCID 0000-0003-0062-6356

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Evaluating disparities in older adult health, institutionalization, and mortality after implementation of Medicaid's Balancing Incentives ProgramR01MD010360 · NIMHD · RAND CORPORATION · PI SHIH, REGINA A · 2016 to 2020
$4.7M
NIA NIH HHS U01 AG009740NIMHD NIH HHS R01 MD010360
6 · The paper itself

Abstract

Over the last several decades, Medicaid has been "rebalancing" services from institutions to the community, increasing support of home- and community-based services (HCBS). These services could potentially substitute for care typically provided by family members, replacing or reducing care from kin. Leveraging one of the most recent Medicaid rebalancing programs, the Balancing Incentive Program (BIP), and using data from the 2008-2016 Health and Retirement Study on 953 Medicaid beneficiaries ages 65 and over with at least one functional limitation, we examined the relationship between exposure to BIP and family and professional caregiving. BIP exposure was not associated with receipt of care or total hours of care. It was, however, associated with more hours of professional care and fewer hours of family care from non-spouse kin. These findings suggest that recent Medicaid rebalancing programs, while intended to meet the desires of older adults, could have implications for their families.

Indexed as

CaregiversHome Care ServicesMedicaidAgedAged, 80 and overFamilyFemaleHumansMaleUnited Statesfamily caregivinglong-term caremedicaid

Identifiers

PMID39120543
PMCPMC11717639

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.