Evidence map›Paper›PMID 39313257›Full record

Trial reportBMJ (Clinical research ed.)2024

Heterogeneous effects of Medicaid coverage on cardiovascular risk factors: secondary analysis of randomized controlled trial.

Kosuke Inoue, Susan Athey, Katherine Baicker, Yusuke Tsugawa

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Heterogeneity in associations between food insecurity and diabetes outcomes.Journal of epidemiology and community health · 2025
    Article
  7. Review
  8. Severe housing cost burden and premature cardiovascular mortality.American journal of preventive cardiology · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Kosuke InoueDepartment of Social Epidemiology, Graduate School of Medicine, Kyoto University, Kyoto, Japan inoue.kosuke.2j@kyoto-u.ac.jp.ORCID 0000-0001-9614-8103
Susan AtheyGraduate School of Business, Stanford University, Stanford, CA, USA inoue.kosuke.2j@kyoto-u.ac.jp.
Katherine BaickerUniversity of Chicago, Chicago, IL, USA.
Yusuke TsugawaDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA inoue.kosuke.2j@kyoto-u.ac.jp.ORCID 0000-0002-1937-4833

Funding

Understanding and Improving Healthcare Decision-Making and Outcomes for People Living with Alzheimer's Disease and Related DementiasP01AG005842 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI KOSALI ILAYPERUMA SIMON · 1986 to 2026
$56.5M
What Does Health Insurance Do? Evidence from the Oregon Health Insurance LotteryR01AG034151 · NIA · NATIONAL BUREAU OF ECONOMIC RESEARCH · PI BAICKER, KATHERINE, FINKELSTEIN, AMY N. · 2010 to 2022
$9.1M
NIA NIH HHS P01 AG005842NIA NIH HHS R01 AG034151
6 · The paper itself

Abstract

objectivesTo investigate whether health insurance generated improvements in cardiovascular risk factors (blood pressure and hemoglobin A

designSecondary analysis of randomized controlled trial.

settingMedicaid insurance coverage in 2008 for adults on low incomes (defined as lower than the federal-defined poverty line) in Oregon who were uninsured.

participants12 134 participants from the Oregon Health Insurance Experiment with in-person data for health outcomes for both treatment and control groups.

interventionsHealth insurance (Medicaid) coverage. MAIN OUTCOMES MEASURES: The conditional local average treatment effects of Medicaid coverage on systolic blood pressure and HbA

resultsIn the in-person interview survey, mean systolic blood pressure was 119 (standard deviation 17) mm Hg and mean HbA

conclusionsAlthough Medicaid coverage did not improve cardiovascular risk factors on average, substantial heterogeneity was noted in the effects within that population. Individuals with high predicted benefits were more likely to have no or low prior healthcare charges, for example. Our findings suggest that Medicaid coverage leads to improved cardiovascular risk factors for some, particularly for blood pressure, although those benefits may be diluted by individuals who did not experience benefits.

Indexed as

Blood PressureCardiovascular DiseasesGlycated HemoglobinHeart Disease Risk FactorsInsurance CoverageMedicaidAdultFemaleHumansMachine LearningMaleMedically UninsuredMiddle AgedOregonPovertyRisk FactorsGlycated Hemoglobin

Identifiers

PMID39313257
PMCPMC11417663

What OpenQuestion holds

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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.