Evidence map›Paper›PMID 39467295›Full record

ArticleAnnals of internal medicine2024

Risk for Financial Precarity From Hospitalization: Implications for Targeting Financial Assistance in Medicare.

Paula Chatterjee, Eliza Macneal, Syama R Patel, Eric T Roberts

Abstract read
In one paragraph

Article in Annals of internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Paula ChatterjeeDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (P.C., E.T.R.).ORCID 0000-0002-6514-0405
Eliza MacnealDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (E.M., S.R.P.).ORCID 0009-0002-8297-2649
Syama R PatelDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (E.M., S.R.P.).
Eric T RobertsDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (P.C., E.T.R.).

Funding

Racial/Ethnic Disparities in Medicare Advantage vs. Traditional Medicare: Evidence to Improve Equity in MedicareR01AG076437 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JOHN Z. AYANIAN, Eric T Roberts · 2022 to 2026
$2.8M
Improving Access to Care and Chronic Condition Management for Rural Older Adults in the USK23AG073512 · NIA · UNIVERSITY OF PENNSYLVANIA · PI CHATTERJEE, PAULA · 2021 to 2025
$818k
NIA NIH HHS K23 AG073512NIA NIH HHS R01 AG076437
6 · The paper itself

Abstract

backgroundHigh out-of-pocket costs in Medicare may leave many beneficiaries in financial precarity. Beneficiaries with modest incomes are often ineligible for Medicaid (which covers most out-of-pocket Medicare costs) and may have insufficient resources to pay an unexpected health care bill. This has prompted calls to improve financial protections, but the target population remains uncharacterized.

objectiveTo identify beneficiaries who would face financial precarity if exposed to the Medicare Part A hospital deductible ($1600).

designCross-sectional study of the 2018 wave of the Health and Retirement Study.

settingUnited States.

participantsCommunity-dwelling Medicare beneficiaries with incomes greater than 100% to 400% or less of the federal poverty level. MEASUREMENTS: Nationally representative estimates of financial precarity, defined as having insufficient funds to pay the deductible, examined across 4 scenarios that considered checking and savings account balances, total liquid assets (with a reserve for future living costs), and supplemental insurance.

resultsAmong 4881 beneficiaries (population weighted LIMITATION: Cost-sharing exposure is limited to hospitalization.

conclusionMany Medicare beneficiaries with modest incomes are at risk for financial hardship from costs of a single hospital stay. PRIMARY FUNDING SOURCE: National Institute on Aging.

Indexed as

HospitalizationAgedCross-Sectional StudiesDeductibles and CoinsuranceFemaleFinancing, PersonalHealth ExpendituresHumansIncomeMaleMedicarePovertyUnited States

Identifiers

PMID39467295
PMCPMC11874904

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.