Evidence map›Paper›PMID 39849893›Full record

ArticleMedical care research and review : MCRR2025

The Effect of Extending the Window to Disenroll From Medicare Advantage Among Post-Acute Users.

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

Abstract read
In one paragraph

Article in Medical care research and review : MCRR, 2025. 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.

Emma M AcholaDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA.ORCID 0000-0002-2559-6627
Amal N TrivediBrown University, Providence, RI, USA.
Daeho KimBrown University, Providence, RI, USA.
David J MeyersBrown University, Providence, RI, USA.ORCID 0000-0002-4081-1751
Hiren VarmaBrown University, Providence, RI, USA.
Laura M KeohaneDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA.ORCID 0000-0002-9400-0575

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

Post-acute care users in Medicare Advantage (MA) plans may seek coverage changes if facing issues with plan benefits. In 2019, the Centers for Medicare and Medicaid Services extended the deadline to disenroll from an MA plan from February 14 to March 31 and, for the first time, permitted beneficiaries to switch to a different MA plan instead of traditional Medicare. Using 2016-2019 Medicare administrative data, we implemented a difference-in-differences approach to evaluate the impact of this policy on disenrollment from a plan within 1 month of initiating skilled nursing facility or home health services. When MA disenrollment rules became more flexible, overall rates of exiting MA plans did not change. Switching to a different MA plan increased after the policy change, but this outcome was so rare that this increase did not affect overall rates of exiting MA plans.

Indexed as

Insurance CoverageMedicare Part CSubacute CareAgedAged, 80 and overCenters for Medicare and Medicaid Services, U.S.FemaleHome Care ServicesHumansMaleSkilled Nursing FacilitiesUnited Statesmanaged careMedicarepost-acute care

Identifiers

PMID39849893
PMCPMC11872052

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.