Evidence map›Paper›PMID 40030109›Full record

ArticleHealth affairs (Project Hope)2025

Dialysis Facility Participation In Medicare Advantage Networks Was Highest For Large Dialysis Organizations In 2021.

Eunhae Grace Oh, Joan F Brazier, Emily A Gadbois, Denise A Tyler, Laura M Keohane, David J Meyers, Momotazur Rahman, Kevin H Nguyen, Amal N Trivedi

Erratum issuedAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2025. 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 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

5 · Who and what money

Authors and funding

9 authors.

Eunhae Grace OhEunhae Grace Oh (eunhae_oh@brown.edu), Medicare Payment Advisory Commission, Washington, D.C.
Joan F BrazierJoan F. Brazier, Brown University, Providence, Rhode Island.
Emily A GadboisEmily A. Gadbois, Brown University.
Denise A TylerDenise A. Tyler, Miami University, Miami, Ohio.
Laura M KeohaneLaura M. Keohane, Vanderbilt University, Nashville, Tennessee.
David J MeyersDavid J. Meyers, Brown University.
Momotazur RahmanMomotazur Rahman, Brown University.
Kevin H NguyenKevin H. Nguyen, Brown University, Boston, Massachusetts.
Amal N TrivediAmal N. Trivedi, Brown University and Providence Veterans Affairs Medical Center, Providence, Rhode Island.

Funding

Impact of Randomized Payment Incentives on Disparities in Home Dialysis and Kidney TransplantationR01MD017080 · NIMHD · BROWN UNIVERSITY · PI Rachel E Patzer, AMAL N. TRIVEDI · 2022 to 2026
$3.2M
Effects of Expanding Medicare Advantage Enrollment toPersons with End-stage Renal DiseaseR01DK129388 · NIDDK · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 2021 to 2024
$2.4M
Medicaid Expansion, Coverage Loss, and Disparities in Kidney Health in the COVID-19 EraR01DK113298 · NIDDK · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 2017 to 2023
$2.2M
NIDDK NIH HHS R01 DK113298NIDDK NIH HHS R01 DK129388NIMHD NIH HHS R01 MD017080
6 · The paper itself

Abstract

The share of patients with kidney failure enrolled in Medicare Advantage (MA) increased from 27 percent to 47 percent after the implementation of the 21st Century Cures Act, which expanded MA eligibility to all kidney failure patients. In this mixed-methods study, we examined the characteristics of dialysis facilities participating in MA contracts in 2021, and we supplemented the findings with data from qualitative interviews with representatives from MA plans and dialysis provider organizations. In 2021, dialysis facilities contracted with approximately 60 percent of MA plans offered in their and neighboring counties. In adjusted analyses, facilities affiliated with the two large dialysis organizations had 33-40 percentage points higher participation in MA networks compared with independent, not-for-profit facilities. Interviews suggest that large dialysis organizations had a unique advantage in their negotiations with MA plans. It is important for policy makers to understand how MA enrollment growth among people with kidney failure may be accelerating consolidation in the dialysis market.

Indexed as

Ambulatory Care FacilitiesKidney Failure, ChronicMedicare Part CRenal DialysisAgedFemaleHumansMaleUnited States

Identifiers

PMID40030109
PMCPMC13367433

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Registered trials

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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.