Evidence map›Paper›PMID 40893467›Full record

ArticleSocial policy & administration2024

"You've Got a Lot to Prove": A Mixed Methods Analysis of How Older Adults and Their Families Navigate Medicaid Enrollment.

Sarah E Petry

Abstract read
In one paragraph

Article in Social policy & administration, 2024. 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. Structural determinants of Medicaid enrollment in late life.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    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

1 author.

Sarah E PetryCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-6348-3300

Funding

POPULATION STUDIEST32HD007168 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ELIZABETH A FRANKENBERG · 1985 to 2026
$13.8M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924NICHD NIH HHS T32 HD007168
6 · The paper itself

Abstract

Many older adults will need Medicaid to cover health and long-term care costs, yet the process by which these older adults gain access to Medicaid is poorly understood. In a case study of family caregivers and key program staff at a skilled nursing facility in a large, urban county in North Carolina, I document the experiences of older adults' families applying for Medicaid. Participants report challenges with the application process and their own assets creating barriers to enrollment, while having a health event requiring institutionalised care precipitated access. Given these results, I use data from 11 waves of the Health and Retirement Survey to test these hypothesised factors, demonstrating that prior hospitalisation and having limited assets both accelerate time to Medicaid enrollment. Expanding Medicaid to cover older adults with incomes greater than the federal poverty line and simplifying eligibility requirements and application processes can improve the well-being of older adults and their families.

Indexed as

dual eligible beneficiariesMedicaidnursing homesolder adultsstate health policies

Identifiers

PMID40893467
PMCPMC12392138

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.