ArticleJournal of general internal medicine2026
Moving from Medicaid Expansion Coverage to Medicare Can Be a Burdensome Transition: A Qualitative Study.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Expansion of Medicaid Benefits for Medicare Beneficiaries in New York State.JAMA health forum · 2026Article
- Medicaid Retention After Transition to Medicare Among Adults With Expansion Coverage.JAMA network open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundThe Affordable Care Act expanded Medicaid eligibility for low-income adults who are not Medicare eligible while leaving in place states' more restrictive dual eligibility criteria. When Medicaid expansion enrollees turn 65 and transition to Medicare as their primary insurer, they may lose Medicaid and face higher premiums and out-of-pocket costs, yet there is little understanding of how older adults navigate this change in insurance programs.
objectiveTo investigate the experiences of Medicaid expansion enrollees who transitioned to Medicare coverage at age 65.
designThis is an interpretive descriptive qualitative study. Primary data were collected through semi-structured in-depth interviews conducted from April 2022 to February 2023. Data were analyzed in an iterative process, informed by interpretive description, a non-categorical qualitative methodology initially developed to address problems in applied settings.
participantsParticipants had to be at least 65 years old, reside in Michigan, and have transitioned from Michigan's Medicaid expansion coverage to Medicare (either traditional or Medicare Advantage) between 2016 and 2022. MAIN OUTCOMES AND MEASURES: Descriptive themes of participant experiences navigating the transition from Medicaid expansion coverage to Medicare. KEY
resultsThe study included 30 participants aged 65-71. A majority were women and White, with diverse educational attainment and geographic representation within Michigan. Nineteen participants were Medicare-only (without dual coverage). Three main themes were identified. This change in insurance was (1) unwanted; (2) complicated; and (3) for those without dual coverage, financially burdensome. DISCUSSION: Our findings suggest a better alignment of Medicaid eligibility criteria before and after age 65, and access to unbiased Medicare enrollment guidance could help facilitate a smoother transition between these programs.
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Registered trials
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.