Evidence map›Paper›PMID 40909761›Full record

ArticleHealth affairs scholar2025

Do MA plans follow incentives to attract enrollee groups with new supplemental benefits?

Katherine M Ianni, J Michael McWilliams, Vilsa E Curto

Abstract read
In one paragraph

Article in Health affairs scholar, 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

3 authors.

Katherine M IanniDivision of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10022, United States.ORCID https://orcid.org/0000-0002-5224-6497
J Michael McWilliamsDepartment of Health Care Policy, Harvard Medical School, Boston, MA 02115, United States.
Vilsa E CurtoDepartment of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, CA 90095, United States.ORCID https://orcid.org/0000-0001-9947-4094

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The Medicare Advantage (MA) payment system gives rise to incentives for plans to attract and retain beneficiaries from minoritized racial and ethnic groups and those dually eligible for Medicaid (duals) by offering these groups additional benefits. Methods: We examined how MA plans respond to these incentives using a 2020 policy change that granted broader flexibility in benefit design, allowing plans to offer Special Supplemental Benefits for the Chronically Ill (SSBCI). Results: We found that plans with higher shares of patients from these groups were more likely to offer SSBCI benefits: a 1 SD increase in a plan's non-White share was associated with a 20.8% point ( Conclusion: These findings are consistent with the potential for population-based payment systems to shift resources towards underserved groups in ways that could encourage plans or providers to mitigate health care disparities; they also highlight the challenges and tradeoffs involved.

Indexed as

medicaremedicare advantagepaymentplan benefit design

Identifiers

PMID40909761
PMCPMC12405882

What OpenQuestion holds

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LicenceCC BY-NC
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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.