ArticleJournal of health economics2025
Algorithmic decision-making in health care: Evidence from post-acute care in Medicare Advantage.
Article in Journal of health economics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 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.
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Who cites it
4 citing papers in PubMed.
- The vendorification of Medicare Advantage.Health affairs scholar · 2026Article
- Pre-Claim Review And Traditional Medicare Home Health Spending: Evidence From 4 States.Health affairs (Project Hope) · 2026Article
- Prior Authorization and Associated Delays and Denials of Branded Medication Dispensation.JAMA health forum · 2026Article
- Extended Hospital Stays in Medicare Advantage and Traditional Medicare.JAMA internal medicine · 2025Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
Health insurers use predictive algorithms to determine the necessary level of care and deny services they deem unnecessary. Using a difference-in-differences design, I study the partnership of a large Medicare Advantage insurer with a firm that uses a predictive algorithm to aid post-acute care coverage decisions. This partnership led to an immediate and sustained 13 percent decline in the length of skilled nursing facility stays. This effect was partially driven by large declines in longer skilled nursing facility stays (over 30 days). Despite reductions in health care use, I do not observe changes in health outcomes following the adoption of the predictive algorithm.
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Registered trials
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