Evidence map›Paper›PMID 41267910›Full record

ArticleHealth affairs scholar2025

When state Medicaid demonstrations end: projected eligibility loss after a MassHealth housing support program transition.

Nicole C McCann, Heather E Hsu, Stephanie Ettinger de Cuba, Jasper Frank, Paulina Lange, Michael D Stein, Paul R Shafer

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Nicole C McCannDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0002-4916-4319
Heather E HsuDepartment of Pediatrics, Boston Medical Center, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0002-5863-1804
Stephanie Ettinger de CubaDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0003-1789-1009
Jasper FrankDepartment of Population Health, Boston Medical Center, Boston, MA 02118, United States.
Paulina LangeDepartment of Population Health, Boston Medical Center, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0002-2952-1059
Michael D SteinDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.
Paul R ShaferDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, United States.ORCID https://orcid.org/0000-0003-0654-5821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Massachusetts Medicaid (MassHealth) transitioned a Section 1115 waiver-based housing support program to a permanent program in 2025, implementing new eligibility restrictions. Methods: We projected the potential impact of these new eligibility restrictions using linked administrative claims and programmatic data. Results: Among individuals enrolled from 2021 to 2024, 68% would no longer qualify under updated 2025 criteria. Those projected to remain eligible were older and had more chronic conditions and higher healthcare utilization than those projected to be ineligible, but similar prevalence of opioid use disorder and mental illness. Conclusion: These findings highlight the potential for unintended consequences in eligibility prioritization stemming from operational shifts in Medicaid waiver-based programs.

Indexed as

accountable care organizationsdemonstration waivershealth-related social needshousing programsMedicaid

Identifiers

PMID41267910
PMCPMC12628790

What OpenQuestion holds

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LicenceCC BY
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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.