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Disenrollment From an Acute/Long-Term Managed Care Program (PACE)
Helena Temkin‐Greener, Alina Bajorska, Dana B. Mukamel. Medical Care, 2005-12-19
Topic: Risk, prevention and care in population studies
Our findings show a low level of disenrollment. We find no increase in disenrollment risk by age, functional or cognitive impairment, Medicaid eligibility, or diagnoses. Certain characteristics (eg, nursing treatments) appear to reduce the disenrollment hazard, whereas others (eg, hospital admissions, private pay status) significantly increase it. The risk of disenrollment also increases with longer nursing home stays, until 80-90 days, whereupon it begins to decline. Both enrollee and program-level attributes predict program disenrollment. Programmatic and quality of care improvements may be needed to further minimize disenrollment, particularly in programs experiencing rates that are substantially greater than the average.
Key findings
- Our findings show a low level of disenrollment.
- We find no increase in disenrollment risk by age, functional or cognitive impairment, Medicaid eligibility, or diagnoses.
- Certain characteristics (eg, nursing treatments) appear to reduce the disenrollment hazard, whereas others (eg, hospital admissions, private pay status) significantly increase it.
- The risk of disenrollment also increases with longer nursing home stays, until 80-90 days, whereupon it begins to decline.
- Both enrollee and program-level attributes predict program disenrollment.
Why it matters
This study examined disenrollment from a managed care program and found no increase in disenrollment risk by cognitive impairment or diagnoses. It provides no information about treating, curing, or preventing Alzheimer's disease.
Study details
- Participants14,657
- Evidence strengthLow
How this study scored 42/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Medical Care) |
| Journal's citation record | 3 / 4 | Medical Care: journal h-index 273 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2005 — older than 20 years, still counted |
| Sample size | 4 / 4 | 14,657 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 22 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 1.0 citations a year over 23 year(s) since 2005 |
| Impact for its field and year | 3 / 6 | Cited 4.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Dana B. Mukamel: h-index 58 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | University of Rochester: institution h-index 1,195 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 3 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 16365610) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 42 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
May need a subscription OpenAlex found no free copy of the full text (checked 6 Feb 1020), so the publisher may charge for it. The PubMed abstract is free.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Temkin‐Greener, H., Bajorska, A., & Mukamel, D. B. (2005). Disenrollment From an Acute/Long-Term Managed Care Program (PACE). Medical Care. https://doi.org/10.1097/01.mlr.0000188920.19129.89
Vancouver
Temkin‐Greener H, Bajorska A, Mukamel DB. Disenrollment From an Acute/Long-Term Managed Care Program (PACE). Medical Care. 2005. doi:10.1097/01.mlr.0000188920.19129.89. PMID: 16365610.
BibTeX
@article{temkingreener2005-16365610,
author = {Temkin‐Greener, Helena and Bajorska, Alina and Mukamel, Dana B.},
title = {{Disenrollment From an Acute/Long-Term Managed Care Program (PACE)}},
journal = {Medical Care},
year = {2005},
doi = {10.1097/01.mlr.0000188920.19129.89},
pmid = {16365610},
url = {https://doi.org/10.1097/01.mlr.0000188920.19129.89}
}
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