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Improving Benefits and Integrating Care for Older Medicare Beneficiaries with Physical or Cognitive Impairment
Amber Willink, Karen C. Davis, Cathy Schoen. Issue brief (Commonwealth Fund), 2016-10-01
Topic: Risk, prevention and care in population studies
Medicare Help at Home—a proposal to add supplemental home- and community-based services—could be financed by income-related cost-sharing, beneficiary monthly premiums of $42, and an incremental payroll tax on employers and employees of 0.4 percent. This could produce savings to Medicaid of $1.6 billion over 14 years. Using a different option—an extension of Medicaid Community First Choice—would cost $16,224 per person assisted, with costs offset by reduced nursing home placement.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Willink, A., Davis, K. C., & Schoen, C. (2016). Improving Benefits and Integrating Care for Older Medicare Beneficiaries with Physical or Cognitive Impairment. Issue brief (Commonwealth Fund).
Vancouver
Willink A, Davis KC, Schoen C. Improving Benefits and Integrating Care for Older Medicare Beneficiaries with Physical or Cognitive Impairment. Issue brief (Commonwealth Fund). 2016. PMID: 27828709.
BibTeX
@article{willink2016-27828709,
author = {Willink, Amber and Davis, Karen C. and Schoen, Cathy},
title = {{Improving Benefits and Integrating Care for Older Medicare Beneficiaries with Physical or Cognitive Impairment}},
journal = {Issue brief (Commonwealth Fund)},
year = {2016},
pmid = {27828709}
}
Built from the record alzhub holds for this paper, not looked up. This record has no DOI, so the citation leaves it out. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Medicare Help at Home—a proposal to add supplemental home- and community-based services—could be financed by income-related cost-sharing, beneficiary monthly premiums of $42, and an incremental payroll tax on employers and employees of 0.4 percent.
- This could produce savings to Medicaid of $1.6 billion over 14 years.
- Using a different option—an extension of Medicaid Community First Choice—would cost $16,224 per person assisted, with costs offset by reduced nursing home placement.
Why it matters
This paper proposes that Medicare Help at Home could be financed by income-related cost-sharing, beneficiary monthly premiums of $42, and an incremental payroll tax on employers and employees of 0.4 percent, producing savings to Medicaid of $1.6 billion over 14 years. An alternative option, an extension of Medicaid Community First Choice, would cost $16,224 per person assisted, with costs offset by reduced nursing home placement.
Study details
- Evidence strengthLow
How this study scored 30/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it. We have no data on journal's citation record, so that was left out: it earned 29 of the 96 points we could judge it on, which is 30 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Issue brief (Commonwealth Fund)) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| 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 | 2016 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 4 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.3 citations a year over 12 year(s) since 2016 |
| Impact for its field and year | 2 / 6 | Cited 2.6× 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 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Cathy Schoen: h-index 45 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Johns Hopkins University: institution h-index 2,306 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 27828709) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 29 / 96 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 29 of the 96 points we could judge it on is 30 out of 100. |
| Total | 30 / 100 | — |
What each of these 20 components measures, and what this score is not →
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