{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:15:07Z","timestamp":1777932907770,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["2P01AG027296-11"],"award-info":[{"award-number":["2P01AG027296-11"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Med Care Res Rev"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Post-acute care users in Medicare Advantage (MA) plans may seek coverage changes if facing issues with plan benefits. In 2019, the Centers for Medicare and Medicaid Services extended the deadline to disenroll from an MA plan from February 14 to March 31 and, for the first time, permitted beneficiaries to switch to a different MA plan instead of traditional Medicare. Using 2016\u20132019 Medicare administrative data, we implemented a difference-in-differences approach to evaluate the impact of this policy on disenrollment from a plan within 1 month of initiating skilled nursing facility or home health services. When MA disenrollment rules became more flexible, overall rates of exiting MA plans did not change. Switching to a different MA plan increased after the policy change, but this outcome was so rare that this increase did not affect overall rates of exiting MA plans.<\/jats:p>","DOI":"10.1177\/10775587241313092","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T02:32:09Z","timestamp":1737685929000},"page":"165-172","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["The Effect of Extending the Window to Disenroll From Medicare Advantage Among Post-Acute Users"],"prefix":"10.1177","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2559-6627","authenticated-orcid":false,"given":"Emma M.","family":"Achola","sequence":"first","affiliation":[{"name":"Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal N.","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI, USA"},{"name":"Providence VA Medical Center, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daeho","family":"Kim","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4081-1751","authenticated-orcid":false,"given":"David J.","family":"Meyers","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiren","family":"Varma","sequence":"additional","affiliation":[{"name":"Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9400-0575","authenticated-orcid":false,"given":"Laura M.","family":"Keohane","sequence":"additional","affiliation":[{"name":"Department of Health Policy, Vanderbilt University School of Medicine, Nashville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"bibr1-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.2517"},{"key":"bibr2-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.01070"},{"issue":"3","key":"bibr3-10775587241313092","first-page":"27","volume":"29","author":"Eicheldinger C.","year":"2008","journal-title":"Health Care Financing Review"},{"issue":"12","key":"bibr4-10775587241313092","volume":"24","author":"Gadbois E. 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(2024). March 2024 report to the congress: Medicare payment policy. https:\/\/www.medpac.gov\/wp-content\/uploads\/2024\/03\/Mar24_MedPAC_Report_To_Congress_SEC.pdf"},{"key":"bibr15-10775587241313092","unstructured":"MedPAC. (2018). June 2018\u2014Report to the congress: Medicare and the health care delivery system\u2014MedPAC. https:\/\/www.medpac.gov\/document\/http-www-medpac-gov-docs-default-source-reports-jun18_medpacreporttocongress_rev_nov2019_note_sec-pdf\/"},{"key":"bibr16-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.7639"},{"key":"bibr17-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0714"},{"key":"bibr18-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1002\/trc2.12150"},{"key":"bibr19-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2018.05428"},{"key":"bibr20-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1162\/ajhe_a_00001"},{"key":"bibr21-10775587241313092","unstructured":"Ochieng N., Biniek J. F., Freed M., Damico A., Published T. N. (2023, August 9). Medicare advantage in 2023: Enrollment update and key trends. KFF. https:\/\/www.kff.org\/medicare\/issue-brief\/medicare-advantage-in-2023-enrollment-update-and-key-trends\/"},{"key":"bibr22-10775587241313092","unstructured":"Ochieng N., Cubanski J., Freed M., Published T. N. (2022, November 1). A relatively small share of Medicare beneficiaries compared plans during a recent open enrollment period. KFF. https:\/\/www.kff.org\/medicare\/issue-brief\/a-relatively-small-share-of-medicare-beneficiaries-compared-plans-during-recent-open-enrollment-period\/"},{"key":"bibr23-10775587241313092","unstructured":"Ochieng N., Cubanski J., Freed M., Published T. N. (2024, September 26). Nearly 7 in 10 Medicare beneficiaries did not compare plans during Medicare\u2019s open enrollment period. KFF. https:\/\/www.kff.org\/medicare\/issue-brief\/nearly-7-in-10-medicare-beneficiaries-did-not-compare-plans-during-medicares-open-enrollment-period\/"},{"key":"bibr24-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.01435"},{"key":"bibr25-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0272"},{"key":"bibr26-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1177\/1077558720944284"},{"key":"bibr27-10775587241313092","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00844"}],"container-title":["Medical Care Research and Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10775587241313092","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10775587241313092","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10775587241313092","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T01:33:25Z","timestamp":1777685605000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10775587241313092"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,23]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/10775587241313092"],"URL":"https:\/\/doi.org\/10.1177\/10775587241313092","relation":{},"ISSN":["1077-5587","1552-6801"],"issn-type":[{"value":"1077-5587","type":"print"},{"value":"1552-6801","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,23]]}}}