{"id":"https://openalex.org/W4408020499","doi":"https://doi.org/10.1001/jama.2025.1042","title":"Medicaid Spending and Health-Related Social Needs in the North Carolina Healthy Opportunities Pilots Program","display_name":"Medicaid Spending and Health-Related Social Needs in the North Carolina Healthy Opportunities Pilots Program","publication_year":2025,"publication_date":"2025-02-27","ids":{"openalex":"https://openalex.org/W4408020499","doi":"https://doi.org/10.1001/jama.2025.1042","pmid":"https://pubmed.ncbi.nlm.nih.gov/40014313","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11869083"},"language":"en","primary_location":{"id":"doi:10.1001/jama.2025.1042","doi":"https://doi.org/10.1001/jama.2025.1042","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.2025.1042","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","datacite","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11869083","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5022651324","display_name":"Seth A. Berkowitz","orcid":"https://orcid.org/0000-0003-1030-4297","observed_orcids":["https://orcid.org/0000-0003-1030-4297"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Seth A. Berkowitz","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill","Division of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"Division of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Jessica Archibald","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jessica Archibald","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Zhitong Yu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Zhitong Yu","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024325939","display_name":"Myklynn LaPoint","orcid":"https://orcid.org/0009-0007-5847-1285","observed_orcids":["https://orcid.org/0009-0007-5847-1285"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Myklynn LaPoint","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078488340","display_name":"Salma Abbas Ali","orcid":"https://orcid.org/0009-0007-8982-1057","observed_orcids":["https://orcid.org/0009-0007-8982-1057"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Salma Ali","raw_affiliation_strings":["Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023972734","display_name":"Maihan B. Vu","orcid":"https://orcid.org/0000-0002-7944-4100","observed_orcids":["https://orcid.org/0000-0002-7944-4100"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maihan B. Vu","raw_affiliation_strings":["Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill","Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067835918","display_name":"Gaurav Dave","orcid":"https://orcid.org/0000-0003-0825-1595","observed_orcids":["https://orcid.org/0000-0003-0825-1595"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gaurav Dave","raw_affiliation_strings":["Center for Health Equity Research, University of North Carolina at Chapel Hill School of Medicine","Division of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Equity Research, University of North Carolina at Chapel Hill School of Medicine","institution_ids":["https://openalex.org/I114027177"]},{"raw_affiliation_string":"Division of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032769735","display_name":"Kori B. Flower","orcid":"https://orcid.org/0000-0003-2095-7216","observed_orcids":["https://orcid.org/0000-0003-2095-7216"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kori B. Flower","raw_affiliation_strings":["Division of General Pediatrics and Adolescent Medicine, University of North Carolina at Chapel Hill School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of General Pediatrics and Adolescent Medicine, University of North Carolina at Chapel Hill School of Medicine","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5004397320","display_name":"Marisa Elena Domino","orcid":"https://orcid.org/0000-0003-4845-6261","observed_orcids":["https://orcid.org/0000-0003-4845-6261"]},"institutions":[{"id":"https://openalex.org/I55732556","display_name":"Arizona State University","ror":"https://ror.org/03efmqc40","country_code":"US","type":"education","lineage":["https://openalex.org/I55732556"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marisa Elena Domino","raw_affiliation_strings":["Center for Health Information and Research, College of Health Solutions, Arizona State University, Phoenix"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Information and Research, College of Health Solutions, Arizona State University, Phoenix","institution_ids":["https://openalex.org/I55732556"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5022651324"],"corresponding_institution_ids":["https://openalex.org/I114027177"],"apc_list":null,"apc_paid":null,"fwci":27.5492,"has_fulltext":false,"cited_by_count":37,"citation_normalized_percentile":{"value":0.99763027,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":99,"max":100},"biblio":{"volume":"333","issue":"12","first_page":"1041","last_page":"1041"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.9682999849319458,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11610","display_name":"Food Security and Health in Diverse Populations","score":0.012199999764561653,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-related-social-needs","display_name":"health-related social needs","score":0.8679999709129333},{"id":"https://openalex.org/keywords/medicaid-spending","display_name":"Medicaid expenditures","score":0.7519999742507935},{"id":"https://openalex.org/keywords/1115-waivers","display_name":"1115 waivers","score":0.8899999856948853},{"id":"https://openalex.org/keywords/food-aid","display_name":"food aid","score":0.7369999885559082},{"id":"https://openalex.org/keywords/emergency-department-visits","display_name":"emergency department visits","score":0.8149999976158142},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.7319999933242798},{"id":"https://openalex.org/keywords/outpatient-visits","display_name":"outpatient visits","score":0.7590000033378601},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.5709999799728394},{"id":"https://openalex.org/keywords/medicaid-enrollees","display_name":"Medicaid enrollees","score":0.5870000123977661},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.3540000021457672},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.7059999704360962},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.3479999899864197},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.43700000643730164}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9383494853973389},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8244471549987793},{"id":"https://openalex.org/C2777543875","wikidata":"https://www.wikidata.org/wiki/Q797551","display_name":"Waiver","level":2,"score":0.5815829634666443},{"id":"https://openalex.org/C2776269092","wikidata":"https://www.wikidata.org/wiki/Q1611074","display_name":"Residence","level":2,"score":0.5252147316932678},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.5168131589889526},{"id":"https://openalex.org/C26869875","wikidata":"https://www.wikidata.org/wiki/Q2596417","display_name":"Beneficiary","level":2,"score":0.46460622549057007},{"id":"https://openalex.org/C3020212850","wikidata":"https://www.wikidata.org/wiki/Q1456","display_name":"South carolina","level":2,"score":0.4407424032688141},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.42723289132118225},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4252352714538574},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.41585367918014526},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32925379276275635},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.10143807530403137},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":6,"locations":[{"id":"doi:10.1001/jama.2025.1042","doi":"https://doi.org/10.1001/jama.2025.1042","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.2025.1042","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:11186515","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11869083","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:11869083","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11869083","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Text"},{"id":"pmid:40014313","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40014313","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Journal Article"},{"id":"pmh:cdr.lib.unc.edu:bg257v90r","doi":null,"is_oa":false,"landing_page_url":"https://doi.org/10.17615/c8ag-dp55","pdf_url":null,"source":{"id":"https://openalex.org/S4306401075","display_name":"Carolina Digital Repository (University of North Carolina at Chapel Hill)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114027177","host_organization_name":"University of North Carolina at Chapel Hill","host_organization_lineage":["https://openalex.org/I114027177"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JAMA, 333(12)","raw_type":"Article"},{"id":"doi:10.17615/c8ag-dp55","doi":"https://doi.org/10.17615/c8ag-dp55","is_oa":true,"landing_page_url":"https://doi.org/10.17615/c8ag-dp55","pdf_url":null,"source":{"id":"https://openalex.org/S7407051488","display_name":"UNC Libraries","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article-journal"}],"best_oa_location":{"id":"pmh:oai:europepmc.org:11186515","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11869083","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9074000120162964,"id":"https://metadata.un.org/sdg/3"},{"display_name":"No poverty","score":0.666700005531311,"id":"https://metadata.un.org/sdg/1"},{"display_name":"Reduced inequalities","score":0.6517000198364258,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W1562867158","https://openalex.org/W2000558577","https://openalex.org/W2027748634","https://openalex.org/W2037164372","https://openalex.org/W2079202550","https://openalex.org/W2092385191","https://openalex.org/W2168605046","https://openalex.org/W2225155599","https://openalex.org/W2233798917","https://openalex.org/W2795783030","https://openalex.org/W2883904009","https://openalex.org/W2905175704","https://openalex.org/W2940106148","https://openalex.org/W2981586912","https://openalex.org/W3007925582","https://openalex.org/W3024664944","https://openalex.org/W3043051650","https://openalex.org/W3175699514","https://openalex.org/W3206604451","https://openalex.org/W4221101981","https://openalex.org/W4283818876","https://openalex.org/W4376868140","https://openalex.org/W4376868301","https://openalex.org/W4381889300","https://openalex.org/W4384103535","https://openalex.org/W4390405067","https://openalex.org/W4391659138","https://openalex.org/W4396573242","https://openalex.org/W4400880430","https://openalex.org/W4403448444"],"related_works":["https://openalex.org/W3023780026","https://openalex.org/W2929206391","https://openalex.org/W4302231054","https://openalex.org/W2466300139","https://openalex.org/W4376224647","https://openalex.org/W4391527585","https://openalex.org/W7208770269","https://openalex.org/W4391659138","https://openalex.org/W1989660694","https://openalex.org/W3169024891"],"abstract_inverted_index":{"Importance:":[0],"Health-related":[1],"social":[2,33,103],"needs":[3],"are":[4],"drivers":[5],"of":[6,49,118,134,215,233,353],"worse":[7],"health":[8,11,150],"and":[9,40,70,126,140,158,166,186,213,297,350],"high":[10],"care":[12,151],"spending.":[13,67],"In":[14],"North":[15,50,78],"Carolina":[16,79],"Medicaid's":[17],"1115":[18],"waiver,":[19],"the":[20,59,132,172,231,244,358],"Healthy":[21],"Opportunities":[22],"Pilots":[23],"(HOP)":[24],"program":[25,61,360],"allows":[26],"for":[27,113,248,307],"nonmedical":[28],"services":[29,142,216],"to":[30,116,265,271,287,317,335,347],"address":[31],"health-related":[32,102],"needs,":[34],"such":[35],"as":[36],"healthy":[37],"food":[38,218],"boxes":[39],"housing":[41],"navigation,":[42],"financed":[43],"by":[44,136,291,369],"Medicaid,":[45],"in":[46,58,122,237,246,255,326],"3":[47],"regions":[48],"Carolina.":[51],"Objective:":[52],"To":[53],"determine":[54],"whether":[55],"individual":[56],"participation":[57],"HOP":[60,91,106,114,141,165,204,211,234,249,296,308,359],"is":[62],"associated":[63,362],"with":[64,95,363],"lower":[65,253,298,306,372],"Medicaid":[66,80,98,137],"Design,":[68],"Setting,":[69],"Participants:":[71],"Comparative":[72],"interrupted":[73,222],"time":[74,223],"series":[75,224],"evaluation":[76],"using":[77],"data":[81],"from":[82],"March":[83],"2021":[84],"through":[85],"November":[86],"2023.":[87],"The":[88,128,220],"13":[89,163],"227":[90,164],"enrollees":[92],"were":[93,111,181,184,188,217],"compared":[94],"73":[96,167],"469":[97,168],"beneficiaries":[99],"reporting":[100],"a":[101,272,370],"need":[104],"(a":[105],"eligibility":[107],"criterion),":[108],"but":[109],"who":[110],"ineligible":[112],"due":[115],"county":[117],"residence.":[119],"Exposure:":[120],"Participation":[121],"HOP.":[123,276],"Main":[124],"Outcomes":[125],"Measures:":[127],"primary":[129],"outcome":[130],"was":[131,175,199,251,285,304,320,361],"sum":[133],"spending":[135,198,228,247,284,365,373],"on":[138],"medical":[139],"per":[143,145,258,260,311,329,341],"beneficiary":[144,259],"month.":[146],"Secondary":[147],"outcomes":[148],"included":[149],"use":[152],"(emergency":[153],"department":[154,301],"visits,":[155],"inpatient":[156],"admissions,":[157],"outpatient":[159,338],"visits).":[160],"Results:":[161],"Among":[162],"comparison":[169],"group":[170],"members,":[171],"mean":[173],"age":[174],"23.4":[176],"(SD,":[177,201],"18.8)":[178],"years,":[179],"63.9%":[180],"female,":[182],"42.4%":[183],"Black,":[185],"57.4%":[187],"White":[189],"(participants":[190],"could":[191],"report":[192],">1":[193],"race).":[194],"Mean":[195],"monthly":[196,283],"preindex":[197],"$828":[200],"$5105).":[202],"Of":[203],"enrollees,":[205],"89%":[206],"received":[207],"at":[208,230,366],"least":[209],"1":[210],"service,":[212],"85%":[214],"services.":[219],"comparative":[221],"analysis":[225],"estimated":[226,288],"that":[227,282,357],"increased":[229,364],"month":[232,292],"enrollment":[235],"(change":[236,254],"level,":[238],"$687;":[239],"95%":[240,262,314,332,344],"CI,":[241,263,315,333,345],"$420-$954).":[242],"However,":[243],"trend":[245,303,325],"participants":[250,309],"differentially":[252,305],"trend,":[256],"-$85":[257],"month;":[261],"-$122":[264],"-$48;":[266],"P":[267],"<":[268],".001)":[269],"relative":[270],"counterfactual":[273,289],"scenario":[274],"without":[275],"Taken":[277],"together,":[278],"these":[279],"findings":[280],"indicated":[281],"equivalent":[286],"expenditures":[290],"8":[293],"after":[294],"starting":[295],"thereafter.":[299],"Emergency":[300],"visit":[302],"(-6":[310],"1000":[312,330,342],"person-months;":[313,331,343],"-8":[316],"-4).":[318],"There":[319],"no":[321],"statistically":[322],"significant":[323],"differential":[324],"hospitalizations":[327],"(-1":[328],"-2":[334],"0)":[336],"or":[337],"visits":[339],"(1":[340],"-7":[346],"9).":[348],"Conclusions":[349],"Relevance:":[351],"Results":[352],"this":[354],"study":[355],"suggest":[356],"enrollment,":[367],"followed":[368],"subsequently":[371],"trend.":[374]},"counts_by_year":[{"year":2026,"cited_by_count":25},{"year":2025,"cited_by_count":12}],"updated_date":"2026-11-06T12:05:46.655746","created_date":"2025-02-28T00:00:00"}