Medicaid Contributes Substantial Costs to Dementia Care in an Ethnically Diverse Community

Carolyn W ZhuPhD, Katherine A OrnsteinPhD, Stephanie CosentinoPhD, Yian GuPhD, Howard AndrewsPhD, Yaakov SternPhD and J Scott BrownPhD

The Journals of Gerontology: Series B, 2020, vol. 75, issue 7, 1527-1537

Abstract: ObjectivesThe main objective of this study was to estimate effects of dementia on Medicaid expenditures in an ethnically diverse community.MethodsThe sample included 1,211 Medicare beneficiaries who did not have any Medicaid coverage and 568 who additionally had full Medicaid coverage enrolled in the Washington Heights-Inwood Columbia Aging Project (WHICAP), a multiethnic, population-based, prospective study of cognitive aging in northern Manhattan (1999–2010). Individuals’ dementia status was determined using a rigorous clinical protocol. Relationship between dementia and Medicaid coverage and expenditures were estimated using a two-part model.ResultsIn participants who had full Medicaid coverage, average annual Medicaid expenditures were substantially higher for those with dementia than those without dementia ($50,270 vs. $21,966, p

Keywords: Cost of illness; Dementia; Health care expenditure; Medicare; Medicaid (search for similar items in EconPapers)
Date: 2020
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.1093/geronb/gbz108 (application/pdf)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:oup:geronb:v:75:y:2020:i:7:p:1527-1537.

Ordering information: This journal article can be ordered from
https://academic.oup.com/journals

Access Statistics for this article

The Journals of Gerontology: Series B is currently edited by Psychological Sciences - S. Duke Han, PhD and Social Sciences - Jessica A Kelley, PhD, FGSA

More articles in The Journals of Gerontology: Series B from The Gerontological Society of America Oxford University Press, Great Clarendon Street, Oxford OX2 6DP, UK.
Bibliographic data for series maintained by Oxford University Press ().