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

Author

Listed:
  • Carolyn W ZhuPhD
  • Katherine A OrnsteinPhD
  • Stephanie CosentinoPhD
  • Yian GuPhD
  • Howard AndrewsPhD
  • Yaakov SternPhD
  • J Scott BrownPhD

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

Suggested Citation

  • Carolyn W ZhuPhD & Katherine A OrnsteinPhD & Stephanie CosentinoPhD & Yian GuPhD & Howard AndrewsPhD & Yaakov SternPhD & J Scott BrownPhD, 2020. "Medicaid Contributes Substantial Costs to Dementia Care in an Ethnically Diverse Community," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 75(7), pages 1527-1537.
    • Handle: RePEc:oup:geronb:v:75:y:2020:i:7:p:1527-1537.
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    File URL: http://hdl.handle.net/10.1093/geronb/gbz108
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