Alzheimer Disease and Related Disorders and Out-of-Pocket Health Care Spending and Burden Among Elderly Medicare Beneficiaries

Medical Care
Nilanjana DwibediUsha Sambamoorthi

Abstract

To estimate the excess burden of out-of-pocket health care spending associated with Alzheimer disease and related disorders (ADRD) among older individuals (age 65 y and older). We adopted a retrospective, cross-sectional study design with data from 2012 Medicare Current Beneficiary Survey. The study sample comprised of elderly community-dwelling individuals who had positive total health care expenditures, and enrolled in Medicare throughout the calendar year (462 with ADRD, and 7160 without ADRD). We estimated the per-capita total annual out-of-pocket spending on health care and out-of-pocket spending by service type: inpatient, outpatient, home health, prescription drugs, and other services. We measured out-of-pocket spending burden by calculating the percentage of income spent on health care and defined high out-of-pocket spending burden as having this percentage above 10%. Multivariable analyses included ordinary least squares regressions and logistic regressions and these analyses adjusted for predisposing, enabling, need, personal health care practices and external environment characteristics. The average annual per-capita out-of-pocket health care spending was greater among individuals with ADRD compared with those withou...Continue Reading

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Citations

Mar 12, 2020·Alzheimer's & Dementia : the Journal of the Alzheimer's Association
Oct 8, 2020·Frontiers in Aging Neuroscience·Xiongfeng PanAizhong Liu
Mar 24, 2021·Alzheimer's & Dementia : the Journal of the Alzheimer's Association
Mar 30, 2021·Alzheimer's & Dementia : Translational Research & Clinical Interventions·David J MeyersVincent Mor
Jun 4, 2021·Journal of the American Medical Directors Association·Norma B CoeJoshua Chodosh

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