Wisconsin Healthcare Utilization Cost Among American Indians/Alaska Natives with and without Alzheimer’s Disease and Related Dementias

Author:

Johnson Adrienne L.1,Seep Elaina2,Norton Derek L.34,Mundt Marlon P.15,Wyman Mary F.36,James Taryn T.36,Zuelsdorff Megan37,Lambrou Nickolas H.38,McLester-Davis Lauren W.Y.9,Umucu Emre10,Gleason Carey E.368

Affiliation:

1. University of Wisconsin School of Medicine & Public Health, Center for Tobacco Research and Intervention, Madison, WI, USA

2. Aniwahya Consulting Services, Sun Prairie, WI, USA

3. Wisconsin Alzheimer’s Disease Research Center, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA

4. Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI, USA

5. Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA

6. VA Geriatric Research, Education and Clinical Center (GRECC), William S. Middleton Memorial Veterans Hospital, Madison, WI, USA

7. University of Wisconsin-Madison School of Nursing, Madison, WI, USA

8. University of Wisconsin, Division of Geriatrics, Madison, WI, USA

9. Neuroscience Program, Tulane Brain Institute, Tulane University, New Orleans, LA, USA

10. Michigan State University, East Lansing, MI, USA

Abstract

Individuals with Alzheimer’s disease and related dementias (ADRD) accrue higher healthcare utilization costs than peers without ADRD, but incremental costs of ADRD among American Indians/Alaska Natives (AI/AN) is unknown. State-wide paid electronic health record data were retrospectively analyzed using percentile-based bootstrapped 95% confidence intervals of the weighted mean difference of total 5-year billed costs to compare total accrued for non-Tribal and Indian Health Service utilization costs among Medicaid and state program eligible AI/AN, ≥40 years, based on the presence/absence of ADRD (matching by demographic and medical factors). AI/AN individuals with ADRD accrued double the costs compared to those without ADRD, costing an additional $880.45 million to $1.91 billion/year.

Publisher

IOS Press

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Medicine,General Neuroscience

Reference21 articles.

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