Medicare Cost Differences Between Nursing Home Patients Admitted With and Without Dementia

Purpose: Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings. Design and Methods: An expert panel established the dementia status of a stratified random sample of newly admitted residents in 59 Maryland nursing homes b...

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Bibliographic Details
Published in:The Gerontologist 2005-08, Vol.45 (4), p.505-515
Main Authors: Stuart, Bruce, Gruber-Baldini, Ann L., Fahlman, Cheryl, Quinn, Charlene C., Burton, Lynda, Zuckerman, Illene H., Hebel, J. Rich, Zimmerman, Sheryl, Singhal, Puneet K., Magaziner, Jay
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Alzheimer's disease
Alzheimers disease
Comparative Analysis
Dementia
Dementia - economics
Dementia - nursing
Female
Health Care Costs
Health care expenditures
Health expenditures
Health Expenditures - statistics & numerical data
Health Insurance
Humans
Male
Maryland
Medical Services
Medicare
Medicare - economics
Medicare qualified stay
Multivariate Analysis
Nursing home
Nursing Homes
Nursing Homes - economics
Older Adults
Older people
Patients
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Summary:Purpose: Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings. Design and Methods: An expert panel established the dementia status of a stratified random sample of newly admitted residents in 59 Maryland nursing homes between 1992 and 1995. Medicare expenditures per-person month (PPM) were compared for 640 residents diagnosed with dementia and 636 with no dementia for 1 year preadmission and 2 years postadmission. Multivariate analysis with generalized estimating equations was used to identify the source of Medicare cost differentials between the two groups. Results: Medicare expenditures peaked in the month immediately preceding admission and dropped to preadmission levels by the third month in a nursing home. Adjusted PPM costs postadmission for the dementia group as a whole were 79% (p
ISSN:0016-9013
1758-5341
DOI:10.1093/geront/45.4.505