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

doi:10.3233/JAD-220393

. 2023;91(1):183-189.

doi: 10.3233/JAD-220393.

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

Adrienne L Johnson¹, Elaina Seep², Derek L Norton^{3

4}, Marlon P Mundt^{1

5}, Mary F Wyman^{3

6}, Taryn T James^{3

6}, Megan Zuelsdorff^{3

7}, Nickolas H Lambrou^{3

8}, Lauren W Y McLester-Davis⁹, Emre Umucu¹⁰, Carey E Gleason^{3

6

8}

Affiliations

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.

PMID: 36373315
PMCID: PMC10150375
DOI: 10.3233/JAD-220393

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

Adrienne L Johnson et al. J Alzheimers Dis. 2023.

. 2023;91(1):183-189.

doi: 10.3233/JAD-220393.

Authors

Affiliations

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.

PMID: 36373315
PMCID: PMC10150375
DOI: 10.3233/JAD-220393

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.

Keywords: Alaska Native; Alzheimer’s disease; American Indian; Medicaid; Native American; cost; dementia; healthcare utilization; incremental cost.

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References

1. Alzheimer’s Association (2021) 2021 Alzheimer’s disease facts and figures. Alzheimers Dement 17, 327–406. - PubMed
1. Kelley AS, McGarry K, Gorges R, Skinner JS (2015) The burden of health care costs for patients with dementia in the last 5 years of life. Ann Intern Med 163, 729–736. - PMC - PubMed
1. Hurd MD, Martorell P, Delavande A, Mullen KJ, Langa KM (2013) Monetary costs of dementia in the United States. N Engl J Med 368, 1326–1334. - PMC - PubMed
1. Jutkowitz E, Kane RL, Gaugler JE, MacLehose RF, Dowd B, Kuntz KM (2017) Societal and Family Lifetime Cost of Dementia: Implications for Policy. J Am Geriatr Soc 65, 2169–2175. - PMC - PubMed
1. White L, Fishman P, Basu A, Crane PK, Larson EB, Coe NB (2019) Medicare expenditures attributable to dementia. Health Serv Res 54, 773–781. - PMC - PubMed

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[1] Alzheimer’s Association (2021) 2021 Alzheimer’s disease facts and figures. Alzheimers Dement 17, 327–406. - PubMed

[2] Alzheimer’s Association (2021) 2021 Alzheimer’s disease facts and figures. Alzheimers Dement 17, 327–406. - PubMed

[3] Kelley AS, McGarry K, Gorges R, Skinner JS (2015) The burden of health care costs for patients with dementia in the last 5 years of life. Ann Intern Med 163, 729–736. - PMC - PubMed

[4] Kelley AS, McGarry K, Gorges R, Skinner JS (2015) The burden of health care costs for patients with dementia in the last 5 years of life. Ann Intern Med 163, 729–736. - PMC - PubMed

[5] Hurd MD, Martorell P, Delavande A, Mullen KJ, Langa KM (2013) Monetary costs of dementia in the United States. N Engl J Med 368, 1326–1334. - PMC - PubMed

[6] Hurd MD, Martorell P, Delavande A, Mullen KJ, Langa KM (2013) Monetary costs of dementia in the United States. N Engl J Med 368, 1326–1334. - PMC - PubMed

[7] Jutkowitz E, Kane RL, Gaugler JE, MacLehose RF, Dowd B, Kuntz KM (2017) Societal and Family Lifetime Cost of Dementia: Implications for Policy. J Am Geriatr Soc 65, 2169–2175. - PMC - PubMed

[8] Jutkowitz E, Kane RL, Gaugler JE, MacLehose RF, Dowd B, Kuntz KM (2017) Societal and Family Lifetime Cost of Dementia: Implications for Policy. J Am Geriatr Soc 65, 2169–2175. - PMC - PubMed

[9] White L, Fishman P, Basu A, Crane PK, Larson EB, Coe NB (2019) Medicare expenditures attributable to dementia. Health Serv Res 54, 773–781. - PMC - PubMed

[10] White L, Fishman P, Basu A, Crane PK, Larson EB, Coe NB (2019) Medicare expenditures attributable to dementia. Health Serv Res 54, 773–781. - PMC - PubMed

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

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

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