The Relationship between a Dementia Diagnosis, Chronic Illness, Medicare Expenditures, and Hospital Use

Journal of the American Geriatrics Society

Volumn 52, Issue 2, 2004, Pages 187-194

  Bynum, Julie P W ^a,c,d   Rabins, Peter V ^a,b   Weller, Wendy ^a   Niefeld, Marlene ^a   Anderson, Gerard F ^a   Wu, Albert W ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^d DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

Author keywords

Comorbid illness; Dementia; Hospitalization; Utilization

Indexed keywords

AGED; AMBULATORY CARE; ARTICLE; CHRONIC DISEASE; COMORBIDITY; CONFIDENCE INTERVAL; CONTROLLED STUDY; DEMENTIA; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HOSPITALIZATION; HUMAN; INTERNATIONAL CLASSIFICATION OF DISEASES; MAJOR CLINICAL STUDY; MALE; MEDICAL FEE; MEDICARE; MONEY; PREVALENCE; RISK FACTOR; SURVIVAL; UNITED STATES;

AGED; AGED, 80 AND OVER; CASE-CONTROL STUDIES; CHRONIC DISEASE; COMORBIDITY; CROSS-SECTIONAL STUDIES; DEMENTIA; FEE-FOR-SERVICE PLANS; FEMALE; HEALTH EXPENDITURES; HOSPITAL COSTS; HOSPITALIZATION; HUMANS; MALE; MEDICARE; ODDS RATIO; PREVALENCE; UNITED STATES;

EID: 1242307250     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2004.52054.x     Document Type: Article

References (36)

1. Hay JW, Ernst RL. The economic costs of Alzheimer's disease. Am J Public Health 1987;77:1169-1175.
2. Menzin J, Lang K, Friedman M et al. The economic cost of Alzheimer's disease and related dementias to the California Medicaid program in 1995. Am J Geriatr Psychiatry 1999;7:300-308.
3. Ostbye T, Crosse E. Net economic costs of dementia in Canada. Can Med Assoc J 1994;151:1457-1464
4. Ernst RL, Hay JW. The US economic and social costs of Alzheimer's disease revisited. Am J Public Health 1994;84:1261-1264.
5. Rice DP, Fox PJ, Max W et al. The economic burden of Alzheimer's disease care. Health Aff 1993;12:164-176.
6. Coughlin TA, Liu K. Health care costs of older persons with cognitive impairments. Gerontologist 1989;29:173-182.
7. Welch HG, Walsh JS, Larson EB. The cost of institutional care in Alzheimer's disease: Nursing home and hospital use in a prospective cohort. J Am Geriatr Soc 1992;40:221-224.
8. Lyketsos CG, Sheppard JE, Rabins PV. Dementia in elderly persons in a general hospital. Am J Psychiatry 2000;157:704-707.
9. Weiner M, Powe NR, Weller WE et al. Alzheimer's disease under managed care. Implications from Medicare utilization and expenditure patterns. J Am Geriatr Soc 1998;46:762-770.
10. Gutterman EM, Markowitz JS, Lewis B et al. Cost of Alzheimer's disease and related dementia in managed Medicare. J Am Geriatr Soc 1999;47:1065-1071.
11. Hill JW, Futterman R, Duttagupta S et al. Alzheimer's disease and related dementias increase costs of comorbidities in managed Medicare. Neurology 2002;58:62-70.
12. Wolf-Klein GP, Siverstone FA, Brod MS et al. Are Alzheimer's patients healthier? J Am Geriatr Soc 1998;36:219-224.
13. Fields SD, MacKenzie R, Charlson ME et al. Cognitive impairment. Can it predict the course of hospitalized patients? J Am Geriatr Soc 1986;34:579-585.
14. McCormick WC, Hardy J, Kukull WA et al. Healthcare utilization and costs in managed care patients with Alzheimer's disease during the last few years of life. J Am Geriatr Soc 2001;49:1156-1160.
15. McCormick WC, Kukull WA, van Belle G et al. Symptom patterns and comorbidity in the early stages of Alzheimer's disease. J Am Geriatr Soc 1994;42:517-521.
16. Hwang W, Weller W, Ireys H et al. Out-of pocket medical spending for care of chronic conditions. Health Aff 2001;20:267-278.
17. Centers for Medicare and Medicaid Services. HHS and DOD announce new Medicare option for military retirees [on-line]. Available at www.cms.gov/media/presrdrelease.asp?counter=45. Accessed October 19, 2003.
18. Charatan F. Medicare now will cover some treatments for Alzheimer's disease. BMJ 2002;324:872.
19. Newcomer R, Clay T, Luxemberg JS et al. Misclassification and selection bias when identifying Alzheimer's disease solely from Medicare claims records. J Am Geriatr Soc 1999;47:215-219.
20. Billings J, Anderson GM, Newman LS. Recent findings on preventable hospitalizations. Health Aff 1996;15:239-249.
21. Bindman AB, Grumbach K, Osmond D et al. Preventable hospitalizations and access to health care. JAMA 1995;274:305-311.
22. Culler SD, Parchman ML, Przybylski M. Factors related to potentially preventable hospitalizations among the elderly. Med Care 1998;36:804-817.
23. McCall N, Harlow J, Dayhoff D. Rates of hospitalization for ambulatory care sensitive conditions in the Medicare+choice population. Health Care Financ Rev 2001;22:127-144.
24. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992;45:613-619.
25. Diehr P, Yanez D, Ash A et al. Methods for analyzing health care utilization and costs. Annu Rev Public Health 1999;20:125-144.
26. Erkinjuntii E, Wikstrom J, Palo J et al. Dementia among medical inpatients. Evaluation of 2000 consecutive admissions. Arch Intern Med 1986;146:1923-1926.
27. Kawas CH, Katzman R. Epidemiology of dementia and Alzheimer disease. In: Terry RD, Katzman R, Bick KL et al., eds. Alzheimer Disease, 2nd Ed. Philadelphia: Lippincott Williams & Willkins, 1999, pp 95-113.
28. Yang Z, Norton EC, Stearns SC. Longevity and health care expenditures: The real reasons older people spend more. J Gerontol B Psychol Sci Soc Sci 2003;58B:S2-S10.
29. Taylor DH, Fillenbaum GG, Ezell ME. The accuracy of Medicare claims data in identifying Alzheimer's disease. J Clin Epidemiol 2002;55:929-937.
30. Taylor DH, Sloan FA. How much do persons with Alzheimer's disease cost Medicare? J Am Geriatr Soc 2000;48:639-646.
31. Leibson C, Owens T, O'Brien P et al. Use of physician and acute care services by persons with and without Alzheimer's disease: A population-based comparison. J Am Geriatr Soc 1999;47:864-869.
32. Evans DA, Funkenstein HH, Albert MS et al. Prevalence of Alzheimer's disease in a community population of older persons. Higher than previously reported. JAMA 1989;262:2551-2556.
33. McCormick WC, Kukull WA, van Belle G et al. The effect of diagnosing Alzheimer's disease on frequency of physician visits: A case-control study. J Gen Intern Med 1995;10:187-193.
34. Fillenbaum G, Heyman A, Peterson BL et al. Use and cost of hospitalization of patients with AD by stage and living arrangement: Cerad XXI. Neurology 2001;56:201-206.
35. Redelmeier DA, Tan SH, Booth G. The treatment of unrelated disorders in patients with chronic medical disorders. N Engl J Med 1998;338:1516-1520.
36. Kane RL, Atherly A. Medicare expenditures associated with Alzheimer's disease. Alzheimer Dis Assoc Disord 2000;14:187-195.