Table 5.
Observed and expected rates and detection rates for MCI and dementia by dual eligibility status and coverage type, 2017 to 2019
| Dually eligiblea | Medicare only | Fee-for-service | Medicare Advantage | |
|---|---|---|---|---|
| Included beneficiaries | 5,102,819 | 36,102,655 | 22,957,446 | 18,248,028 |
| MCI | ||||
| Observed rate | 0.017 | 0.015 | 0.016 | 0.015 |
| Expected rate | 0.308 | 0.180 | 0.186 | 0.207 |
| Detection rateb | 0.056 | 0.085 | 0.084 | 0.073 |
| Dementia | ||||
| Observed rate | 0.213 | 0.079 | 0.096 | 0.095 |
| Expected rate | 0.250 | 0.063 | 0.082 | 0.092 |
| Detection rateb | 0.855 | 1.243 | 1.167 | 1.034 |
MCI Mild cognitive impairment
aDually eligible for Medicare and Medicaid
bThe detection rate is the ratio of the observed to the expected rate, where the expected rate is computed based on a predictive model