Table 1.
VHA Data Alone* | Combined VHA and Medicare Data† | |||
---|---|---|---|---|
Dementia Diagnosis (N = 92,970) | No Dementia Diagnosis (N = 1,841,787) | Dementia Diagnosis (N = 142,951) | No Dementia Diagnosis (N = 1,791,806) | |
Prevalence of dementia (%) | 4.8% | – | 7.4% | – |
Average costs (mean/SD) | ||||
VHA | $23,305 (31,318) | $8,083 (16,440) | $18,025 (28,277) | $8,080 (16,402) |
Medicare | – | – | $23,539 (27,213) | $9,535 (17,610) |
Combined VHA and Medicare | – | – | $39,230 (37,740) | $14,673 (22,719) |
Health care services (%) | ||||
Any supportive services | 19.7 | 1.8 | 15.3 | 1.7 |
Any acute inpatient admissions | 31.7 | 15.0 | 33.4 | 14.4 |
Any long‐term institutionalization | 12.0 | 1.1 | 12.9 | 0.7 |
Any non‐VHA/non‐Medicare paid NH care | 9.2 | 1.2 | 11.4 | 0.8 |
Any end of life services among decedents | 61.0 | 47.4 | 57.5 | 46.3 |
Socio‐demographic (Column %) | ||||
Demographics | ||||
65–74 | 19.8 | 55.9 | 17.8 | 57.1 |
75–84 | 40.5 | 30.0 | 40.3 | 29.8 |
85+ | 39.7 | 14.1 | 41.9 | 13.2 |
Male | 97.6 | 98.2 | 97.7 | 98.3 |
White | 75.6 | 75.6 | 75.3 | 75.6 |
Married | 60.4 | 64.8 | 61.2 | 64.9 |
Rurality of residence | ||||
Highly urban | 45.8 | 39.9 | 45.0 | 39.8 |
Urban | 16.8 | 16.6 | 17.5 | 16.5 |
Rural | 36.1 | 41.7 | 36.3 | 41.8 |
Highly Rural | 1.3 | 1.9 | 1.3 | 1.9 |
Health system | ||||
Medicaid | 13.4 | 5.1 | 14.9 | 4.8 |
Any Medicare costs | 82.6 | 67.0 | 88.7 | 66.1 |
% total costs paid by Medicare | 37.2 | 35.7 | 51.9 | 34.5 |
Risk score | ||||
JFI (%) | ||||
0–2 | 5.1 | 33.1 | 4.1 | 33.9 |
3–5 | 34.6 | 48.1 | 29.9 | 48.8 |
6–8 | 42.8 | 16.0 | 44.5 | 15.1 |
9+ | 17.5 | 2.3 | 21.5 | 1.6 |
Died (%) | 13.3 | 3.4 | 15.9 | 3.0 |
The study cohort is veterans age 65 and older who used VHA and were enrolled in Medicare but not Medicare Advantage in FY 2013.
*Under “VHA Data Alone” column dementia, risk scores and comorbidities were computed using VHA data alone.
†Under “Combined VHA and Medicare Data” columns dementia, risk scores and comorbidities were computed using VHA and Medicare data.
JFI, JEN Frailty Index; NH, nursing home.