Table 2.
Health care utilization, care satisfaction, and health status of traditional Medicare and Medicare Advantage beneficiaries with and without Alzheimer disease and related dementias.
| With ADRD | Without ADRD | |||||
|---|---|---|---|---|---|---|
| Outcomes | TM beneficiaries | MA beneficiaries | P value | TM beneficiaries | MA beneficiaries | P value |
| Health care utilization, Mean (SD) | ||||||
| Inpatient hospital admission (n = 47100) | 0.5 (1.0) | 0.3 (0.6) | <0.001 | 0.2 (0.7) | 0.2 (0.5) | <0.001 |
| Outpatient hospital visit (n = 47100) | 6.1 (10.2) | 3.5 (9.6) | <0.001 | 5.6 (9.4) | 2.6 (6.3) | <0.001 |
| Medical provider visita (n = 47100) | 39.7 (39.0) | 17.3 (19.0) | <0.001 | 31.7 (32.8) | 14.2 (20.4) | <0.001 |
| Home health visit (n = 47100) | 67.0 (159.3) | 67.4 (176.5) | 0.950 | 14.3 (85.0) | 10.8 (63.0) | <0.001 |
| Hospice stay (n = 47100) | 0.0 (0.2) | 0.0 (0.2) | 0.111 | 0.0 (0.1) | 0.0 (0.1) | 0.326 |
| Short-term facility stay (n = 47100) | 0.3 (1.1) | 0.1 (0.4) | <0.001 | 0.1 (0.4) | 0.0 (0.3) | <0.001 |
| Long-term facility stay (n = 47100) | 0.0 (0.1) | 0.0 (0.1) | 0.646 | 0.0 (0.0) | 0.0 (0.0) | 0.595 |
| Prescription drug purchaseb (n = 33671) | 58.5 (52.4) | 65.5 (54.9) | <0.001 | 41.5 (46.5) | 44.2 (47.8) | <0.001 |
| Dental visit (n = 47100) | 1.0 (2.2) | 0.9 (1.6) | 0.211 | 1.5 (2.2) | 1.3 (2.1) | <0.001 |
| Care satisfactionc, Mean (SD) | ||||||
| Quality of medical care (n = 25533) | 3.8 (0.6) | 3.9 (0.5) | 0.097 | 3.8 (0.7) | 3.8 (0.7) | <0.001 |
| OOP costs for medical care (n = 34274) | 3.7 (0.7) | 3.6 (0.8) | 0.288 | 3.6 (0.8) | 3.6 (0.7) | 0.023 |
| Available care by specialists (n = 32777) | 3.6 (1.0) | 3.6 (0.9) | 0.196 | 3.5 (1.1) | 3.5 (1.0) | 0.006 |
| Follow-up after initial treatments (n = 33389) | 3.5 (1.1) | 3.5 (1.1) | 0.891 | 3.4 (1.2) | 3.3 (1.2) | <0.001 |
| Physician’s concern for overall health (n = 31423) | 3.8 (0.6) | 3.9 (0.5) | 0.090 | 3.8 (0.7) | 3.8 (0.7) | <0.001 |
| Health statusc, Mean (SD) | ||||||
| General health status compared to same-age people (n = 46859) | 2.7 (1.0) | 2.7 (1.0) | 0.587 | 3.2 (0.9) | 3.2 (0.9) | <0.001 |
| Overall health status compared to a year ago (n = 46970) | 0.6 (0.5) | 0.6 (0.5) | 0.078 | 0.8 (0.4) | 0.8 (0.4) | 0.003 |
Abbreviations: ADRD, Alzheimer disease and related dementias; TM, traditional Medicare; MA, Medicare Advantage; SD; standard deviation, OOP, out-of-pocket.
a
The unit of measurement is a separate visit, procedure, service, or a supplied item.
b
The unit of measurement is a single purchase of a single drung in a single container.
c
A higher value indicates better care satisfaction or health status.