TABLE 1.
Non ADRD | ADRD | p-value | |
---|---|---|---|
Patient characteristics | |||
N | 61,728 | 3367 | |
Disability as reason for entitlement | 19,510 (31.6%) | 1638 (48.6%) | <0.001 |
Age | 74.3 (10.7) | 83.4 (8.5) | <0.001 |
Female | 37,439 (60.7%) | 2285 (67.9%) | <0.001 |
Race/ethnicity | |||
White | 44,518 (72.1%) | 2644 (78.5%) | <0.001 |
Black | 8192 (13.3%) | 347 (10.3%) | |
Other/Unknown | 776 (1.3%) | 32 (1.0%) | |
Asian | 1355 (2.2%) | 68 (2.0%) | |
Hispanic | 6685 (10.8%) | 268 (8.0%) | |
NA/AI | 202 (0.3%) | NA | |
Dual | 14,511 (23.5%) | 1335 (39.6%) | <0.001 |
Any Nursing Home Use | 11,920 (19.3%) | 2669 (79.3%) | <0.001 |
Any Hospital Use | 49,969 (81.0%) | 2078 (61.7%) | <0.001 |
Any Home Health use | 28,200 (45.7%) | 1686 (50.1%) | <0.001 |
Education level | |||
8th grade or less | 5868 (10.2%) | 491 (16.2%) | <0.001 |
Some high school | 7622 (13.3%) | 402 (13.3%) | |
High school graduate or GED | 19,886 (34.6%) | 1135 (37.4%) | |
Some college or 2-year degree | 14,672 (25.5%) | 599 (19.8%) | |
4-year college graduate | 4573 (8.0%) | 225 (7.4%) | |
More than 4-year college degree | 4850 (8.4%) | 180 (5.9%) | |
Used a Proxy | 8929 (15.3%) | 1785 (57.6%) | <0.001 |
Plan characteristics | |||
Special Needs Plan Type | Non-ADRD | ADRD | |
No SNP | 45,904 (74.4%) | 2265 (67.3%) | <0.001 |
Chronic | 1523 (2.5%) | 76 (2.3%) | |
Dual | 14,291 (23.2%) | 1019 (30.3%) | |
Plan type | |||
HMO | 44,998 (72.9%) | 2443 (72.6%) | <0.001 |
PPO | 11,705 (19.0%) | 550 (16.3%) | |
Other/Unknown | 5025 (8.1%) | 374 (11.1%) | |
Premium ($) | 51.2 (59.3) | 62.8 (65.5) | <0.001 |
% Zero Premium | 16,996 (27.5%) | 687 (20.4%) | <0.001 |
Star rating | |||
Not Rated | 3205 (5.3%) | 121 (3.7%) | <0.001 |
2.5 | 2123 (3.5%) | 94 (2.9%) | |
3 | 8491 (14.2%) | 414 (12.8%) | |
3.5 | 15,835 (26.4%) | 842 (26.0%) | |
4 | 14,994 (25.0%) | 815 (25.1%) | |
4.5 | 12,652 (21.1%) | 808 (24.9%) | |
5 | 2538 (4.2%) | 146 (4.5%) | |
Plan operates in multiple states | 12,904 (24.7%) | 707 (24.6%) | 0.1 |
Plan size | |||
Small (<3000) | 5070 (9.5%) | 361 (12.3%) | <0.001 |
Medium (3000 to 20,000) | 18,279 (34.4%) | 1184 (40.3%) | |
Large (>20,000) | 29,851 (56.1%) | 1391 (47.4%) | |
For-profit plan | 206,701 (58.6%) | 1443 (48.7%) | <0.001 |
Note: NA indicates that the cell size was too small for inclusion in the table.
Abbreviations: HMO, Health Maintenance Organization; NA/AI, Native American, American Indian; PPO, Preferred Provider Organization; SNP, Special Needs Plan.