TABLE 2.
Unadjusted quarterly spending before and after a first ADRD diagnosis or screened as impaired for older adults, overall and by category
| Category | Overall ($) | Pre‐period, $ (% Total) | Post‐period, $ (% Total) | Difference, $ | p |
|---|---|---|---|---|---|
| Overall diagnosis cohort | 4772.8 | 3585.3 (100.0) | 5960.3 (100.0) | 2375.0 | <0.001 |
| Hospital | 2047.6 | 1433.6 (40.0) | 2661.5 (44.7) | 1227.9 | <0.001 |
| Outpatient | 458.6 | 422.3 (11.8) | 494.9 (8.3) | 72.6 | <0.001 |
| Physician | 939.6 | 828.3 (23.1) | 1051.0 (17.6) | 222.6 | <0.001 |
| SNF a | 796.2 | 437.7 (9.7) | 1154.7 (19.4) | 717.0 | <0.001 |
| Home health | 432.4 | 364.5 (10.1) | 500.4 (8.4) | 135.9 | <0.001 |
| DME b | 98.4 | 98.9 (2.8) | 97.9 (1.6) | −1.0 | 0.97 |
| Overall screened as impaired cohort | 3146.4 | 3138.3 (100.0) | 3154.5 (100.0) | −16.1 | 0.89 |
| Hospital | 1208.9 | 1240.9 (39.5) | 1176.8 (37.3) | 64.1 | 0.36 |
| Outpatient | 341.2 | 329.9 (10.5) | 352.4 (11.1) | −22.5 | 0.18 |
| Physician | 651.3 | 656.6 (20.9) | 646.1 (20.5) | 10.5 | 0.61 |
| SNF a | 465.3 | 421.4 (13.4) | 509.1 (16.1) | −87.7 | 0.02 |
| Home health | 373.4 | 392.3 (12.5) | 354.5 (11.3) | 37.7 | 0.13 |
| DME b | 106.4 | 97.2 (3.1) | 115.5 (3.7) | −18.3 | 0.01 |
Note: Specific to each respondent, we examined the three‐year period (12 quarters) surrounding incident impairment in the ADRD‐diagnosis and CI‐TICS cohorts. The 12 quarters entailed the 6 quarters prior to and the 6 quarters inclusive of and following incident impairment by the TICS screening.
a
SNF = Skilled Nursing Facility
b
DME = Durable Medical Equipment