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Regular Article |
Received October 8, 1998; revised February 21, 1999; accepted March 12, 1999. From Boston Health Economics, Inc., Harvard University, and the UCLA School of Medicine. Address correspondence to Dr. Menzin, Boston Health Economics, Inc., 5 Suburban Park Drive, Billerica, MA 01821; e-mail: jmenzin{at}bhei.com
Although state Medicaid programs may bear a large portion of the costs of Alzheimer's disease (AD), current information on spending is not available. Using a health insurance claims database for a 10% random sample of California Medicaid ("Medi-Cal") recipients 60+ years of age, the authors estimated the excess cost of AD to Medi-Cal in 1995 as the difference in expenditures between an AD cohort (those with AD or related dementias) and an age- and sex-matched cohort without AD. Among 62,450 recipients, 2,575 (4.1%) were found to have AD or related dementias, and their average payments were approximately $7,700 higher (P<0.01) than those for the comparison group. These estimates suggest that Medi-Cal spends about $200 million on AD and related dementias annually, a burden that represents nearly 10% of state spending on elderly patients.
Key Words: Dementias (general) • Long-Term Care • Health Services • Economics
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