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Wisconsin Healthcare Utilization Cost among American Indians/Alaska Natives with and without Alzheimer's Disease and Related Dementias

  • Adrienne L. Johnson
  • , Elaina Seep
  • , Derek L. Norton
  • , Marlon P. Mundt
  • , Mary F. Wyman
  • , Taryn T. James
  • , Megan Zuelsdorff
  • , Nickolas H. Lambrou
  • , Lauren W.Y. McLester-Davis
  • , Emre Umucu
  • , Carey E. Gleason
  • , Suzanne Tyas

Research output: Contribution to journal › Article › peer-review

Abstract

Individuals with Alzheimer's disease and related dementias (ADRD) accrue higher healthcare utilization costs than peers without ADRD, but incremental costs of ADRD among American Indians/Alaska Natives (AI/AN) is unknown. State-wide paid electronic health record data were retrospectively analyzed using percentile-based bootstrapped 95% confidence intervals of the weighted mean difference of total 5-year billed costs to compare total accrued for non-Tribal and Indian Health Service utilization costs among Medicaid and state program eligible AI/AN, ≥40 years, based on the presence/absence of ADRD (matching by demographic and medical factors). AI/AN individuals with ADRD accrued double the costs compared to those without ADRD, costing an additional $880.45 million to $1.91 billion/year.

Original languageEnglish (US)
Pages (from-to)183-189
Number of pages7
JournalJournal of Alzheimer's Disease
Volume91
Issue number1
DOIs
StatePublished - 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2023-IOS Press. All rights reserved.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 10 - Reduced Inequalities
    SDG 10 Reduced Inequalities

Keywords

  • Alaska Native
  • Alzheimer's disease
  • American Indian
  • cost
  • dementia
  • healthcare utilization
  • incremental cost
  • Medicaid
  • Native American

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