Effects of the Medicare Alzheimer's disease demonstration on Medicare expenditures.
Applicants were randomized either into a group with a limited Medicare community care service benefit and case management or into a control group receiving their regular medical care. Analyses assess whether or not community care management affected health care use. A tendency toward reduced expenditures was observed for the treatment group, combining all demonstration sites, and when observing each separately. These differences were or approached statistical significance in two sites for Medicare Part A and Parts A and B expenditures averaged over 3 years. Expenditure reductions approached budget neutrality with program costs in two sites.
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Department of Social and Behavioral Sciences, Box 0612, University of California, San Francisco, CA 94143, USA. rjn@itsa.ucsf.edu
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Clay
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Fox
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000191:economics*; D017028:Caregivers; D019090:Case Management / Q000191:economics*; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006801:Humans; D007345:Insurance Claim Review; D007407:Interviews as Topic; D008297:Male; D006278:Medicare / Q000706:statistics & numerical data*; D008875:Middle Aged; D010865:Pilot Projects; D015397:Program Evaluation; D012107:Research Design; D014481:United States