Health Disparities in Cost of Care in Patients With Alzheimer’s Disease: An Analysis Across 4 State Medicaid Populations
Objectives:To investigate health disparities with respect to cost of care across 4 state Medicaid populations. Methods:Data were obtained from Centers for Medicare and Medicaid Services (CMS) for this retrospective study. Patients were enrolled in a California, Florida, New Jersey, or New York Medic...
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| Veröffentlicht in: | American journal of Alzheimer's disease and other dementias 2013-02, Vol.28 (1), p.84-92 |
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| container_title | American journal of Alzheimer's disease and other dementias |
| container_volume | 28 |
| creator | Gilligan, Adrienne M. Malone, Daniel C. Warholak, Terri L. Armstrong, Edward P. |
| description | Objectives:To investigate health disparities with respect to cost of care across 4 state Medicaid populations.
Methods:Data were obtained from Centers for Medicare and Medicaid Services (CMS) for this retrospective study. Patients were enrolled in a California, Florida, New Jersey, or New York Medicaid programs during 2004, with a diagnosis of Alzheimer’s disease (International Classification of Diseases, Ninth Revision 331.0). Outcome of interest was cost of care. Decomposition of cost to calculate disparities was estimated using the Oaxaca-Blinder model. An a priori α level of .01 was used.
Results:Approximately 158 974 individuals qualified for this study. Disparities were found to exist between blacks and whites (with blacks having higher costs; P < .0001), whites and others (with whites having higher costs; P < .0001), blacks and Hispanics (with blacks having higher costs; P < .0001), blacks and others (with blacks having higher costs; P < .0001), and Hispanics and others (with Hispanics having higher costs; P < .0001).
Conclusions:Disparities in cost among minority-to-minority populations were just as prevalent, if not higher, than minority–white disparities. |
| doi_str_mv | 10.1177/1533317512467679 |
| format | Article |
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Methods:Data were obtained from Centers for Medicare and Medicaid Services (CMS) for this retrospective study. Patients were enrolled in a California, Florida, New Jersey, or New York Medicaid programs during 2004, with a diagnosis of Alzheimer’s disease (International Classification of Diseases, Ninth Revision 331.0). Outcome of interest was cost of care. Decomposition of cost to calculate disparities was estimated using the Oaxaca-Blinder model. An a priori α level of .01 was used.
Results:Approximately 158 974 individuals qualified for this study. Disparities were found to exist between blacks and whites (with blacks having higher costs; P < .0001), whites and others (with whites having higher costs; P < .0001), blacks and Hispanics (with blacks having higher costs; P < .0001), blacks and others (with blacks having higher costs; P < .0001), and Hispanics and others (with Hispanics having higher costs; P < .0001).
Conclusions:Disparities in cost among minority-to-minority populations were just as prevalent, if not higher, than minority–white disparities.</description><identifier>ISSN: 1533-3175</identifier><identifier>EISSN: 1938-2731</identifier><identifier>DOI: 10.1177/1533317512467679</identifier><identifier>PMID: 23196405</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Alzheimer Disease - economics ; Alzheimer Disease - epidemiology ; Alzheimer Disease - ethnology ; Black or African American ; California - epidemiology ; California - ethnology ; Costs and Cost Analysis - economics ; Current Topics in Research ; Florida - epidemiology ; Florida - ethnology ; Healthcare Disparities - economics ; Hispanic or Latino ; Humans ; Medicaid - economics ; Minority Groups ; New Jersey - epidemiology ; New Jersey - ethnology ; New York - epidemiology ; New York - ethnology ; Retrospective Studies ; United States - epidemiology ; United States - ethnology ; White People</subject><ispartof>American journal of Alzheimer's disease and other dementias, 2013-02, Vol.28 (1), p.84-92</ispartof><rights>The Author(s) 2012</rights><rights>The Author(s) 2012 2012 SAGE Publications</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c346t-83107570646b286cdde434e9c6b89bcdffa5385612afb5999467479bccf3c4673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697230/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10697230/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,725,778,782,883,21955,27842,27913,27914,44934,45322,53780,53782</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1533317512467679?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23196405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gilligan, Adrienne M.</creatorcontrib><creatorcontrib>Malone, Daniel C.</creatorcontrib><creatorcontrib>Warholak, Terri L.</creatorcontrib><creatorcontrib>Armstrong, Edward P.</creatorcontrib><title>Health Disparities in Cost of Care in Patients With Alzheimer’s Disease: An Analysis Across 4 State Medicaid Populations</title><title>American journal of Alzheimer's disease and other dementias</title><addtitle>Am J Alzheimers Dis Other Demen</addtitle><description>Objectives:To investigate health disparities with respect to cost of care across 4 state Medicaid populations.
Methods:Data were obtained from Centers for Medicare and Medicaid Services (CMS) for this retrospective study. Patients were enrolled in a California, Florida, New Jersey, or New York Medicaid programs during 2004, with a diagnosis of Alzheimer’s disease (International Classification of Diseases, Ninth Revision 331.0). Outcome of interest was cost of care. Decomposition of cost to calculate disparities was estimated using the Oaxaca-Blinder model. An a priori α level of .01 was used.
Results:Approximately 158 974 individuals qualified for this study. Disparities were found to exist between blacks and whites (with blacks having higher costs; P < .0001), whites and others (with whites having higher costs; P < .0001), blacks and Hispanics (with blacks having higher costs; P < .0001), blacks and others (with blacks having higher costs; P < .0001), and Hispanics and others (with Hispanics having higher costs; P < .0001).
Conclusions:Disparities in cost among minority-to-minority populations were just as prevalent, if not higher, than minority–white disparities.</description><subject>Alzheimer Disease - economics</subject><subject>Alzheimer Disease - epidemiology</subject><subject>Alzheimer Disease - ethnology</subject><subject>Black or African American</subject><subject>California - epidemiology</subject><subject>California - ethnology</subject><subject>Costs and Cost Analysis - economics</subject><subject>Current Topics in Research</subject><subject>Florida - epidemiology</subject><subject>Florida - ethnology</subject><subject>Healthcare Disparities - economics</subject><subject>Hispanic or Latino</subject><subject>Humans</subject><subject>Medicaid - economics</subject><subject>Minority Groups</subject><subject>New Jersey - epidemiology</subject><subject>New Jersey - ethnology</subject><subject>New York - epidemiology</subject><subject>New York - ethnology</subject><subject>Retrospective Studies</subject><subject>United States - epidemiology</subject><subject>United States - ethnology</subject><subject>White People</subject><issn>1533-3175</issn><issn>1938-2731</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctKAzEUhoMotl72rmSWbkZzJplkspJSLy0UdKG4DJk006bMpSYzgq58DV_PJzGltajgKid8___n5ByETgCfA3B-ASkhBHgKCWWccbGD-iBIFiecwG6oA45XvIcOvF9gTNMsw_uolxAQjOK0j8Yjo8p2Hl1Zv1TOttb4yNbRsPFt1BTRUDmzut-rQOrWR082iAfl29zYyrjP9w-_shrlzRHaK1TpzfHmPESPN9cPw1E8ubsdDweTWBPK2jgjgHnKMaMsTzKmp1NDCTVCszwTuZ4WhUpJljJIVJGnQojwM8oD0QXRoSaH6HKdu-zyykx1aMupUi6drZR7lY2y8jep7VzOmhcJmAmeEBwSzjYJrnnujG9lZb02Zalq03ReQiKAAQUgQYrXUu0a750ptu8AlqsVyL8rCJbTn_1tDd8zD4J4LfBqZuSi6Vwd5vV_4BdaXI6i</recordid><startdate>20130201</startdate><enddate>20130201</enddate><creator>Gilligan, Adrienne M.</creator><creator>Malone, Daniel C.</creator><creator>Warholak, Terri L.</creator><creator>Armstrong, Edward P.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130201</creationdate><title>Health Disparities in Cost of Care in Patients With Alzheimer’s Disease</title><author>Gilligan, Adrienne M. ; Malone, Daniel C. ; Warholak, Terri L. ; Armstrong, Edward P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c346t-83107570646b286cdde434e9c6b89bcdffa5385612afb5999467479bccf3c4673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Alzheimer Disease - economics</topic><topic>Alzheimer Disease - epidemiology</topic><topic>Alzheimer Disease - ethnology</topic><topic>Black or African American</topic><topic>California - epidemiology</topic><topic>California - ethnology</topic><topic>Costs and Cost Analysis - economics</topic><topic>Current Topics in Research</topic><topic>Florida - epidemiology</topic><topic>Florida - ethnology</topic><topic>Healthcare Disparities - economics</topic><topic>Hispanic or Latino</topic><topic>Humans</topic><topic>Medicaid - economics</topic><topic>Minority Groups</topic><topic>New Jersey - epidemiology</topic><topic>New Jersey - ethnology</topic><topic>New York - epidemiology</topic><topic>New York - ethnology</topic><topic>Retrospective Studies</topic><topic>United States - epidemiology</topic><topic>United States - ethnology</topic><topic>White People</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gilligan, Adrienne M.</creatorcontrib><creatorcontrib>Malone, Daniel C.</creatorcontrib><creatorcontrib>Warholak, Terri L.</creatorcontrib><creatorcontrib>Armstrong, Edward P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of Alzheimer's disease and other dementias</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Gilligan, Adrienne M.</au><au>Malone, Daniel C.</au><au>Warholak, Terri L.</au><au>Armstrong, Edward P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Disparities in Cost of Care in Patients With Alzheimer’s Disease: An Analysis Across 4 State Medicaid Populations</atitle><jtitle>American journal of Alzheimer's disease and other dementias</jtitle><addtitle>Am J Alzheimers Dis Other Demen</addtitle><date>2013-02-01</date><risdate>2013</risdate><volume>28</volume><issue>1</issue><spage>84</spage><epage>92</epage><pages>84-92</pages><issn>1533-3175</issn><eissn>1938-2731</eissn><abstract>Objectives:To investigate health disparities with respect to cost of care across 4 state Medicaid populations.
Methods:Data were obtained from Centers for Medicare and Medicaid Services (CMS) for this retrospective study. Patients were enrolled in a California, Florida, New Jersey, or New York Medicaid programs during 2004, with a diagnosis of Alzheimer’s disease (International Classification of Diseases, Ninth Revision 331.0). Outcome of interest was cost of care. Decomposition of cost to calculate disparities was estimated using the Oaxaca-Blinder model. An a priori α level of .01 was used.
Results:Approximately 158 974 individuals qualified for this study. Disparities were found to exist between blacks and whites (with blacks having higher costs; P < .0001), whites and others (with whites having higher costs; P < .0001), blacks and Hispanics (with blacks having higher costs; P < .0001), blacks and others (with blacks having higher costs; P < .0001), and Hispanics and others (with Hispanics having higher costs; P < .0001).
Conclusions:Disparities in cost among minority-to-minority populations were just as prevalent, if not higher, than minority–white disparities.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23196405</pmid><doi>10.1177/1533317512467679</doi><tpages>9</tpages></addata></record> |
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| ispartof | American journal of Alzheimer's disease and other dementias, 2013-02, Vol.28 (1), p.84-92 |
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| language | eng |
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| source | Sage Journals GOLD Open Access 2024 |
| subjects | Alzheimer Disease - economics Alzheimer Disease - epidemiology Alzheimer Disease - ethnology Black or African American California - epidemiology California - ethnology Costs and Cost Analysis - economics Current Topics in Research Florida - epidemiology Florida - ethnology Healthcare Disparities - economics Hispanic or Latino Humans Medicaid - economics Minority Groups New Jersey - epidemiology New Jersey - ethnology New York - epidemiology New York - ethnology Retrospective Studies United States - epidemiology United States - ethnology White People |
| title | Health Disparities in Cost of Care in Patients With Alzheimer’s Disease: An Analysis Across 4 State Medicaid Populations |
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