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Older adults living with dementia enrolled in similar Medicare Advantage plans compared to those without dementia

Year: 2025
Type: article
Abstract: INTRODUCTION Medicare Advantage (MA) plan selection may differ between older adults with or without dementia in unexplored ways. This study aims to characterize MA plan choice among those with dementia. METHODS We used the 2010 to 2018 waves of the Health and Retirement Study with linked Medicare enrollment data to identify MA respondents ≥ 65 years, with and without dementia. Conditional logit models examined how characteristics of MA plans affected choice. RESULTS Among respondents overall, there were no differences between those with versus without dementia regarding how plan out‐of‐pocket cost, star rating, and type affected choice. Among the dual eligible group, those with versus without dementia were more likely to choose Special Needs Plans (difference in log odds: 0.804, p = 0.007). DISCUSSION There were few differences in how MA plan characteristics affected choice among older adults with and without dementia. Older adults with dementia may make similar MA plan choices as those without.
DOI: 10.1002/bsa3.70016
Authors: Lianlian Lei, Donovan T. Maust, Claire Ankuda, Geoffrey J. Hoffman, Hyungjin Myra Kim, Julie Strominger, Helen Levy
Institutions: University of Michigan, Michigan Medicine, VA Ann Arbor Healthcare System, VA Center for Clinical Management Research, Icahn School of Medicine at Mount Sinai, Institute for Social Research
Language: English
Open Access status: diamond
Awards: Patient, Caregiver, and Regional Drivers of Potentially Inappropriate Medical Care for Dementia: Building the Foundation for State Dementia Policy, Health Care Use After Functional Disability: Opportunities to Improve the Care of Older Adults, G3574154914, G4418388028, G4649903397, G5400632393
OpenAlex ID: W4410104452
FWCI:
Cites: 37
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Related to: 10