4263.0: Tuesday, November 14, 2000: 4:30 PM-6:00 PM

Dementia Care in a Managed Care Era: Dually Eligible Older Adults

Older adults who are simultaneously enrolled in both Medicare and Medicaid insurance programs are referred to as dually eligible individuals. Nationally, dually eligible individuals make up less than 20 percent of both Medicare and Medicaid program enrollees, but they account for about one-third of health care expenditures in both programs. The number of dually eligible persons is projected to increase steadily over the next few decades. At the same time, older adults with Alzheimer's disease or other types of dementia have been shown to generate much higher Medicare expenditures than older adults without dementia. Several states are designing managed care initiatives for their dually eligible populations that feature more integrated Medicaid and Medicare financing and improved geriatric care in an effort to control costs and improve health-related outcomes. While some state initiatives explicitly consider dementia as an important risk factor in their program designs for dually eligible populations, others do not. The purpose of this symposium to describe how selected states are planning to incorporate the financial and clinical risks posed by dually eligible individuals with dementia into their managed care initiatives. Panelists will address this issue from a variety of perspectives, including the national and state-level viewpoints of the Alzheimer's Association, a state Medicaid program, and a health services researcher
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Presider(s):Richard H. Fortinsky, PhD
Organizer(s):Katie Maslow, N/A
4:30 PMCare for dually eligible older adults with dementia: State Medicaid program perspective
Kate Willrich, MS
4:30 PMCare for dually eligible older adults: State-level views from the Alzheimer's Association
Deborah Thomson, JD
4:30 PMNational View from the Alzheimer's Association
Katie Maslow
4:30 PMUsing linked data sets to improve knowledge about dually eligible older adults with dementia
Richard H. Fortinsky, PhD
Sponsor:Gerontological Health
Cosponsors:Community Health Planning and Policy Development; Social Work

The 128th Annual Meeting of APHA