Health Care Costs of Medicare Beneficiaries with Frailty and/or Dementia
2024

Healthcare Costs for Older Adults with Frailty and Dementia

publication

Author Information

Author(s): Sison Stephanie Denise, Shi Sandra, Oh Gahee, Olivieri-Mui Brianne, Park Chan Mi, McCarthy Ellen, Kim Dae Hyun

Primary Institution: University of Massachusetts Chan Medical School

Hypothesis

Frailty and dementia increase healthcare costs for older adults.

Conclusion

Frailty alone leads to the highest healthcare costs among older adults, regardless of dementia status.

Supporting Evidence

  • Frailty alone incurred the highest total annual cost of $38,119.
  • The frailty and dementia group had an annual cost of $33,098.
  • Dementia alone resulted in an annual cost of $16,622.
  • Inpatient costs were the highest proportion of total costs.
  • Preventable inpatient costs were highest in the frailty alone group at $2,517.
  • SNF costs were highest in the frailty and dementia group at $5,338.

Takeaway

Older people who are frail spend more money on healthcare than those who have dementia or neither condition.

Methodology

Analyzed Medicare claims data from 2016-2019 for a 5% sample of beneficiaries aged 65 and older.

Participant Demographics

Community-dwelling Medicare beneficiaries aged 65 and older.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2454

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