Effects of Part D Star Ratings on racial and ethnic disparities in health care costs

Exploratory Research in Clinical and Social Pharmacy, Journal Year: 2023, Volume and Issue: 9, P. 100250 - 100250

Published: March 1, 2023

Racial/ethnic minorities are less likely than non-Hispanic White (White) patients to be included in the Medicare Part D Star Ratings measure assessment due restrictive inclusion criteria for measures.This paper examined effects of racial/ethnic disparities on healthcare costs among with Alzheimer's disease and related dementias (ADRD).This cross-sectional study analyzed 2017 data. Proportions Beneficiaries ADRD were categorized into excluded groups based calculation medication adherence measures Ratings. Outcomes medications, physician visits, emergency room (ER) total costs. A generalized linear model was employed compare across groups. To explore differential between 2 groups, interaction terms dummy variables being from models.The patterns found this generally consistent expectations, some exceptions. For example, compared patients, hyperlipidemia cohort, visit cost Black group 31% lower (cost ratio or CR = 0.69, 95% CI 0.67-0.72); hypertension hospitalization Blacks 15% higher (CR 1.15, 1.12-1.19). More importantly, exclusion measurement assessments associated disparities. individuals hypertension, Black-White 30% 1.30, 1.26-1.34), 10% 1.10; 1.08-1.12), respectively, group.Medicare may aggravated population.

Language: Английский

---

Healthcare and long-term care for people with cognitive impairment in the US: A latent transition analysis

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 6, 2023

Abstract Background Healthcare and long-term care are crucial to the well-being of people with mild cognitive impairment (MCI) or dementia. This study investigates clustering patterns healthcare use in MCI dementia relationships between changes functioning transitions care. Methods The used longitudinal data from three recent waves Health Retirement Study (HRS 2014-2018, N=10,152). were measured based on Langa-Weir Classifications. outcome measures included five types services. Latent transition analyses conducted identify map out pathways different classes over time. Multilevel regression investigate transitions. Results We identified user groups: medium low (MM-LC, 56%, n=5,653), high (HM-HC, 37%, n=3,743), (LM-LC, 7%, n=736). progression was associated a higher probability transitioning MM-LC HM-HC class (β=0.070; p<0.001). An improvement (β=0.039, p<0.05). Conclusions Our findings underscore importance integration Changes useful indicators for planning, resource allocation, coordination diverse providers. Key points Three services latent analyses. characterized by more services, less both sectors.

Language: Английский

---

Issue Information

Journal of the American Geriatrics Society, Journal Year: 2022, Volume and Issue: 70(9), P. 2463 - 2469

Published: Sept. 1, 2022

WHO WE AREFounded in 1942, the American Geriatrics Society (AGS) is a nationwide, not-for-profit society of geriatrics healthcare professionals dedicated to improving health, independence, and quality life older people.Our members include thousands geriatricians, advanced practice nurses, social workers, family practitioners, physician assistants, pharmacists, internists who are pioneers advanced-illness care for individuals, with focus on championing interprofessional teams, eliciting personal goals, treating people as whole persons.The provides leadership professionals, policymakers, public by implementing advocating programs clinical care, research, professional education, policy that can support us all we age. OUR MISSIONTo improve people. VISION FOR THE FUTUREWe able contribute our communities maintain safety, independence age.We have access high-quality, person-centered informed principles free ageism.We supported where ageism, ableism, classism, homophobia, racism, sexism, xenophobia, other forms bias discrimination no longer impact access, quality, outcomes adults their caregivers. STRATEGIES ACHIEVING VISION1. Expanding knowledge base disseminating basic, clinical, health services research focused people.2. Increasing number employing when caring diverse persons supporting integration concepts into education.3. Recruiting trainees focusing rewards potential career people.4. Advocating promotes Americans, goal life, systems serving 5. Creating awareness about ways remaining active, independent, engaged communities.6. Working across strategic priorities identify eliminate structural bias/discrimination given LEARN MOREVisit www.americangeriatrics.org learn more its programs.

Language: Английский

---