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.
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.
Authors: May A Beydoun; Hind A Beydoun; Alyssa A Gamaldo; Ola S Rostant; Greg A Dore; Alan B Zonderman; Shaker M Eid Journal: J Alzheimers Dis Date: 2015 Impact factor: 4.472
Authors: Youssef H El-Hayek; Ryan E Wiley; Charles P Khoury; Ritesh P Daya; Clive Ballard; Alison R Evans; Michael Karran; José Luis Molinuevo; Matthew Norton; Alireza Atri Journal: J Alzheimers Dis Date: 2019 Impact factor: 4.472
Authors: Pei-Jung Lin; Allan T Daly; Natalia Olchanski; Joshua T Cohen; Peter J Neumann; Jessica D Faul; Howard M Fillit; Karen M Freund Journal: Med Care Date: 2021-08-01 Impact factor: 3.178
Authors: María P Aranda; Ian N Kremer; Ladson Hinton; Julie Zissimopoulos; Rachel A Whitmer; Cynthia Huling Hummel; Laura Trejo; Chanee Fabius Journal: J Am Geriatr Soc Date: 2021-07 Impact factor: 7.538