
Alzheimer's Disease and Dementia Triple Healthcare Costs for Americans 65 and Older
Part I of a Two-Part Series  | | New figures confirm what family caregivers have long known: when a senior loved one has Alzheimer's disease, the cost of care is well above that of seniors without memory loss. ________________ | | Total healthcare costs are more than three times higher for people with Alzheimer's and other dementias than for other people age 65 and older, according to the Alzheimer's Association's recent report, 2009 Alzheimer's Disease Facts and Figures. In the new report, total healthcare costs are calculated as per person payments measured from all sources. Medicare payments alone are almost three times higher for people with Alzheimer's and dementia than for others age 65 and over; Medicaid payments alone are more than nine times higher. "With the country facing unprecedented economic challenges and a rapidly aging baby boomer population, now is the time to address the burgeoning Alzheimer crisis that triples healthcare costs for Americans age 65 and over," said Harry Johns, Alzheimer's Association CEO. "It is widely understood that addressing healthcare is key to the country regaining its financial footing," continued Johns. "And there is no way this can be done without improving Medicare and Medicaid, which Alzheimer's directly impacts. A strategy to immediately confront Alzheimer's has the potential to save millions of lives and billions of dollars by reducing the burden on Medicare and Medicaid." The table below shows the average per-person payments by source for health and long-term care services for seniors aged 65 years and older, with and without Alzheimer's disease and other dementias, 2004: | Average Per Person Payments | Beneficiaries with no Alzheimer's or Other Dementias | Beneficiaries with Alzheimer's or Other Dementias | | Total payments* | $10,603 | $33,007 | | Medicare payments | 5,272 | 15,145 | | Medicaid payments | 718 | 6,605 | | Private insurance payments | 1,466 | 1,847
| | Other sources payments
| 211
| 519
| | HMO payments
| 704
| 410
| | Out-of-pocket payments
| 1,916
| 2,464
| | Uncompensated care
| 201 | 261 | * Payments by source do not exactly equal total payments, due to the effect of population weighting.
 People with Alzheimer's are high consumers of hospital, nursing home and other health and long-term care services, which translates into high costs for Medicare, Medicaid and for millions of families. As families struggle to survive in a deepening recession and as states grapple with budget shortfalls, Alzheimer's disease threatens to overwhelm them both. Most people with Alzheimer's also have one or more additional serious medical conditions, such as diabetes or coronary heart disease. Their Alzheimer's greatly complicates the medical management for these other conditions and drives up costs significantly. According to the Facts and Figures report, in 2006: -
Medicare beneficiaries with diabetes plus Alzheimer's or another dementia had 64 percent more hospital stays than those with diabetes and no Alzheimer's, and their average per person Medicare costs were $20,655 compared to $12,979 for beneficiaries with diabetes but no Alzheimer's or dementia. - Medicare beneficiaries with coronary heart disease and Alzheimer's disease or another dementia had 42 percent more hospital stays than those with coronary heart disease and no Alzheimer's or dementia, and their average per person Medicare costs were $20,780 compared to $14,640 for beneficiaries with coronary heart disease but no Alzheimer's or dementia.
With family members providing care at home for about 70 percent of people with Alzheimer's disease, the ripple effects of the disease can be felt throughout the entire family. According to Facts and Figures, in 2008 nearly 10 million Alzheimer caregivers in the U.S. provided 8.5 billion hours of unpaid care valued at $94 billion. In addition to the unpaid care families contribute, the report also reveals that Alzheimer's creates high out-of-pocket health and long-term care expenses for families. Out-of-pocket costs that are not covered by Medicare, Medicaid or other sources of insurance are 28 percent higher for Medicare beneficiaries with Alzheimer's than those without. Individuals with Alzheimer's and other dementia living in nursing homes or assisted living facilities incurred the highest out-of-pocket costs—an average of $16,689 a year. The Alzheimer's Association is the leading voluntary health organization in Alzheimer's care, support and research. Their mission is to eliminate Alzheimer's disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. Their vision is a world without Alzheimer's. In the August 2009 Caring Right at Home, read about the growing prevalence of Alzheimer's disease and dementia, and learn what the Alzheimer's Association survey determined is the greatest challenge for family caregivers. Learn also why mild cognitive impairment (MCI) is an important emerging issue. Visit the Right at Home website to learn how home care can help those with Alzheimer's.
 Right at Home is a national organization dedicated to improving the quality of life for those we serve. We fulfill that mission through a dedicated network of locally owned, franchised providers of in-home care and assistance services.
|