%0 Journal Article %J Alzheimers Dement (N Y) %D 2019 %T Analysis of dementia in the US population using Medicare claims: Insights from linked survey and administrative claims data. %A Chen, Yi %A Tysinger, Bryan %A Eileen M. Crimmins %A Julie M Zissimopoulos %K Cognitive Ability %K Dementia %K Education %K Medicare claims %K Medicare linkage %K Racial/ethnic differences %X

Introduction: Medicare claims data may be a rich data source for tracking population dementia rates. Insufficient understanding of completeness of diagnosis, and for whom, limits their use.

Methods: We analyzed agreement in prevalent and incident dementia based on cognitive assessment from the Health and Retirement Study for persons with linked Medicare claims from 2000 to 2008 (N = 10,450 persons). Multinomial logistic regression identified sociodemographic factors associated with disagreement.

Results: Survey-based cognitive tests and claims-based dementia diagnosis yielded equal prevalence estimates, yet only half were identified by both measures. Race and education were associated with disagreement. Eighty-five percent of respondents with incident dementia measured by cognitive decline received a diagnosis or died within the study period, with lower odds among blacks and Hispanics than among whites.

Discussions: Claims data are valuable for tracking dementia in the US population and improve over time. Delayed diagnosis may underestimate rates within black and Hispanic populations.

%B Alzheimers Dement (N Y) %V 5 %P 197-207 %8 2019 %G eng %1 http://www.ncbi.nlm.nih.gov/pubmed/31198838?dopt=Abstract %R 10.1016/j.trci.2019.04.003