Elan L Guterman, Rachel E Kiekhofer, Andrew J Wood, I Elaine Allen, James G Kahn, Sarah Dulaney, Jennifer J Merrilees, Kirby Lee, Winston Chiong, Stephen J Bonasera, Tamara L Braley, Lauren J Hunt, Krista L Harrison, Bruce L Miller, Katherine L Possin
IMPORTANCE: Collaborative dementia care programs are effective in addressing the needs of patients with dementia and their caregivers. However, attempts to consider effects on health care spending have been limited, leaving a critical gap in the conversation around value-based dementia care. OBJECTIVE: To determine the effect of participation in collaborative dementia care on total Medicare reimbursement costs compared with usual care. DESIGN, SETTING, AND PARTICIPANTS: This was a prespecified secondary analysis of the Care Ecosystem trial, a 12-month, single-blind, parallel-group randomized clinical trial conducted from March 2015 to March 2018 at 2 academic medical centers in California and Nebraska...
September 18, 2023: JAMA Internal Medicine