Evidence map›Paper›PMID 40896804›Full record

ArticleAlzheimer's & dementia. Behavior & socioeconomics of aging2025

Older adults living with dementia enrolled in similar Medicare Advantage plans compared to those without dementia.

Lianlian Lei, Donovan T Maust, Claire Ankuda, Geoffrey J Hoffman, Hyungjin Myra Kim, Julie Strominger, Helen Levy

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Alzheimer's & dementia. Behavior & socioeconomics of aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lianlian LeiDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan, USA.ORCID 0000-0003-0463-2614
Donovan T MaustDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Claire AnkudaBrookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Geoffrey J HoffmanDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, Michigan, USA.
Hyungjin Myra KimCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
Julie StromingerCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.
Helen LevyInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Pilot CoreP30AG066582 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Julie PW Bynum · 2020 to 2026
$7.2M
Patient, Caregiver, and Regional Drivers of Potentially Inappropriate Medical Care for Dementia: Building the Foundation for State Dementia PolicyR01AG056407 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MAUST, DONOVAN T · 2018 to 2021
$2.1M
The impact of Medicare managed care on older patients with dementia and their family caregivers.R01AG074944 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOFFMAN, GEOFFREY JONATHAN · 2022 to 2025
$1.7M
Health Care Use After Functional Disability: Opportunities to Improve the Care of Older AdultsK76AG064427 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ANKUDA, CLAIRE KATHRYN · 2020 to 2024
$1.3M
Older Adults Living with Dementia and Their Informal Caregivers: Reciprocal Impacts of Caregiving and Serious Illness on Health Care OutcomesR00AG075145 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lianlian Lei · 2024 to 2026
$742k
NIA NIH HHS K76 AG064427NIA NIH HHS P30 AG066582NIA NIH HHS R00 AG075145NIA NIH HHS R01 AG056407NIA NIH HHS R01 AG074944NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

introductionMedicare Advantage (MA) plan selection may differ between older adults with or without dementia in unexplored ways. This study aims to characterize MA plan choice among those with dementia.

methodsWe used the 2010 to 2018 waves of the Health and Retirement Study with linked Medicare enrollment data to identify MA respondents ≥ 65 years, with and without dementia. Conditional logit models examined how characteristics of MA plans affected choice.

resultsAmong respondents overall, there were no differences between those with versus without dementia regarding how plan out-of-pocket cost, star rating, and type affected choice. Among the dual eligible group, those with versus without dementia were more likely to choose Special Needs Plans (difference in log odds: 0.804, DISCUSSION: There were few differences in how MA plan characteristics affected choice among older adults with and without dementia. Older adults with dementia may make similar MA plan choices as those without.

Indexed as

dementiadual eligibilityhealth insurance choiceMedicare Advantage

Identifiers

PMID40896804
PMCPMC12391884

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.