Medicaid Payments and Racial and Ethnic Disparities in Alzheimer Disease Special Care Units.

ABSTRACT:

Importance

Alzheimer disease special care units (ASCUs) are associated with improved outcomes for residents with dementia, yet they are unavailable in most nursing homes.

Objectives

To examine racial and ethnic disparities in the availability of ASCUs and whether more generous Medicaid payments are associated with reduced disparities.

Design, setting, and participants

This cohort study used 2009-2019 Certification and Survey Provider Enhanced Reporting data and resident assessments from Medicare- and Medicaid-certified nursing homes in the US, as well as state Medicaid payment-to-cost ratios for 2019. Statistical analysis was performed from September to December 2024.

Exposure

The percentages of Black residents and Hispanic residents in a facility and the state

SUBMITTER: Xu H 

PROVIDER: S-EPMC12322793 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature