Toward a payment model for augmenting Adult Day Services (ADS) with caregiver support: costs, willingness, and ability to pay for the ADS Plus program.

ABSTRACT:

Background and objectives

The evidence-based Adult Day Services (ADS) Plus program, delivered by ADS staff to caregivers, offers dementia education, support, and strategies to manage care challenges and has been shown in randomized trials to decrease caregiver depressive symptoms and increase ADS utilization. This study examines costs, cost savings, and caregiver willingness to pay (WTP) and ability to pay (ATP) for this evidence-based program.

Research design and methods

In a 34-site cluster-randomized trial (16 ADS Plus sites; 18 ADS-only usual care sites) involving 203 caregivers, we surveyed program delivery costs, payer-perspective costs (healthcare utilization, formal care/social services utilization), and societal-perspective costs (caregiver time + payer costs) at ba

SUBMITTER: Pizzi LT 

PROVIDER: S-EPMC12553361 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature