How a special Medicare plan affects nursing home care for people with dementia
Assessing the Effects of Institutional Special Need Plan (I-SNP) Enrollment on Quality of Long-Term and End-of-Life care for Elderly Individuals with Dementia
['FUNDING_R01'] · BROWN UNIVERSITY · NIH-11300177
This project looks at whether joining an Institutional Special Needs Medicare plan helps nursing home residents with Alzheimer's and related dementias get better long-term and end-of-life care, including changes since COVID-19.
Quick facts
| Phase | ['FUNDING_R01'] |
|---|---|
| Study type | Nih_funding |
| Sex | All |
| Sponsor | BROWN UNIVERSITY (nih funded) |
| Locations | 1 site (PROVIDENCE, UNITED STATES) |
| Trial ID | NIH-11300177 on ClinicalTrials.gov |
What this research studies
Researchers will compare care and outcomes for nursing home residents with Alzheimer's disease and related dementias who are enrolled in Institutional Special Needs Plans (I-SNPs) versus those who are not, using Medicare and nursing home records. They will analyze data from before and after the COVID-19 pandemic to see how care patterns and outcomes changed. The team will study why enrollment in I-SNPs grew and which plan practices (like care coordination or advance care planning) are linked to better resident outcomes. Findings will come from large-scale observational analyses of national datasets rather than in-person visits.
Who could benefit from this research
Good fit: The most relevant people are long-term nursing home residents in the United States with Alzheimer's disease or related dementias, particularly those enrolled or eligible for Medicare Advantage I-SNP plans.
Not a fit: People living at home, in assisted living, outside the United States, or those not eligible for Medicare Advantage are unlikely to be directly affected by this research.
Why it matters
Potential benefit: If successful, this work could point to care models or policy changes that reduce unnecessary hospitalizations and improve end-of-life care for people with dementia in nursing homes.
How similar studies have performed: Prior research suggests Medicare Advantage plans and some I-SNP features can lower hospital transfers and improve coordination, but studies focused specifically on residents with dementia and pandemic-era changes remain limited.
Where this research is happening
PROVIDENCE, UNITED STATES
- BROWN UNIVERSITY — PROVIDENCE, UNITED STATES (ACTIVE)
Researchers
- Principal investigator: RAHMAN, MD MOMOTAZUR — BROWN UNIVERSITY
- Study coordinator: RAHMAN, MD MOMOTAZUR
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions: Alzheimer disease dementia, Alzheimer syndrome