How Medicare and Medicaid payment rules affect care for people with dementia

Impact of Medicare and Medicaid Financial Policies on Post-acute and Long-term Care for Persons Living with Dementia

NIH-funded research Brown University · NIH-11174300

This project looks at how changes in Medicare and Medicaid payments change the kinds of post-acute and long-term care people with Alzheimer's and related dementias receive and their health outcomes.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionBrown University NIH-funded
Lab location1 site (Providence, United States)
Project IDNIH-11174300 on NIH RePORTER

What this research studies

From your viewpoint, the team will analyze national Medicare and Medicaid claims plus clinical assessment records covering the past 15 years to see real-world care patterns for people with dementia. They will use modern econometric and statistical methods to compare outcomes like hospital visits, falls, medication use, and use of home- and community-based services versus nursing homes. The work focuses on how shifts in payment policies and financing affect which services are used, access to care, and adverse events. Findings will aim to highlight which payment features help or harm people living with ADRD.

Who could benefit from this research

Good fit: People living with Alzheimer's disease or related dementias in the United States who receive Medicare or Medicaid-covered post-acute or long-term care are the population represented in this work.

Not a fit: People without Medicare or Medicaid coverage or those living outside the U.S. are unlikely to be represented and may not see direct benefits from the findings.

Why it matters

Potential benefit: If successful, the work could inform payment changes that improve access, reduce avoidable hospitalizations and harmful medication use, and better match care to patient needs.

How similar studies have performed: Previous research using Medicare and Medicaid claims has linked payment policies to care patterns, but applying modern econometric methods to 15 years of ADRD-specific data at this scale is relatively new.

Where this research is happening

Providence, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Alzheimer disease dementiaAlzheimer syndromeAlzheimer's Disease
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.