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This study analyzes switching among beneficiaries relocating to memory-care-licensed AL versus general AL, where memory care is specialized for dementia and about 36% more expensive. Using 2021 Medicare data, results show distinct MA and FFS switching patterns by AL licensing, including differences among residents with dementia.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medicare-plan-switching-among-assisted-living-residents-the-role-of-memory-care/427768/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medicare-plan-switching-among-assisted-living-residents-the-role-of-memory-care/427768.png","ImageObject",300,407,{"name":92,"@type":93},"Maya Linwood","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What study question does the paper address?","Question",{"text":112,"@type":113},"How relocating to an assisted living community affects Medicare enrollment decisions, specifically switching between MA and FFS.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the main comparison in the study?",{"text":117,"@type":113},"Beneficiaries moving to memory care–licensed assisted living versus those moving to general assisted living.",{"name":119,"@type":110,"acceptedAnswer":120},"How does memory care licensing relate to switching rates?",{"text":121,"@type":113},"FFS beneficiaries entering memory care–licensed AL switched to MA less often than those entering general AL, and MA beneficiaries in memory care were less likely to switch to another MA plan or to FFS.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427768,1790763356,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Innovation in Aging, 2025, Vol. 9, No. S2 743  \nAbstract citation ID: igaf122.2526  \nMEDICARE PLAN SWITCHING AMONG ASSISTED  \nLIVING RESIDENTS: THE ROLE OF MEMORY CARE  \nWanru Liu1, Gauri Gadkari1, Jennifer Bunker2, Kali Thomas2, and Eric Jutkowitz3, 1. Brown University, Providence, Rhode Island, United States, 2. Johns Hopkins University, Baltimore, Maryland, United States, 3. University of Minnesota, Minneapolis, Minnesota, United States  \nSwitching between Medicare Advantage (MA) and Fee-forService (FFS) commonly occurs after a health shock or residential relocation. However, little is known about how moving to an assisted living (AL) community influences enrollment decisions.  \nThis study examines Medicare plan switching among beneficiaries relocating to assisted living (AL) licensed for memory care versus general AL. Memory care ALs provide specialized dementia services but are approximately 36% more expensive than general ALs, potentially influencing Medicare choices. Using 2021 Medicare Beneficiary Summary Files and a national dataset of ALs, we tracked Medicare enrollment before and after moving to AL (N = 63,395) across 34 states licensing memory care ALs.  \nA secondary analysis investigated switching among AL residents with dementia. Medicare plan switching varied based on AL licensing: FFS beneficiaries entering memory care-licensed ALs switched to MA less often than those entering general ALs (6.47% vs. 9.16%, p \u003C 0.05) . MA beneficiaries relocating to memory care compared to general AL were less likely to switch to another MA plan (10.95% vs. 13.08%, p \u003C 0.05) or to FFS (4.31% vs. 5.55%, p \u003C 0.05). Among individuals with dementia, residents with dementia in memory care ALs exhibited less FFS-to-MA switching compared to those in general ALs (3.40% vs. 4.76%, p \u003C 0.05) . These findings suggest that moving to an AL influences Medicare enrollment decisions; and, variation in switching exists between the type of AL (general vs memory care)  \nand whether or not an individual has dementia.","cbCaifOF9XOos4wT","https://ap.wps.com/l/cbCaifOF9XOos4wT","pdf",672337,"English","# Abstract\n## Study objective\n## Data and cohort\n## Key findings\n## Implications","[{\"question\":\"What study question does the paper address?\",\"answer\":\"How relocating to an assisted living community affects Medicare enrollment decisions, specifically switching between MA and FFS.\"},{\"question\":\"What is the main comparison in the study?\",\"answer\":\"Beneficiaries moving to memory care–licensed assisted living versus those moving to general assisted living.\"},{\"question\":\"How does memory care licensing relate to switching rates?\",\"answer\":\"FFS beneficiaries entering memory care–licensed AL switched to MA less often than those entering general AL, and MA beneficiaries in memory care were less likely to switch to another MA plan or to FFS.\"}]","MEDICARE PLAN SWITCHING AMONG ASSISTED LIVING RESIDENTS - THE ROLE OF MEMORY CARE | PDF",1790644772]