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EXPLORING POTENTIAL MEDICAID ENROLLMENT GAPS AMONG PEOPLE WITH DEMENTIA","","Medicaid acts as a key safety net for older adults with Alzheimer’s Disease and Related Dementias (ADRD), yet many eligible individuals are not enrolled, increasing health and financial vulnerability. Using data from the National Health and Aging Trends Study (2011–2023), this study analyzes Medicare beneficiaries to identify potentially Medicaid-eligible but unenrolled older adults with ADRD and evaluate their health and economic risks. Panel analyses compare characteristics before and after enrollment and apply two methods to define potential eligibility or expected enrollment likelihood. Results show unenrolled ADRD individuals are older (85+), more likely Hispanic, and concentrated in the West, with worse functioning, more hospitalizations, and higher depressive symptoms. Financial status is relatively better than enrolled ADRD enrollees, but economic hardship exceeds that of non-ADRD individuals. Structural barriers drive the enrollment gaps, indicating a need for targeted, streamlined, culturally responsive outreach and enrollment supports to reduce adverse outcomes.",{"@graph":69,"@context":114},[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/whos-missing-out-exploring-potential-medicaid-enrollment-gaps-among-people-with-dementia/427331/",{"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/whos-missing-out-exploring-potential-medicaid-enrollment-gaps-among-people-with-dementia/427331.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-25","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108],{"name":109,"@type":110,"acceptedAnswer":111},"What factors and outcomes differ between unenrolled ADRD individuals and enrolled counterparts?","Question",{"text":112,"@type":113},"Unenrolled ADRD individuals are more often 85+, Hispanic, and located in the West, and they show higher functional impairment, hospitalization rates, and depressive symptoms, while facing greater economic hardship than non-ADRD individuals.","Answer","https://schema.org",{"og:url":83,"og:type":116,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":118,"canonical":83},"index,follow",{"doc_id":120,"site_id":62},427331,1790774706,{"code":4,"msg":5,"data":123},{"doc_id":120,"user_id":124,"nickname":92,"user_avatar":125,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":126,"file_id":127,"file_url":128,"file_type":129,"file_size":130,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":131,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":132,"faqs":133,"seo_title":134,"seo_description":67,"update_tm":135,"read_time":24},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","Innovation in Aging, 2025, Vol. 9, No. S2 217  \nAbstract citation ID: igaf122.729  \nWHO’S MISSING OUT? EXPLORING POTENTIAL MEDICAID ENROLLMENT GAPS AMONG PEOPLE WITH DEMENTIA  \nSijiu Wang1, Siying Yang1, and Jing Li2, 1. Tsinghua University, Beijing, Beijing, China (People’s Republic), 2. University of Washington, Seattle, Washington, United States  \nMedicaid serves as a critical safety net for older adults with Alzheimer’s Disease and Related Dementias (ADRD), yet many eligible individuals remain unenrolled, exacerbating their health and financial vulnerabilities. This study analyzes data from the National Health and Aging Trends Study (2011-2023), a nationally representative panel survey of Medicare beneficiaries, to identify Medicaid-eligible but unenrolled older adults with ADRD and assess their health and economic risks. We conducted a panel data analysis using survey waves immediately before and after Medicaid enrollment to examine enrollee characteristics, including health, functioning, and financial status prior to enrollment. Two approaches were employed to identify potentially eligible but unenrolled people with ADRD: (1) defining potential  \n218 Innovation in Aging, 2025, Vol. 9, No. S2  \neligibility based on income below 100% and 138% of the Federal Poverty Level, and (2) estimating expected Medicaid enrollment likelihood using socioeconomic and health characteristics of non-ADRD enrollees as a reference. Comparative analyses revealed that unenrolled ADRD individuals were disproportionately aged 85+, Hispanic, and residing in the West, with higher rates of functional impairment, hospitalizations, and depressive symptoms compared to their enrolled counterparts. While they exhibited relatively better financial status than Medicaid enrollees with ADRD, their economic hardship was significantly greater than that of non-ADRD individuals. Findings suggest that structural barriers, rather than eligibility criteria alone, contribute to Medicaid enrollment gaps. Targeted outreach strategies, streamlined enrollment processes, and culturally responsive interventions are needed to close these gaps and mitigate adverse health and financial outcomes among this vulnerable population.","cbCaicV8H5S9TftL","https://ap.wps.com/l/cbCaicV8H5S9TftL","pdf",432043,"English","# Abstract\n## Study purpose and data source\n## Methods for identifying potential eligibility\n## Comparative findings\n## Implications for outreach and enrollment","[{\"question\":\"What factors and outcomes differ between unenrolled ADRD individuals and enrolled counterparts?\",\"answer\":\"Unenrolled ADRD individuals are more often 85+, Hispanic, and located in the West, and they show higher functional impairment, hospitalization rates, and depressive symptoms, while facing greater economic hardship than non-ADRD individuals.\"}]","WHO’S MISSING OUT? EXPLORING POTENTIAL MEDICAID ENROLLMENT GAPS AMONG PEOPLE WITH DEMENTIA | PDF",1790643548]