Providing Value and Equity in Medicare's Dementia Care Is a Must

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Providing Value and Equity in Medicare's Dementia Care Is a Must
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Improving the quality of brain health care in the U.S. demands a coordinated effort from the entire health care ecosystem.

A pressing concern looms over the growing U.S. aging population as Alzheimer's patients face potential exclusion from treatments due to the exorbitant costs of new dementia medications.With nearly 60 million people over the age of 65 in this country, or 17 percent of the population, this is an urgent concern. An estimated 7 million people in this country grapple with dementia as of 2020, with experts projecting that number will grow to 9 million by 2030, and 12 million people by 2040.

Additionally, the efficacy study leading to the drug's FDA approval primarily included participants who do not represent the most at-risk segments of the Medicare population, raising concerns about the accessibility and affordability of such treatments for those most in need. At minimum, evaluating the cost-effectiveness of Lecanemab across different socio-economic groups using a comprehensive costing methodology is critical to ensuring its benefits are universally accessible.

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