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Brain Health

Strengthening Payment and Care Supports for Brain Health

Improving Early-Stage Alzheimer’s Disease Care

Nearly seven million Americans are living with Alzheimer’s disease, a number expected to double by 2060. Yet Alzheimer’s care remains fragmented, with diagnosis often delayed and both medical and non-medical interventions out of reach for many. The recent availability of early-stage disease modifying treatments, targeted medical and lifestyle management, and the development of diagnostic biomarkers can shift this landscape — supporting a health system better equipped to deliver Alzheimer’s treatment that maintains quality of life over the long-term. 

By The Numbers

13.8 million

number of Americans expected to be living with Alzheimer’s disease in 2060 ¹

75%

estimated percentage of undiagnosed dementia cases globally  ²

3x

average per-person Medicare payments for dementias compared to beneficiaries without these conditions  ¹

$360 billion

share of Americans who face barriers accessing specialty care ¹

40%

approximate share of specialty clinicians participating in value-based care payment models ³

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Reimaging Alzheimer’s Care for an Aging Nation

Accelerator initiatives aim to fundamentally reimagine the way we diagnose, treat, and pay for Alzheimer’s disease care — shifting our system from reactive and fragmented care to proactive and coordinated care. We will take a data-driven and sustainable approach that prioritizes:  

 

  • Identifying the major barriers to early diagnosis and care, and the opportunities to overcome them.   

  • Strengthening early intervention and management by developing best practices gained from expert stakeholder engagement — from clinicians and payers to policymakers and patients.  

  • Building a preliminary care and payment model for early-stage Alzheimer’s disease that is patient- and caregiver-centric and reduces the burden on primary care providers.  

  • Evaluating the model to identify areas of improvement or other uses in the brain health space. 

Related Publications

Improving Care for Patients with Alzheimer’s Disease

December 16, 2024

All Publications, Brain Health

Duke-Margolis Project Team 

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Beena Bhuiyan Khan, MSc

Research Director for Payment and Coverage Policy 

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Montgomery Smith, MPH

Policy Research Associate

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Nitzan Arad, JD
 

Area Lead for Drug Pricing and Competition Policy 

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Marianne Hamilton Lopez, PhD

Senior Research Director for Biomedical Innovation

West Health Project Team 

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Amy Stuck, PhD, RN

Senior Director, Value-based Care

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Claire Andrews, MSG

Program Manager, Value Based Care

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Niamh Brennan

Research Associate, West Health Policy Center

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Kevin Biese, MD, MAT

Consultant

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