Title: Provider Adoption of Cognitive Assessment and Care Planning Services and Associated Outcomes for People Living with Dementia
Over 6 million Americans are living with Alzheimer’s disease and related dementias (ADRD), and many will require long-term services and supports at some point. Planning for caregiving needs can help prevent acute health events and delay institutional care. CMS introduced a CPT code for “cognitive assessment and care planning” (CACP) in 2017 to incentivize clinicians to provide comprehensive care planning visits to patients showing signs of cognitive impairment; however, adoption of this service has been very low with less than 1 percent of Medicare beneficiaries with an ADRD diagnosis receiving CACP in the first two years after it was introduced. This research explores the drivers of this low adoption rate, and if patients who receive CACP experience better health outcomes.