Dementia codes (HCC-51/HCC-52) are risk adjusted for Medicare Advantage providers to be aligned with the higher associated cost of care. Current dementia risk-adjustment adds approximately $3,200 to $4,200 per affected patient in yearly capitation rates.
Alzheimer’s Association reports dementia prevalence of 10-12% in seniors, and with 60% of dementia currently undiagnosed, there is a significant financial opportunity for payors & health systems to implement strategies to improve diagnosis rates.