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Alzheimer's Disease and Related Disorders Treatment and Outcomes in America: Changing Policies and Systems.

Award Number: P01AG027296
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2007
PERIOD OF PERFORMANCE END DATE: 05/31/2029

Group Awards By:

View Award Description

Alzheimer's Disease and Related Disorders Treatment and Outcomes in America: Changing Policies and Systems. - The complex health care needs, poorer outcomes, high spending, and sociodemographic composition of the population living with Alzheimer’s Disease and Related Dementias (ADRD) pose serious challenges to families, providers, and health systems. Although the population living with ADRD is expected to triple by 2050, many initiatives aim to maximize the value of care for the “average” patient, without specific consideration of their consequences for high-cost, high- need populations, such as those with ADRD. The P01 project will undertake four synergistic projects testing the effect of recent national changes on persons with ADRD in different states of disease progression and in different care settings. Project 1 seeks to determine the effects of Medicare Advantage (MA) contract terminations on outcomes for enrollees with ADRD. Project 2 examines the impact of a national pause in Medicaid redeterminations on health outcomes for people with ADRD. Project 3 evaluates the impact of the MA Hospice Carve-In program on end-of-life care for persons with ADRD. Finally, Project 4 evaluates the impact of a home health payment change on access and outcomes of patients with ADRD. Each project aims to understand differential effects of these changes among persons with ADRD by race, ethnicity and socioeconomic status and/or focus the analysis on patients with low income or other key sociodemographic characteristics. All projects rely upon the Primary Data Collection and Partner Engagement Core (Core B) and the Data Management and Methods Core (Core C). Core B uses qualitative methods to gather perspectives from healthcare providers, payers, care partners, and persons living with ADRD themselves. This will generate critical information about how organizations interact and implement practices that affect healthcare choice, access, use, and outcomes for persons with ADRD. Core C will make important contributions on three key challenges related to research in ADRD: (1) accurately identifying the presence of dementia among enrollees in MA plans, (2) developing novel approaches for causal inference study designs following disruptions to the healthcare system or economy, and (3) integrating data across multiple payers, and institutional and community-based care. Our robust dissemination plan includes updating and maintaining our project website http://www.ltcfocus.org ; and working with our Strategic Partner Engagement Panels and National Advisory Committee to maximize the impact and relevance of our findings. Our project will provide timely, novel and rigorous evidence about the impact of recent national changes for persons living with ADRD and inform strategies that improve care and health outcomes for this important population.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $2,600,455 )
2026	2026	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	18	7/7/2026	NON-COMPETING CONTINUATION	$2,600,455
2026	2026	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	003	18	8/18/2026	NON-COMPETING CONTINUATION	$0
2026	2025	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	17	1/27/2026	NON-COMPETING CONTINUATION	$0
2026	2025	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	17	5/7/2026	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,600,455

Issue Date FY: 2025 ( Subtotal = $2,613,337 )
2025	2025	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	17	8/25/2025	NON-COMPETING CONTINUATION	$2,613,337
2025	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	15	3/25/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,613,337

Issue Date FY: 2024 ( Subtotal = $2,878,793 )
2024	2024	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	16	9/11/2024	COMPETING CONTINUATION	$2,878,793
2024	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	15	9/3/2024	NON-COMPETING CONTINUATION	$0
2024	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	15	2/23/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,878,793

Issue Date FY: 2023 ( Subtotal = $1,943,006 )
2023	2023	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	15	7/12/2023	NON-COMPETING CONTINUATION	$1,943,006
2023	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	14	4/20/2023	NON-COMPETING CONTINUATION	$0
2023	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	14	11/2/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,943,006

Issue Date FY: 2022 ( Subtotal = $1,912,791 )
2022	2022	BROWN UNIVERSITY	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	14	8/1/2022	NON-COMPETING CONTINUATION	$1,912,791
														Subtotal = $1,912,791

Issue Date FY: 2021 ( Subtotal = $2,550,758 )
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	006	13	7/27/2021	NON-COMPETING CONTINUATION	$0
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	003	12	5/20/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	004	13	6/22/2021	NON-COMPETING CONTINUATION	$2,008,227
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	005	13	6/24/2021	SUPPLEMENT FOR EXPANSION	$271,658
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	12	4/5/2021	SUPPLEMENT FOR EXPANSION	$270,873
2021	2021	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	12	4/13/2021	SUPPLEMENT FOR EXPANSION	$0
2021	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	12	2/11/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,550,758

Issue Date FY: 2020 ( Subtotal = $2,445,991 )
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	005	12	8/4/2020	NON-COMPETING CONTINUATION	$1,900,362
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	11	4/7/2020	SUPPLEMENT FOR EXPANSION	$184,375
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	006	12	9/2/2020	NON-COMPETING CONTINUATION	-$30,875
2020	2020	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	11	4/6/2020	SUPPLEMENT FOR EXPANSION	$392,129
2020	2019	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	004	11	6/16/2020	COMPETING CONTINUATION	$13,472
2020	2019	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	11	5/13/2020	COMPETING CONTINUATION	$0
2020	2018	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	003	10	6/16/2020	NON-COMPETING CONTINUATION	-$13,472
														Subtotal = $2,445,991

Issue Date FY: 2019 ( Subtotal = $2,518,235 )
2019	2019	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	11	9/9/2019	COMPETING CONTINUATION	$2,518,235
2019	2018	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	10	9/4/2019	NON-COMPETING CONTINUATION	$0
														Subtotal = $2,518,235

Issue Date FY: 2018 ( Subtotal = $1,211,644 )
2018	2018	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	10	4/5/2018	NON-COMPETING CONTINUATION	$1,090,479
2018	2018	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	10	6/22/2018	NON-COMPETING CONTINUATION	$0
2018	2018	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	10	4/19/2018	NON-COMPETING CONTINUATION	$121,165
														Subtotal = $1,211,644

Issue Date FY: 2017 ( Subtotal = $1,497,895 )
2017	2017	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	9	6/19/2017	NON-COMPETING CONTINUATION	$133,544
2017	2017	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	002	9	9/4/2017	SUPPLEMENT FOR EXPANSION	$162,444
2017	2017	BROWN UNIVERSITY IN PROVIDENCE IN THE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS	1 PROSPECT ST	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	9	1/27/2017	NON-COMPETING CONTINUATION	$1,201,907
														Subtotal = $1,497,895

Issue Date FY: 2016 ( Subtotal = $1,437,494 )
2016	2016	BROWN UNIVERSITY	POST OFFICE BOX 1929	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	8	2/25/2016	NON-COMPETING CONTINUATION	$1,437,494
														Subtotal = $1,437,494

Issue Date FY: 2015 ( Subtotal = $1,340,647 )
2015	2015	BROWN UNIVERSITY	POST OFFICE BOX 1929	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	001	7	6/17/2015	SUPPLEMENT FOR EXPANSION	$80,191
2015	2015	BROWN UNIVERSITY	POST OFFICE BOX 1929	PROVIDENCE	RI	02912	PROVIDENCE	USA	Aging Research	000	7	3/6/2015	NON-COMPETING CONTINUATION	$1,260,456
														Subtotal = $1,340,647

Grand Total All Awards = $36,347,024

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Alzheimer's Disease and Related Disorders Treatment and Outcomes in America: Changing Policies and Systems.

Award Number: P01AG027296

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2007

PERIOD OF PERFORMANCE END DATE: 05/31/2029

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