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Lauren Nicholas and Joanne Hsu

The number of older adults living with dementia is predicted to increase rapidly in coming years, reaching 12 million by 2050.  Dementia is a degenerative clinical condition that can lead to impaired financial decision-making, raising concerns about the need to significantly increase the Representative Payee Program to manage benefits for cognitively impaired Social Security beneficiaries. This project uses a unique linkage of credit report data and Medicare claims to describe adverse financial outcomes before and after formal dementia diagnoses.  Findings will provide important evidence about the prevalence and magnitude of financial difficulties among cognitively impaired Medicare beneficiaries.

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