Special Report

States Where Alzheimer's Is Soaring

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24. Maryland (tied)
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 18.2%
> Pct. of 65+ pop. with Alzheimer’s disease: 12.6% (15th highest)
> Pct. of population 65+: 14.6% (9th lowest)
> Avg. retirement income: $34,147 (the highest)

Medicaid costs cover long-term care for residents 65 and older with Alzheimer’s and other forms of dementia. These costs will climb 24.7% in Maryland by 2025. The number of older people with Alzheimer’s will grow from 110,000 in 2020 to 130,000 in 2025, an 18.2% rise. The Alzheimer’s mortality rate in Maryland is the second lowest in the country, at 18.6 deaths per 100,000 people.

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24. Indiana (tied)
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 18.2%
> Pct. of 65+ pop. with Alzheimer’s disease: 11.0% (7th lowest)
> Pct. of population 65+: 15.0% (13th lowest – tied)
> Avg. retirement income: $19,454 (2nd lowest)

The number of people 65 and older living with Alzheimer’s in Indiana will rise by 18.2% from 2020 to 2025 to 130,000. Alzheimer’s-related Medicaid costs for state residents who are 65 and older are estimated to increase by 17.1% in the next five years, lower than the projected national increase of 20.2%. Alzheimer’s disease was the sixth-leading cause of death in Indiana in 2017, with a mortality rate of 39.9 deaths per 100,000 people, higher than the U.S. average mortality rate for that year of 31.0 deaths per 100,000 people.

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23. Louisiana
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 19.6%
> Pct. of 65+ pop. with Alzheimer’s disease: 13.6% (6th highest)
> Pct. of population 65+: 14.5% (8th lowest – tied)
> Avg. retirement income: $23,943 (21st lowest)

There were 2,166 deaths in Louisiana from Alzheimer’s disease in 2018, or 46.5 deaths per 100,000 residents, the 11th highest Alzheimer’s mortality rate in the country. Over the next five years, the number of older people with the condition is expected to rise by 19.6%, a slightly smaller increase than the expected increase of almost 22.0% nationwide. Though Louisiana’s population of 65 and older residents is among the smallest in the country, the share of people with Alzheimer’s in the age group is among the highest. About 13.6% of the state’s older residents are living with Alzheimer’s dementia, higher than the national average of 12.0%.

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21. Hawaii (tied)
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 20.7%
> Pct. of 65+ pop. with Alzheimer’s disease: 11.8% (23rd lowest)
> Pct. of population 65+: 17.3% (8th highest)
> Avg. retirement income: $30,984 (5th highest)

The number of people in Hawaii living with Alzheimer’s is projected to climb by 20.7% to about 35,000 by 2025, according to the Alzheimer’s Association. The number of new cases of the disease is estimated to grow faster than in most states at least partially because Hawaii has a large 65 and older population, and the risk of Alzheimer’s increases with age, doubling every five years after 65. Slightly over 17.3% of Hawaiians are 65 and older, the eighth highest share of all states.

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21. Maine (tied)
> Projected increase in adults 65+ with Alzheimer’s disease, 2020-2025: 20.7%
> Pct. of 65+ pop. with Alzheimer’s disease: 11.2% (11th lowest)
> Pct. of population 65+: 19.4% (2nd highest)
> Avg. retirement income: $23,668 (19th lowest)

Alzheimer’s disease claimed the lives of 580 Maine residents in 2018 for a mortality rate of 43.3 per 100,000 people, slightly higher than the national average rate of 38.8 per 100,000 people. By 2025, an anticipated 35,000 people 65 and older in Maine will be living with the disease, a 20.7% increase from 2020. The Alzheimer’s Association projects that the total Medicaid spending for Maine residents 65 and older who have the disease or other form of dementia will grow by 29.5%, the sixth highest increase among states and significantly higher than the estimated U.S. projected increase of 20.2%.

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