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Only 40% of Americans say they would talk to their doctor right away when experiencing symptoms of MCI.

The unfortunate reality, as reported by The Patient Journey in an Era of New Treatments, is that most Americans are reluctant to see a doctor early and tend to wait until the symptoms have a noticeable impact on their lives. In order to receive better care, it is essential for patients to have conversations about memory concerns with their health care providers as early as possible, and for the physician workforce to be adequately prepared to handle diagnosis, care and eventual treatment of Alzheimer's and other dementias. The Food and Drug Administration (FDA) approval of two new treatment options has generated excitement and hope for individuals with mild cognitive impairment (MCI) or mild dementia due to Alzheimer’s disease, and their families.

People living with Alzheimer's or other dementias make up a large proportion of all elderly people who receive adult day services and nursing home care.

Older people living with Alzheimer’s or other dementias have more skilled nursing facility stays and home health care visits per year than other older people.

Medicare beneficiaries with Alzheimer's or other dementias are more likely than those without dementia to have other chronic conditions, such as heart disease, diabetes and kidney disease.

People living with Alzheimer's or other dementias have twice as many hospital stays per year as other older people.The total lifetime cost of care for a person living with dementia is estimated at $392,874.Total payments for health care, long-term care and hospice care for people living with dementia are projected to increase to nearly $1 trillion in 2050. Medicare and Medicaid are expected to cover $222 billion (64%), while out-of-pocket spending is expected to be $87 billion. In 2023, Alzheimer's and other dementias will cost the nation $345 billion - not including the value of unpaid caregiving. The costs of health care and long-term care for individuals living with Alzheimer’s or other dementias are substantial, and dementia is one of the costliest conditions to society. Turnover rates for direct care workers are high - estimated at 64% annually for those providing home care and 99% for nursing assistants in nursing homes.The demand for direct care workers (roles such as nurses aides and home health aides) is projected to grow by more than 40% between 20, while their availability is expected to decline.Only 4% of social workers have formal certification in geriatric social work.Less than 1% of registered nurses, physician assistants and pharmacists identify themselves as specializing in geriatrics.Only 12% of nurse practitioners have special expertise in gerontological care.Few care professionals specialize in geriatrics:.will have to nearly triple the number of geriatricians to effectively care for the number of people projected to have Alzheimer's in 2050. Half of PCPs reported that they do not feel adequately prepared to care for individuals with Alzheimer’s and other dementias, and more than 25% reported being “only sometimes” or “never” comfortable answering patient questions about dementia.

Even though the vast majority of initial diagnoses are made by primary care physicians (PCPs), nearly 40% reported that they were "never" or "only sometimes" comfortable making a diagnosis of Alzheimer's or another dementia.As the prevalence of Alzheimer’s disease increases, so does the need for additional members of the paid workforce who are involved in diagnosing, treating and caring for those living with the disease.