Revolutionizing Dementia Care?
The Dawn of a New Era with GUIDE
DEMENTIA. This word scares most of us.
Understanding the Financial and Emotional Toll of Dementia
When we talk about dementia, there's an immediate gravity to the conversation. It's a topic that, in 2022 alone, pointed to healthcare costs in the United States of approximately $321 billion. But that's just the tip of the iceberg. The true cost is likely much higher when you factor in the indirect expenses — things like the toll on caregivers' time and well-being and the overall hit to families' quality of life.
Shifting Perspectives: A New Narrative in Dementia Care
Although (much to my surprise) the number of online articles published on dementia shows a decreasing trend, the content has evolved; more of these articles focus on preventative measures and adopt a less negative tone when reporting on the condition. This shift in media coverage reflects a broader societal engagement with dementia as a significant public health and social issue.
More and more discussions focus on how to prepare and assist those living with dementia and their support network. Many health tech companies have been created around supporting and engaging those with dementia with a broad range of activities, including music, virtual travel, photos and personal memories, specialized media content, games, and toys. And many companies (including my own) are looking at how to integrate care management across users and settings.
Medical professionals and researchers are on the front lines, championing groundbreaking treatments with the potential to decelerate or even halt dementia's progression. Imagine a future where dementia is not an inevitable part of aging.
The GUIDE Model: A Beacon of Hope
In the meantime, the Centers for Medicare & Medicaid Services (CMS) is adopting a new voluntary nationwide model that begins later this year — the Guiding an Improved Dementia Experience (GUIDE) Model.
The innovative GUIDE model pivots on personalized, comprehensive care that supports not just the individuals with dementia but also those who care for them. The program's payment model emphasizes person-centered goals, education, integrated care coordination, and emotional support.
GUIDE values the individual, helping them live with dignity and a sense of self. For families, it's a beacon of emotional relief and education, reducing the heavy lift of caregiving.
Education plays a pivotal role in helping both caregivers and those with dementia understand the disease and its trajectory. Integrating various healthcare services ensures cohesive care, while emotional and behavioral support addresses the psychological aspects.
The essence of GUIDE is its comprehensive, empathetic approach to dementia care. It finally looks at healthcare with a broader lens and focuses on individualized goals and activities, ensuring that personal values and preferences are at the forefront of care decisions.
Aligning Incentives: Compensating For Coordination
Significantly, providers are compensated through a novel payment approach where they receive a monthly sum for each patient under their care, specifically for offering care coordination services. This approach moves beyond the traditional fee-for-service model, offering an incremental monthly payment of several hundred dollars per patient. The payment structure is designed to align providers' interests and care objectives with the needs of their patients and their families more effectively.
GUIDE enhances the quality of life for those with dementia by focusing on what they can do and enjoy. It provides substantial relief and support to caregivers by educating and involving them in the care process, reducing their burden and stress. This synergy between personalized care and caregiver support creates a more sustainable and compassionate approach to managing dementia, promising a better quality of life for all involved.
The expectation is that this broad approach to care management, combined with an aligned payment structure, will improve care while ultimately reducing the cost of care delivery.
What Do You Think: Can This Model Work?
My hope is that the GUIDE model leads to success and introduces more wraparound services and holistic care to older adults and underserved individuals nationwide. What are your thoughts? Will this model work?
If you're interested in learning more about the GUIDE Program, we've put together a handy overview, or contact us directly.