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Clinical Daily News
CMS UNVEILS PROGRAM TO IMPROVE DEMENTIA CARE, EASE UNPAID CAREGIVER STRAIN
Kristen Fischer
August 1, 2023
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The federal government is hoping to do more for people with dementia on Medicare
— and their unpaid caregivers.
On Monday, the Centers for Medicare & Medicaid Services announced the Guiding an
Improved Dementia Experience (GUIDE) model. The goal is to improve the lives of
people living with dementia and lower the strain on their caregivers. The
program also eyes better care coordination so people can stay in their homes for
as long as possible. It includes caregiver education and support, as well as
respite services for when caregivers need a break.
GUIDE is a voluntary program that’s part of the National Plan to Address
Alzheimer’s Disease. It will run for eight years initially as part of the Center
for Medicare and Medicaid Innovation, which is part of CMS and tests new payment
models.
Aging services providers applauded the new model.
“Nonprofit, mission-driven aging service providers know that caring for an older
adult with dementia is complex — and that family and friends are a critical part
of the care team,” Katie Smith Sloan, president and CEO of LeadingAge, said in a
statement. “Many of our provider members already dedicate time and resources to
educating unpaid caregivers, and need alternative payment models like the one
announced today to support those efforts and help keep people in the setting of
their choice. We appreciate the Biden administration’s attention on how to
ensure that unpaid caregivers as well as those they care for are part of how
older Americans receive the quality care they need wherever they call home.”
The Department of Health and Human Services announced the program during a
meeting of the Advisory Council on Alzheimer’s Research, Care, and Services.
“Our new GUIDE Model has the potential to improve the quality of life for people
with dementia and alleviate the significant strain on our families,” HHS
Secretary Xavier Becerra said in a statement.
The GUIDE Model will let CMS test an alternative payment process for caregivers,
and include a 24/7 support line. People with dementia and those who care for
them will be able to interact with a navigator that can point them in the
direction of services and support — everything from meal delivery programs to
transportation services. It will also give caregivers educational opportunities
to learn more about how to best care with a loved one who has dementia.
Caregivers will be able to bill for respite services up to a certain amount.
To secure GUIDE services, a person must:
* Not live in a nursing home
* Have dementia confirmed by a clinician practicing in a GUIDE DCP
* Be enrolled in Medicare Parts A and B
* Have Medicare as the primary payer
* Not be on Medicare hospice benefits
People who don’t meet guidelines can contact other Medicare providers/suppliers
called partner organizations to get assistance. This fall, CMS will unveil how
people can apply for GUIDE.
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