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The Guiding an Improved Dementia Experience Model

GUIDE Model provides support for dementia patients and their unpaid caregivers, improve outcomes and lower costs.

What is the GUIDE Model?

The Guiding an Improved Dementia Experience (GUIDE) Model is a Centers for Medicare and Medicaid Services (CMS) initiative designed to test whether standardized dementia care programs (DCPs), providing support for dementia patients and their unpaid caregivers, improve patient outcomes and lowers costs.

GUIDE Goals
goals

Improve quality of life for dementia patients

Reduce strain on unpaid caregivers

Enable dementia patients to remain in their homes and communities

GUIDE Comprehensive Package of Care
package

Care coordination

Care management

Caregiver education

Caregiver support

Respite care

GUIDE: Addressing Key Drivers of Poor Dementia Care
key

Standardized approach for dementia care delivery

Alternative payment methodology

Addressing unpaid caregiver needs

Respite services

Screening for health-related social needs (HRSN)

GUIDE: Improving Health Equity
health

Requirement for providers to implement HRSN screenings and referrals

Financial and technical support for development of new dementia care programs targeted to underserved areas

Required annual reporting on progress toward health equity goals

Leveraging model data to identify disparities and target improvement

Health equity adjustment to provide additional resources to care for underserved beneficiaries

bnefits

How It Benefits Community–Based Palliative Care Providers

Community-Based Palliative Care Works Well for GUIDE Goals

Palliative care providers are uniquely positioned to contract with GUIDE program participants. With a focus on relieving symptoms and stress for patients, their loved ones and caregivers, palliative care providers can leverage their knowledge, experience and existing practices to contractually provide some or all GUIDE care for providers selected to participate in the GUIDE Model.

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benefits

Benefits for Palliative Care Providers

Enhance care coordination and delivery

Advance existing capabilities

Expand network

Grow and diversify revenue streams

revenue

Diversify Revenue Streams

Community-based palliative care providers may contract with GUIDE-participating providers to:

Grow their existing community-based palliative care program

Start a new community-based palliative care program

Add a community-based palliative care program as a new service line

Increase Revenue

Funding incentives based on contractual agreement with GUIDE participant

Per-beneficiary, per-month (PBPM) payments based on model-eligible patient needs and time receiving GUIDE care and support

Monthly dementia care management payment (DCMP)

Adjustments for new and established patients

Subject to performance and health equity adjustments that may increase or decrease the payment amount

$2,500 per year for respite services for qualifying dementia patients

Payment adjustments

Health equity adjustment (HEA): Designed to improve access to GUIDE services in historically disadvantaged communities. Potential social risk factors include:

National area deprivation index (ADI)

State ADI

Part D low income status

Dual eligibility for Medicare and Medicaid

Performance-based adjustment (PBA): Increase or decrease monthly DCMP based on the previous performance year.

Care coordination and management

Beneficiary quality of life

Caregiver support

Utilization

partner

GUIDE Palliative Care Partner Strategy

Conduct organizational and community needs assessment

Collaborate with participating providers

Secure contracts with participating providers

Educate and prepare your team

Raise community awareness

Additional Axxess Solutions That Will Help You Thrive

How Is Axxess Solving for It?

Axxess Palliative Care is the solution that GUIDE providers need to ensure that dementia care provided in the home positively impacts patients and their caregivers. Watch our demo to find out more.

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About Axxess Palliative Care

Providing flexibility for evolving care. Custom-built to help you focus on managing your patient’s’ symptoms and health goals.

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Axxess’ self-service platform with tools and resources to help your organization identify and capitalize on growth opportunities, deliver measurable value and accelerate organizational transformation.

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