Administration announces Medicare trial payment program for dementia care

Reuters (7/31, Satija) reports that the administration “said on Monday it would trial a new payment program for people who provide dementia care coordination services for patients covered by the Medicare health plan.” This “program includes services such as personalized assessments, care plans for patients as well as 24/7 access to a support line.” The new “pilot program will test a per-patient per-month amount payment model for people who provide support services to patients with dementia.”

The Hill (7/31, Choi) reports, “In the GUIDE care model, participating providers will establish dementia care programs through which they will assign people with dementia and their caregivers to ‘care navigators’ who will help them in accessing services and support. Unpaid caregivers would also be connected with training programs and education on best practices.” According to the plan, “Medicare Part B-enrolled providers who are able to bill for Medicare Physician Fee Schedule services and agree to the requirements of the GUIDE model are eligible to apply.”

Modern Healthcare (7/31, Tepper, Subscription Publication) reports that the eight-year program “seeks to keep Medicare enrollees outside of long-term care facilities by extending a package of local care coordination and management and caregiver education and support services.”

Related Links:

— “US announces trial payment program for care providers of dementia patients,”Bhanvi Satija, Reuters, July 31, 2023

Posted in In The News.