What is the GUIDE model?
The Guiding an Improved Dementia Experience (GUIDE) model is a Medicare program that pays healthcare providers for delivering key support services to people with dementia and their unpaid caregivers. The goal is to:
Improve quality of life for people living with dementia
Address behavioral and functional needs, coordinate care, & improve transitions between care settings.
Reduce burden and strain on unpaid caregivers
Provide caregiver training, referrals to community services, 24/7 support line, and respite services.
Prevent or delay long-term nursing home care:
Support caregivers to help people
with dementia remain safely at home.
Who can participate in GUIDE?
All Medicare Part-B enrolled health care providers with the capabilities and expertise to provide ongoing, longitudinal care and support to people living with dementia. Participants include health systems, academic medical centers, physician group practices, community-based organizations, hospice and home health agencies, telehealth organizations, and other practices.
GUIDE Participants may also partner with “Partner Organizations” (Medicare-enrolled or non-Medicare enrolled entities) to help them provide the care delivery requirements required under GUIDE.
SimpleC is a true partner who can help your program meet all GUIDE care delivery requirements
SimpleC also helps your program maximize
performance-based payments ($)
GUIDE Participants can increase monthly payments per beneficiary (DCMP) by up to +10% for good performance on Performance-Based Adjustment (PBA) metrics, or lose as much as -3.5% for poor performance. Use of our platform drives improved performance on these metrics, which can be significant to your program’s bottom line.
For perspective, the payment difference between a -3.5% and +10% PBA
on a population of just 200 beneficiaries is $125K.
On 2,000 beneficiaries is $1.25M!
How does SimpleC help you outperform on your PBA metrics compared to other GUIDE Participants?
1. High-Risk Medications:
Use of our platform has been shown to reduce the need for high-risk medications, including psychotropic medications, and their inherent risks. Lower your providers’ need to order high-risk medication(s) and manage your regulatory compliance and legal risks.
2. Beneficiary Quality of Life:
Improving the quality of life for users is one our platform’s biggest benefits, including increased social connection and engagement, greater goal attainment, improved food and water intake, improved mood, and much more.
3. Caregiver Support:
Our platform is clinically proven to decrease caregiver stress and improve caregiver job performance, in addition to reducing costs incurred by caregivers. Caregivers love our platform as it significantly reduces their daily burden.
4. Total Per Capita Cost:
Use of our platform is clinically proven to decrease negative health outcomes, meaning fewer falls, ER visits, and hospital admissions. Our platform will help you to significantly lower your overall healthcare utilization.
5. Long-Term Nursing Home Stay Rate:
Our platform helps patients age safely in their homes (rather than in a LTC facility), where they generally want to stay, can better afford, and often have better outcomes.
10 Step Program to Guide
See for yourself how SimpleC can support you.
Phone:
1-866-276-3546
Email:
info@simplec.com