Delaware Hospice chosen to test Medicare dementia care model
Delaware Hospice announced its selection to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers.
Under the Centers for Medicare & Medicaid Services’ Guiding an Improved Dementia Experience model, Delaware Hospice will be one of almost 400 participants building dementia care programs across the country, working to increase care coordination and improve access to services and supports, including respite care, for people living with dementia and their caregivers.
“CMS is excited to partner with Delaware Hospice under the GUIDE model,” said Chiquita Brooks-LaSure, CMS administrator. “GUIDE is a new approach to how Medicare will pay for the care of people living with dementia. The GUIDE participants are envisioning new ways to support not only people living with dementia but also to reduce strain on the people who care for them, so that more Americans can remain in their homes and communities, rather than in institutions.”
The GUIDE model launched July 1, and it will test a new payment approach for key supportive services furnished to people living with dementia, including comprehensive, person-centered assessments and care plans; care coordination; 24/7 access to an interdisciplinary care team member or helpline; and certain respite services to support caregivers. People with dementia and their caregivers will have the assistance and support of a care navigator to help them access clinical and non-clinical services such as meals and transportation through community-based organizations.
"As a participant in the CMS GUIDE model, Delaware Hospice is honored to be at the forefront of enhancing dementia care nationwide,” said Deb Haugh, Delaware Hospice vice president of strategic initiatives. “This opportunity allows us to expand our commitment to supporting individuals with dementia and their caregivers through a comprehensive, holistic approach. As we continue to serve Delaware and southern Pennsylvania, we aim to improve care coordination, provide essential services like respite care, and empower families with the tools and support they need to live life to the fullest.”
Delaware Hospice’s participation in the GUIDE model will help people living with dementia and their caregivers have access to education and support, such as training programs on best practices for caring for a loved one living with dementia. The GUIDE model also provides respite services for certain people, enabling caregivers to take temporary breaks from their caregiving responsibilities. Respite is being tested under the GUIDE model to assess its effect on helping caregivers continue to care for their loved ones at home, preventing or delaying the need for facility care.
Delaware Hospice offers respite stays at the Delaware Hospice Center in Milford and Delaware Hospice at Saint Francis Hospital in Wilmington. Short respite stays such as a weekend break allow the caregiver time to recharge mentally, physically and spiritually, knowing their loved one is in the 24-hour care of expert staff.
GUIDE participants represent a wide range of healthcare providers, including large academic medical centers, small group practices, community-based organizations, health systems, hospice agencies and other practices.
This model delivers on a promise in the Biden administration’s Executive Order on Increasing Access to High-Quality Care and Supporting Caregivers, and aligns with the National Plan to Address Alzheimer’s Disease.
For more information, go to cms.gov/priorities/innovation/innovation-models/guide and delawarehospice.org.