Pallitus Health testing new model of supporting those with dementia and their caregivers

Louisville-based Pallitus Health Partners has been selected by the Centers for Medicare & Medicaid Services (CMS) to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers.

Under CMS’ new “Guiding an Improved Dementia Experience” (GUIDE) model, Pallitus is one of almost 400 participants building Dementia Care Programs (DCPs) 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.

“GUIDE is a new approach to how Medicare will pay for the care of people living with dementia,” explained CMS Administrator Chiquita Brooks-LaSure.  “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.”

Launched on July 1, 2024, the GUIDE Model will test a new payment approach for key supportive services provided 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 nonclinical services such as meals and transportation through community-based organizations.

Pallitus Health Partners’ 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.