White paper
Should providers steer toward or away from GUIDE?
Analyzing the requirements and financial implications of CMS’s new model for dementia care
29 December 2023
The Centers for Medicare and Medicaid Services recently released a request for application for its new Guiding-an-Improved-Dementia-Experience (GUIDE) model. The aim is to test an alternative payment methodology for the support and treatment of Medicare fee-for-service beneficiaries with dementia. In this paper, we discuss:
- Participant requirements
- How overall experience differs for beneficiaries with and without a dementia diagnosis code
- What revenues, expenses, and savings might look like
- Shared savings and Innovation Center accountable-care-organization models
- Is it worth applying for GUIDE?
- The impact on long-term care insurers and Medicaid
- What about Medicare Advantage?