For healthcare partners
Dementia care and family caregiver support with the GUIDE Model
What is the GUIDE Model?
The Guiding an Improved Dementia Experience (GUIDE) Model is an innovative program funded by Medicare. Launched on July 1, GUIDE is an 8-year payment model is designed to support advanced dementia care management, respite care, and caregiver support. Isaac Health is one of the most scalable solutions selected by the Centers for Medicare and Medicaid Services to offer the GUIDE Model.
Medical services, respite care, and other vital supports at no cost to your organization
Isaac provides the core GUIDE Model elements:
- Detailed assessment and personalized care plan for each GUIDE member
- 24/7 support line access for patients and families
- Respite services to allow caregivers to take breaks
- Comprehensive dementia caregiver support
- Skills training, coaching, and education
- Dementia support groups tailored to caregivers
- Connections to community-based providers
- Care Management
- Support for psychosocial determinants of health
- Seamless care navigation and coordination
- Advanced care planning and care transitions
Plus added services by Isaac Health:
- In-home facilitation of visits
- Screening to identify undiagnosed members with dementia and other brain health conditions
- Specialist behavioral health and cognitive rehabilitation services, including talk therapy and certain forms of complex psychiatric care
Isaac Health’s GUIDE Model delivers key clinical and financial outcomes for health plans, ACOs, and home health
No cost to you
- The cost of the GUIDE program is fully covered by CMS (not Medicaid)
- For ACOs, GUIDE is outside of ACO REACH benchmark for 2024
- Home care agencies can receive payment for respite care
Financially effective
- Achieve a 33% reduction in nursing home need through delay and diversion
- Generate >$9K LTSS savings PMPY1
- Unlock approximately 20% medical cost savings (see report below)
Easy Implementation
- Get fully implemented with Isaac Health’s GUIDE program in less than 2 months, with minimal work on your end
- Leverage Isaac Health’s data-based screening to identify undiagnosed members with dementia
1: CMS analysis of ADC dementia program (https://www.cms.gov/priorities/innovation/data-and-reports/2022/dementia-care-synthesis-1989-2020); Florida 2023 LTC data book, appendix L, exhibit 1B
Proven results
Clinically effective
73%
of patients with improved neurocognitive health over the course of 6 months
Immediate impact
92%
High value
33%
Sustained engagement
70%
Trusted partners
Key contacts
Julius Bruch, MD, PhD
Chief Executive Officer
- Former leader in McKinsey’s healthcare practice with focus on payers and health systems
- 10+ years experience in value-based care and digital health
- Former doctor and dementia researcher
Joel Salinas, MD, MBA, MSc, FAAN
Chief Medical Officer
- National leader in brain health
- Ass. Prof. Behavioral Neurology, NYU Memory Clinic
- Ex Clinical Director MGH Center for Brain Health
Chris Bowers
Senior Advisor
- Former EVP, Markets, for Centene
- Former CEO for Superior Health Plan
Connect with us
Book a time to connect with us to discuss how Isaac Health can support your organization through the CMS GUIDE Model.
