An Alternative Payment Model To Support Widespread Use Of Collaborative Dementia Care Models

被引:46
作者
Boustani, Malaz [1 ,2 ,3 ,4 ]
Alder, Catherine A. [4 ]
Solid, Craig A. [5 ]
Reuben, David [6 ,7 ]
机构
[1] Indiana Univ Sch Med, Aging Res, Indianapolis, IN 46202 USA
[2] Indiana Clin & Translat Sci Inst, Ctr Hlth Innovat & Implementat Sci, Indianapolis, IN USA
[3] Regenstrief Inst Inc, Ctr Hlth Innovat & Implementat Sci, Indianapolis, IN USA
[4] Sandra Eskenazi Ctr Brain Care Innovat, Eskenazi Hlth, Indianapolis, IN USA
[5] Solid Res Grp LLC, St Paul, MN 55104 USA
[6] Univ Calif Los Angeles, David Geffen Sch Med, Multicampus Program Geriatr Med & Gerontol, Los Angeles, CA 90095 USA
[7] Univ Calif Los Angeles, David Geffen Sch Med, Med Geriatr, Los Angeles, CA 90095 USA
关键词
OLDER-ADULTS; CAREGIVERS; QUALITY; DISEASE; INTERVENTION; COORDINATION; PREVALENCE; MANAGEMENT;
D O I
10.1377/hlthaff.2018.05154
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The current US system of reimbursement for dementia care does not support the complex biospychosocial needs of families living with Alzheimer disease and related dementias. We propose an alternative payment system for dementia care that would provide insurance coverage for evidence-based, collaborative dementia care models. This payment model involves a per member per month payment for care management services that would target community-dwelling beneficiaries living with dementia and evidence-based education and support programs for unpaid caregivers. This payment model has the potential to align the incentives of payers and providers and create market demand for the implementation of collaborative dementia care models across the nation.
引用
收藏
页码:54 / 59
页数:6
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