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Medicare generally doesn’t offer much to assist the 6.9 million Americans over age 65 with dementia or their 11.5 million unpaid family caregivers.But a new pilot program called the GUIDE Model ...
A method of managing the provision of health care to members with high-cost medical conditions. The goal is to coordinate the care so as to both improve continuity and quality of care and lower costs. Specific types of case management programs include catastrophic or large claim management programs, maternity case management programs, and ...
The Guided Care model was first tested in a pilot study in the Baltimore-Washington D.C. area during 2003–2004. Patients who received Guided Care rated their quality of care significantly more highly than patients who received usual care, [3] and the average insurance costs for Guided Care patients were 23 percent lower over a six-month period.
A case manager responsible for the coordination of different components of care; A structured care management plan, shared with the patient; Systematic patient management based on protocols and the tracking of outcomes; Delivery of care by a multidisciplinary team which includes a psychiatrist; Collaboration between primary and secondary care. [7]
Patients are less likely to request extensive acute care, nursing facility care, or in-patient services. [9] [11] Under this method, PACE serves as a cost-saving elderly care program that emphasizes on preventative, up-stream care. Notably, PACE programs saved California State $22.6 million in health care cost for elderly. [12]
Medicare managed care plans are also known as Medicare Advantage or Part C plans. They are alternative plans to Original Medicare, which includes parts A and B. Medicare-approved private insurance ...
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