In the news
See what we’ve been up to at Ceresti
Article
What the Data Says: Dementia Costs and A Proven Strategy to Manage Them
Rates are decelerating, margins are compressing, and a single-digit slice of your panel drives an outsized share of total cost. The numbers behind dementia spend for the executives who own Medicare Advantage, ACO, and Medicare Supplement P&L. The most expensive part of dementia is not the diagnosis. It is the avoidable acute event that cognitive impairment allowed to escalate.
Article
Why Dementia Is Value-Based Care’s Most Addressable Opportunity
Dementia raises total cost of care by complicating every other condition. A caregiver-centered dementia strategy for Medicare Advantage, Medicare Supplement, and ACO leaders.
Every risk-bearing organization in America is already paying for dementia. Most just have not built a strategy to manage the risk around it yet.
Press Release
Griswold and Ceresti Health Partner to Expand Dementia Caregiver Support Nationwide
Griswold is partnering with Ceresti Health to expand dementia caregiver support for families across the country. Through the partnership, Ceresti's GUIDE-aligned dementia care program will connect eligible families with Griswold's nationwide network of caregivers for in-home respite and support services. Together, the organizations aim to reduce caregiver strain, improve care coordination, and help people living with dementia remain safer at home. Ceresti Health is a nationwide GUIDE Participant.
Press Release
PacificSource and Ceresti Health Demonstrate Significant Cost Savings in Medicare Advantage Members Living with Dementia
New claims-based results from PacificSource and Ceresti Health show that Ceresti's dementia management program, delivered through Ceresti's participation in the CMS GUIDE Model, achieved a 42% reduction in medical costs and statistically significant savings of $523 per member per month for Medicare Advantage members living with dementia. The findings demonstrate that activating family caregivers as an extension of the care team can meaningfully reduce avoidable hospitalizations and ER visits in a Medicare Advantage environment under growing cost pressure.
Article
Maintaining Medicare Supplement Growth & Profitability: Leveraging CMMI Models
The next era of Medicare Supplement profitability will not be driven by pricing sophistication alone. It will be driven by strategic alignment with federally funded care transformation models.
Article
The Rate Shock is Real. Dementia Care is the Margin Lever Plans Can No Longer Ignore.
The “good old days” of easy Medicare Advantage top-line growth are officially over. With a nearly flat 0.09% revenue increase proposed for 2027, all major insurers, UnitedHealth Group Humana, and CVS Aetna (to name a few) saw their stocks plummet 15 - 20%, last Tuesday, signaling that Wall Street understands what plan executives now face: a future where margins must be earned through medical cost management.
Press Release
Ceresti Health Joins Florida Association of ACOs to Enhance Dementia Care
Ceresti Health announced its partnership with the Florida Association of ACOs (FLAACOs) to deploy its proven dementia care program to family caregivers throughout Florida. As part of this partnership, Ceresti invites you to join them and other FLAACOs partners at the annual conference in Orlando from November 20-22.
Press Release
Ceresti Health Selected by Centers for Medicare & Medicaid Services to Test Medicare Dementia Care Model
The Centers for Medicare & Medicaid Services (CMS) selected Ceresti to participate in a new Medicare alternative payment model designed to support people living with dementia and their caregivers, the Guiding an Improved Dementia Experience (GUIDE) Model.
Article
Optimizing Dementia Care for Medicare Populations: A Critical Strategy for ACOs
By John Mach, M.D.
Traditional complex care programs have largely failed to effectively manage dementia patients, who rarely get enrolled or are not appropriately supported once they are part of such programs. As a result, there is a growing recognition that dementia-specific care models are needed to better serve this population and reduce unnecessary hospitalizations.