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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
Interim HealthCare Partners with Ceresti Health to Expand Dementia Care Nationwide
Interim HealthCare is partnering with Ceresti to expand specialized support for people living with dementia and their family caregivers. Designed to meet families where they are, this partnership recognizes that dementia care often happens outside of a hospital setting. And the partnership leverages the CMS GUIDE (Guiding an Improved Dementia Experience) Model, which calls for increased education and support for family caregivers. Ceresti Health is a nationwide GUIDE Participant.
Press Release
Kootenai Accountable Care Partners with Ceresti Health on Dementia Care
On the heels of an announcement by CMS that millions of people now have access to dementia caregiver education, training and support, Kootenai Accountable Care (KAC) and Ceresti Health are partnering to improve patient care, support physicians, and reduce avoidable hospitalizations associated with dementia. The Coeur d’Alene, Idaho, accountable care organization learned about Ceresti through its patients, who came to doctors' appointments gushing about Ceresti's tech-enabled dementia-care program.
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Why Speed Matters in Dementia Care Partnerships
When caregivers ask for help, timing matters. Dementia doesn’t pause, and delayed support increases stress, uncertainty and avoidable crises. Home care agencies, Accountable Care Organizations (ACOs) and other GUIDE participants need scalable, agile models that reach families quickly, regardless of geography or volume. Immediate guidance and coaching build caregiver confidence, improve outcomes and reduce strain on care teams. Because in dementia care, timeliness matters.
GUIDE Is Here.
CMS’s GUIDE Model makes dementia a Medicare priority, forcing ACO leaders to manage accountability and impacts from external care models they don’t control— waiting is not neutral.
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CMS is Prioritizing Dementia Care—Are ACOs Ready?
ACOs and at-risk providers that embrace GUIDE today will emerge as leaders tomorrow, as CMS accelerates its focus on dementia care. Beyond improving patient outcomes, the right GUIDE partner ensures that ACOs can effectively manage attribution, control medical expenses, and reduce preventable hospitalizations—protecting both their financial performance and their ability to deliver high-quality care.
ACOs should be thinking strategically about how they leverage the benefits of GUIDE on behalf of their dementia patients. While the program promises shared savings through fewer hospitalizations and ED visits, there are risks that a well-prepared partner can help you avoid.
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The Value of the Caregiver – Redefining Metrics in Dementia Care
Traditional metrics in dementia care have focused primarily on patient outcomes and clinical efficiencies. But many dementia patients are unable to self-manage their care, rendering traditional outcome measurements inaccurate. As the role of the unpaid/informal family caregiver, typically a spouse or adult child, becomes increasingly recognized as essential, it’s time to redefine our measurement systems. This article explores the importance of developing caregiver-centric metrics that accurately reflect the full spectrum of care.
Article
Leveraging the Annual Wellness Visit to Detect Dementia in Your Patient Population
By John Mach, MD.
Many value-based practices emphasize the Medicare Annual Wellness Visit (AWV) to their patients. The AWV is a great opportunity to improve screening for dementia but it needs to include a specific, standardized screen. This article discusses why screening is so important and how leveraging technology can improve screening during the AWV.