An estimated 30% of Medicare Advantage Members have cognitive impairment (e.g., dementia, stroke, Parkinson’s, etc.) and likely rely on a family caregiver to help manage their overall health, including any associated chronic conditions. These vulnerable and costly Members struggle with self-management and incur more than 50% of total health plan hospitalizations, 60% of total 30-day readmissions, and 65% of total potentially preventable hospitalization.
Based on our experience, about 50% of these hospitalizations are potentially preventable by more knowledgeable and confident family caregivers.
Our innovative Programs combine technology, content, remote coaching and predictive analytics to empower family caregivers to become more proactive and effective in managing the care of a loved one (Member) with cognitive impairment. Our extensive content library comprises educational videos, articles, synopses, information about community-based organizations we well as digital psychosocial therapies (e.g., reminiscence, music) to engage Members.
Our Programs cover a broad range of topics to increase a caregiver’s self-efficacy, including chronic condition management, managing psychosocial and behavioral challenges, addressing social determinants of health (SDOH), best practices for accessing care, and long-term care planning.
We deploy two HIPAA-compliant family-caregiver-directed digital health Programs to improve cost and quality outcomes for Medicare Advantage (MA) and Duals Members with cognitive impairment (e.g., dementia, stroke, Parkinson’s, etc.).
The primary difference between these Programs is that the Remote Assessment Program leverages predictive analytics and Members’ claims data to drive personalized risk assessments that can anticipate and mitigate the risk of emergency department visits or hospitalizations. The Remote Assessment Program is thus best deployed as a specialized care management program. We can provide training and support to enable any care management team to deploy a co-branded Remote Assessment Program using our technology platform and content. Alternatively, we can deploy this Program independently.
… and Are Accessible via Mobile App, Dedicated Tablet or Web
Authorized family members can download the Ceresti Connect app to access education, upload photos to the primary caregiver’s mobile device, or message the primary caregiver. For caregivers who are not comfortable using modern technology solutions we send a dedicated, senior-friendly, cell-enabled Ceresti tablet (no wifi required) to the caregiver’s home.
Ceresti coaches utilize our internally-developed Family Management software to support and empower multiple caregiver/Member dyads and their family members.
We recognize that health plans don’t always know who the family caregivers are for their Members.
Ceresti can take the lead on driving caregiver/Member enrollment. We use a multi-dimensional approach that includes direct-to-Member outreach, outreach to caregivers, referrals, and, if available, targeting using claims data. We have established proven processes for obtaining Member (or proxy) consent, and gaining acceptance of Program terms and conditions from the family caregiver.