CAREGIVER EMPOWERMENT:

A Supplemental Benefit that Improves the Health of Underserved Members who Depend on Family Caregivers

Guaranteed to pay for itself via cost savings

Christine Reiten

Vice president of Medicaid at Blue Cross and Blue Shield of Minnesota.

“Being a caregiver can be a deeply rewarding experience, but one that comes with many emotional challenges and gaps in knowledge. When a caregiver receives the kind of support and education available through Ceresti, they feel less isolated and more confident on how to best meet the changing needs of their loved one.”  

Increase the Self-Efficacy of Family Caregivers

This supplemental benefit increases the self-efficacy of family caregivers to improve the overall health of vulnerable and costly member Members who depend on them for care.

“Mechanism of Action”

We increase the knowledge, skills and confidence of family caregivers in providing care for a loved one (your Members)

 

Benefits for Health Plans and Members

  • Reduce avoidable utilization and healthcare costs
  • Improve health equity
  • Improve STAR measures (HEDIS, CAHPS, medication adherence, fall reduction)
  • Identify SDOH gaps and connect Members to health plan benefits
  • 100%, easy to implement

Benefits for Caregiver
(25% of whom are also Members)

  • Reduce healthcare costs
  • Improve mental health

Virtual Care Enabled by Family Caregivers

Caregivers receive a dedicated elder-friendly tablet, or download an app, that enables access to a program of personalized education, evidence-based support, remote risk assessments and proactive coaching. 

Improve caregiver effectiveness via education and coaching

Caregivers engage in personalized education to learn how to:

  • manage their loved one’s chronic conditions
  • address psychosocial needs
  • increase family support and connectedness
  • identify community-based organizations. 
Tablet-1

Mobile platform enables caregiver engagement in education, support, risk assessments and digital therapies

Coach-2

Experienced coaches proactively engage, monitor and support caregivers

Video-3

Evidence-based medical and psychosocial content (e.g., videos, tutorials) is curated to support caregivers

Reduce Member Hospitalizations via Remote Monitoring

We train and support family caregivers to detect the signs and symptoms of emerging health issues in the Member, and engage them in remote risk assessments (informed by predictive analytics) to monitor the Member’s health. 

Ceresti coaches manage or refer actionable alerts to prevent the need for an emergency department visit or a hospitalization.

Leave Enrollment to Us

Health plans don’t always know who the family caregivers are for their Members.

Ceresti can take the lead in 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.

Our Program is Guaranteed to Pay for Itself

We are so confident that more empowered family caregivers will improve cost and quality outcomes for Members, that we are prepared to guarantee that our Digital Caregiver Empowerment Program will pay for itself via healthcare cost savings. We will use claims data to track and demonstrate cost savings versus an appropriately matched comparison group in accordance with a mutually agreed analysis methodology.

Easy to File

Filing the Ceresti Digital Caregiver Empowerment Program as a supplemental benefit in your annual CMS bid is straightforward. Our team can provide you with guidance and support as needed.