Embrace Improved Dementia Care for Your Patients Through Medicare’s GUIDE Model

Your dementia patients and their caregivers get improved care for this devastating condition with care navigation services delivered under GUIDE, a limited access 8-year pilot program sponsored by the Center for Medicare and Medicaid Innovation.
  • Improves quality of life and reduces burdens for patients and caregivers
  • There is no cost to the patient and $2500 of respite care may be covered annually
  • Physicians get additional resources to provide high quality care for their dementia patients to keep them out of the hospital and nursing home

Recommend Patients

Recommend Your Patients to one of our Dementia Care and Prevention Centers

Medical Directors

Become a Virtual Medical Director

Recommend Your Patients to Your Nearest Dementia Care and Prevention Center

Dementia is a difficult disease to manage, whether you are a patient or a caregiver. This is why Medicare has started the GUIDE program with no copays to help dementia patients and their caregivers. In addition, in recognition of the value caregivers provide in patient care, Medicare will cover $2500 of respite care annually to support qualifying  caregivers.

Patient Benefits:

  • Patients receive latest evidence-based dementia care to improve quality of life
  • Nurse practitioners help patients take action to address what matters most
  • Interdisciplinary care team includes geriatric pharmacist and social worker to address patients’ unique needs
  • Caregivers are included in care team and receive dementia care education to best help the patient maintain independence for as long as possible

Physician Benefits:

  • Additional resources to help your patients implement your care plans
  • Dedicated nurse practitioners help your patients take action
  • Continue to work as you prefer – no apps or portals required

Learn More about the GUIDE Program

Join us as a Part-Time Medical Director in a New Dementia Care and Prevention Center

Medical Directors oversee the GUIDE care within the Dementia Center. This is a compensated position that for a center with 400 patients will typically require one day’s work distributed throughout the month and completed at times that are convenient for the physician.

Augment Your Practice and Increase Your Revenue by Providing Innovative Longitudinal Dementia Care in your community:

  • Working as a part-time Medical Director with Embrace allows you to develop a complimentary dementia care service line to generate new revenues without investment.
  • Provide a unique dementia care service for your patients and others in the community who will be drawn in through the referral network we create for you.
  • Introduce patients to the latest evidence-based approaches being used to try to slow the advance of the dementia.

The part-time Medical Director of a Dementia Care and Prevention Center (DCPC) treating older adults or dementia specifically as a Primary Care Physician with a large senior population or as a specialist: Geriatricians, Geriatric Psychiatrists, Neurologists, Behavioral Neurologists, or Neuropsychiatrists. We will create a turn-key virtual Dementia Care and Prevention Center within your practice.

Guiding an Improved Dementia Experience (GUIDE) Model Details:

The GUIDE Model is a limited access 8-year pilot program sponsored by the Center for Medicare and Medicaid Innovation. Embrace and our Partner Practice have been selected into this program and would like to bring this innovative new program to your patients and others in your community.

Goals of GUIDE

  • Improve quality of life for people living with dementia
  • Reduce burden on unpaid caregivers
  • Lengthened time in home and reduced time in SNFs

GUIDE Care Delivery Services Include

Individualized Care Plans

Comprehensive assessments result in individualized care plans

Frequent Monitoring and Support

Ongoing monitoring and support help patients act on care plans

Medication Management and Reconciliation

Ensures the right medications are taken at the right times.

Coordination of Care

Keeps entire care team including family caregivers on the same page

All GUIDE services are provided with no cost or copayments for qualifying Medicare beneficiaries. 

Eligibility for participation in GUIDE is limited to beneficiaries with diagnosed dementia and who have Traditional Medicare as their primary insurance. At this time, GUIDE is not available for patients with Medicare Advantage, those residing in a skilled nursing facility, or patients enrolled in PACE or hospice programs.

Dementia Care and Prevention Centers

Our Virtual Dementia Care and Prevention Centers are community based and provide GUIDE services to patients in the area

Goals of the Dementia Care and Prevention Center

  • Serve as dementia care Centers of Excellence
  • Resource to advocate for early diagnosis and prevention treatments, evidence-based approaches to slow the advance of the disease including wellness medicine, drugs and other proven methods that may be developed.
  • Staffed with local nurse practitioners & social workers to help patients act on their care plans and find community-based resources to address non-clinical issues
  • The Center works to build relationships with all the people in the community who serve people living with dementia
  • The Center actively works to bring GUIDE services to underserved populations