Leading Fraud Defense and Compliance Attorney | Digital Health, Hospice+Home Health, Physician Services, Pharmacy | Partner at Morgan Lewis
For those of us with parents, grandparents, siblings and friends suffering from #dementia, we know how difficult it is to provide adequate support. This is all the more true when loved ones still want to live at home but are losing the cognitive means to do so. While there is a lot of research going into this important area and new medicines being developed, there are millions of dementia patients and caregivers needing extra support today. The Centers for Medicare & Medicaid Services has introduced a promising new payment/support model called GUIDE - Guiding an Improved Dementia Experience - that aims to keep seniors with dementia in their homes longer by providing more timely interventions and better caregiver support. The model largely relies on collaboration between physicians and community health care workers, such as hospice and home health clinicians, to coordinate care, detect exacerbations earlier, and prevent or mitigate the effects of comorbidities. Though promising, this model is complicated and presents some unique healthcare legal risks to all that participate in the model. For more information on how GUIDE works and some of these risk, check out our linked discussion. Howard Young, Felicia M. Alexander, Roshni Edalur #wearemorganlewis