A telecare program that improves outcomes for patients with dementia and lightens the load for unpaid caregivers also has the surprising bonus of cutting Medicare costs, according to new research.
A UCSF telecare program that improves outcomes for patients with dementia and lightens the load for unpaid caregivers also has the surprising bonus of cutting Medicare costs, according to UC San Francisco research.on Sept. 18, 2023, researchers, led by UCSF, compared the Medicare costs of 780 patients with dementia. The patients were randomized 2:1 to receive Care Ecosystem support -- which included medical and practical assistance -- or their usual care for a 12-month period.
Starting July 2024, the UCSF telecare program, together with similar initiatives, will be available to patients with dementia living at home or in an assisted living facility, who are covered by Medicare fee-for-service or have dual Medicare and Medicaid eligibility.The Care Ecosystem was implemented by UCSF in 2014 and has since been replicated by more than 25 organizations, including health systems, specialty practices and community-based groups.
GUIDE has the potential to transform the lives of a significant percentage of the 6 million Americans living with dementia as well as the 11 million family members and friends who provide unpaid care, said senior author Katherine Possin, PhD, of the UCSF Department of Neurology, and co-founder of the Care Ecosystem.
"Patients who visited the ER more frequently were also more likely to benefit from working with a navigator," she added.
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