Recommendations to Improve Payment Policies for Comprehensive Dementia Care

J Am Geriatr Soc. 2020 Nov;68(11):2478-2485. doi: 10.1111/jgs.16807. Epub 2020 Sep 25.

Abstract

Access to comprehensive dementia care is limited. Recent changes in billing for professional services, including new physician fee schedule codes, encourage clinicians to provide new services; however, current reimbursement does not cover costs for all needed elements of dementia care. The Payment Model for Comprehensive Dementia Care Conference convened more than 50 national experts from diverse perspectives to review promising strategies for payment reform including ways to accelerate their adoption. Recommendations for reform included payments for services to family caregivers; new research to determine success metrics; education for consumers, providers, and policymakers; and advancing a population health model approach to tier coverage based on risk and need within a health system.

Keywords: care management; caregiving; dementia; payment reform.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Caregivers / economics
  • Comprehensive Health Care / economics*
  • Congresses as Topic
  • Delivery of Health Care, Integrated / economics
  • Delivery of Health Care, Integrated / trends
  • Dementia / economics
  • Dementia / therapy*
  • Fee Schedules
  • Health Care Reform / economics
  • Health Care Reform / organization & administration
  • Humans
  • Medicaid
  • Medicare
  • Reimbursement Mechanisms / economics
  • Reimbursement Mechanisms / organization & administration
  • United States