Essen to Test New CMS GUIDE Model

BRONX, New York—Essen Health Care has been selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the “Guiding an Improved Dementia Experience” (GUIDE) model, a new Medicare alternative payment model. This model is designed to enhance care coordination and provide support to people living with dementia and their caregivers.

By using the GUIDE Model, Essen Health Care will join nearly 400 participants nationwide in developing dementia care programs (DCPs) that focus on improving access to essential services and support, such as respite care. The GUIDE model seeks to empower caregivers and strengthen those with dementia’s ability to remain in their homes and communities.

“CMS is excited to partner with Essen Health Care under the GUIDE Model,” said Chiquita Brooks-LaSure, CMS administrator. “GUIDE represents a transformative approach to how Medicare supports people living with dementia. The program not only envisions new care pathways for these individuals, but also reduces the strain on caregivers, enabling more Americans to receive the care they need in familiar surroundings rather than institutional settings.”

GUIDE participants represent a range of health care providers, including large academic medical centers, small group practices, community-based organizations, health systems and hospice agencies.

“We have always been committed to providing compassionate and comprehensive care to those who need it most,” said Dr. Sumir Sahgal, founder and chief medical officer at Essen Health Care. “Our participation in the GUIDE model is a natural extension of that commitment, as we strive to improve the quality of life for people living with dementia and their caregivers. By focusing on coordinated care and offering critical support services, we can help families navigate the challenges of dementia, allowing their loved ones to remain in the comfort of their homes and communities. We are honored to partner with CMS in this important endeavor and look forward to making a meaningful impact on the lives of those we serve.”

Launched on July 1, the GUIDE model is a new payment system that offers supportive services for dementia patients, including comprehensive, person-centered assessments, care plans and care coordination. Model participants will have 24/7 access to an interdisciplinary care team member or helpline and receive respite services. The model aims to highlight the role of care navigators, who assist dementia patients and their caregivers in accessing clinical and non-clinical services, such as meal delivery and transportation, through community-based organizations.

“Essen Health Care’s participation in the GUIDE model will provide invaluable resources to those living with dementia and their caregivers,” said Imelda Tavas, chief administrative officer of Essen Health Care. “Through this model, we can offer education, support and respite services that make a significant difference in the daily lives of caregivers and their loved ones.”