Alzheimer’s disease, the most common type of dementia, affects an estimated 5.8 million Americans, is the sixth leading cause of death in the U.S., and is a leading cause of disability and poor health for older adults.¹ The emotional and physical burden of dementia is immense, not only for the individuals affected by it directly, but also for their families and caregivers. Furthermore, the cost of care for dementia is high for Medicare, Medicaid, and private payers. Individuals living with dementia have higher emergency department utilization and higher rates of 30-day readmissions than those without dementia.²
Gaps in dementia care contribute to a reduced quality of life for individuals living with dementia and their caregivers.³ Dementia capable care aims to close gaps in care by supporting individuals and their caregivers through the coordination of individualized and integrated medical and psychosocial care.4 The dementia capable care model offers plans and providers an approach to address the complex and highly variable needs of individuals with dementia and their families.
This webinar presents information on ongoing work and achieved outcomes for two states participating in the Financial Alignment Initiative. State agencies, health plans, and community organizations in California and Texas collaborate within the framework of this demonstration to improve care while controlling costs for enrollees with dementia, which account for 25 percent of their participating beneficiaries. Presenters share strategies and tools for the delivery of dementia capable care, as well as tips for leveraging resources within federal, state and local environments to build more responsive systems of care delivery.
By the end of this webinar, participants should be able to:
- Recognize how cognitive impairment and dementia affect the well-being of older adults and family caregivers.
- Identify opportunities to reduce the high health care and societal costs of dementia.
- Describe key features of dementia capable health systems and quality dementia care coordination.
- Identify key approaches for health plan collaboration with patients, family caregivers, and community organizations.
- Christopher M. Callahan, MD, MACP, Cornelius and Yvonne Pettinga Professor, Director, Indiana University Center for Aging Research
- Debra Cherry, Executive Vice President, Alzheimer’s Los Angeles
- Megan Dankmyer, Associate Vice President of Case Management, Molina Healthcare of California
- Katie Scott, MPH, Sr. Director of Dementia and Caregiver Support Services, BakerRipley Senior Services Division
This webinar is intended for a wide range of stakeholders – includes health plan leaders, primary care physicians, nurse practitioners, social workers, caregivers, and organizations that provide services for dually eligible beneficiaries including managed long-term services and supports programs and consumer organizations.
1 Alzheimer’s Association (2019). 2019 Alzheimer’s Facts and Figures. Retrieved from: https://www.alz.org/alzheimers-dementia/facts-figures.
2 LaMantia, M.A., Stump, T.E., Messina, F.C., et al. (2016). Emergency Department Use Among Older Adults with Dementia. Alzheimer Disease and Associated Disorders, 30(1): 35-40.
3 Center to Advance Palliative Care (2019). The Case for Improving Dementia Care. In Implementing Best Practices in Dementia Care. Retrieved from: https://www.capc.org/toolkits/implementing-best-practices-in-dementia-care/.
4 Borson, S., and Chodosh, J. (2014). Developing Dementia-Capable Health Care Systems: A 12-Step Program. Retrieved from https://www.dshs.wa.gov/sites/default/files/ALTSA/stakeholders/documents/AD/Borson%20and%20Chodosh%202014.pdf.