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Recommendations to Improve Payment Policies for Comprehensive Dementia Care
Author(s) -
Lees Haggerty Kristin,
EpsteinLubow Gary,
Spragens Lynn H.,
Stoeckle Rebecca J.,
Evertson Leslie C.,
Jennings Lee A.,
Reuben David B.
Publication year - 2020
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.16807
Subject(s) - reimbursement , medicine , dementia , payment , health care , nursing , actuarial science , business , finance , disease , economic growth , pathology , economics
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.