Malaz Boustani is the Richard M. Fairbanks Professor of Aging Research at Indiana University School of Medicine; director of the Center for Health Innovation and Implementation Science at both the Indiana Clinical and Translational Sciences Institute and the Regenstrief Institute Inc.; and the chief innovation and implementation officer at the Sandra Eskenazi Center for Brain Care Innovation (within Eskenazi Health), all in Indianapolis.
Catherine A. Alder is manager of business and research operations at the Sandra Eskenazi Center for Brain Care Innovation, in Indianapolis.
Health Aff (Millwood). 2019 Jan;38(1):54-59. doi: 10.1377/hlthaff.2018.05154.
The current US system of reimbursement for dementia care does not support the complex biospychosocial needs of families living with Alzheimer disease and related dementias. We propose an alternative payment system for dementia care that would provide insurance coverage for evidence-based, collaborative dementia care models. This payment model involves a per member per month payment for care management services that would target community-dwelling beneficiaries living with dementia and evidence-based education and support programs for unpaid caregivers. This payment model has the potential to align the incentives of payers and providers and create market demand for the implementation of collaborative dementia care models across the nation.
当前美国痴呆症护理的报销体系无法满足阿尔茨海默病和相关痴呆患者家庭的复杂生物心理社会需求。我们提议为痴呆症护理提供一种替代支付体系，以保险的形式为循证合作型痴呆症护理模式提供保障。该支付模式包括痴呆症患者管理服务的月会员费，这些服务将针对社区居住的患者及其无偿护理人员提供循证教育和支持项目。该支付模式有潜力调整支付方和服务提供方的激励机制，并在全国范围内创造对合作型痴呆症护理模式实施的市场需求。
