Systems Delivery Innovation for Alzheimer Disease
Nicholas T Bott1, Clifford C Sheckter1, Daniel Yang1
1Clinical Excellence Research Center (NTB, CCS, DY, SP, BB, SP, RMK, TP, AM), Stanford University School of Medicine, Stanford University, Stanford, CA.
Summary
Implementing a comprehensive Alzheimer disease (AD) care model enhances patient experience and caregiver support. This approach significantly reduces healthcare costs within 1-3 years.
Area of Science:
- Gerontology
- Healthcare Management
- Neurodegenerative Diseases
Background:
- Alzheimer disease (AD) presents significant challenges to patients, caregivers, and healthcare systems.
- Current care models often result in fragmented care and escalating costs.
Purpose of the Study:
- To design and evaluate a comprehensive, high-value care model for Alzheimer disease.
- To improve patient outcomes and caregiver experience while reducing healthcare expenditures.
Main Methods:
- Utilized current best evidence, expert opinion, and macroeconomic modeling.
- Developed a model integrating outpatient chronic care management, acute care, and caregiver support.
- Estimated cost savings and quality improvements based on U.S. payer data from 2015.
Main Results:
- Projected net cost savings of $13-$41 billion after accounting for implementation costs.
- Achieved savings through improved coordinated chronic care, acute care, and caregiver support.
- Demonstrated potential for significant cost reductions (over 15%) and enhanced care quality.
Conclusions:
- A high-value care model for Alzheimer disease can improve patient and caregiver experiences.
- This integrated approach offers substantial financial benefits to healthcare systems.
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