● Dementia Care Specialists ●
Executive leadership for dementia care specialists
Dementia care is one of the fastest-changing corners of medicine: rising demand, complex caregiver-involved visits, and new payment models that reward practices built to coordinate care. Guidestone brings the business leadership that lets clinicians focus on patients while the program runs like a business.
Sound Familiar?
Exceptional clinical care. Punishing economics.
Visits that outrun their reimbursement
Cognitive evaluations and caregiver-involved visits take time fee-for-service was never built to pay for — without deliberate visit-mix and billing strategy, the better you care, the worse you do.
Care coordination without infrastructure
Dementia care lives on navigation, caregiver support, and between-visit work. Most practices run it on heroics instead of staffed, costed, repeatable operations.
New payment models, new operational demands
Programs like CMS’s GUIDE Model finally pay for comprehensive dementia care — but they arrive with alignment rules, tiered payments, vendor requirements, and reporting obligations that demand real management.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your dementia care practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we do for dementia care practices
Business and operations leadership for memory care clinics, cognitive neurology practices, and geriatric specialists — including full support for CMS GUIDE Model participation.
■ GUIDE Model participation
CMS’s Guiding an Improved Dementia Experience (GUIDE) Model pays monthly per-beneficiary care management fees for comprehensive dementia care. We help participants find and partner with specialized care management companies that handle the heavy lifting — beneficiary alignment, care navigation, billing, and CMS reporting — so your clinicians stay focused on patients.
■ Care management provider selection
For GUIDE participants who’d rather partner than build: we help you evaluate, select, and contract with a care management provider — vendor comparison, economics, and an arrangement that protects your practice’s margin and your patients’ experience.
■ Program economics & payment modeling
Per-beneficiary revenue modeling across payment tiers, cost-per-beneficiary tracking, and a program P&L that shows whether your dementia program is carrying its weight — and where it leaks.
■ Care team & navigator operations
Caseload standards, hiring and ramp plans, escalation protocols, and productivity visibility for care navigators and the interdisciplinary team.
■ Caregiver & respite infrastructure
Caregiver education programming, respite vendor networks, and utilization tracking against program caps — built as repeatable operations, not add-on favors.
■ Growth & referral development
Scaling patient panels responsibly and building referral relationships with primary care, neurology, and health systems that need somewhere to send these patients.
“A dementia care program is a small care-management company inside your practice. We help you run it like one — or find the right partner to run it with you.”
Questions
Frequently asked questions
What is the CMS GUIDE Model?
Can you help us find a care management provider for GUIDE?
How do dementia care practices stay profitable?
We're launching a dementia care program - can you help us stand it up?
The Dementia Care briefing series
Five sourced, data-driven reports on running a dementia care program — including CMS GUIDE Model participation.
How GUIDE beneficiary alignment works, what drives tier assignment, and the specific billing mechanics.
Build or partner for GUIDE care management: how to evaluate vendors, model the economics of each arrangement.
What GUIDE Model participants actually struggle with: staffing with no CMS ratio, front-loaded payments, reporting burden, and the six years still to run.
How to model GUIDE Model per-beneficiary revenue by tier, build a dementia program P and L, and identify the patient census where your program breaks even.
The five GUIDE quality metrics, how the performance-based payment adjustment is calculated, and what the reporting burden actually looks like for.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation