For payors and risk-bearing health systems
Isaac Health partners with Medicare Advantage plans and risk-bearing health systems to offer population screening, diagnosis, and dementia care management services
Dementia Is Common
1 in 3 Americans develop dementia
Dementia patients will triple by 2050
Access to diagnosis & treatment is restricted
- 90% of physicians not comfortable with diagnosis/treatment
-
61% of dementia is undiagnosed (potentially translating to significant losses in risk adjustment)
Waiting times are 6 – 12 months for memory clinics (set to increase to 50 months with disease modifying treatment)
What Isaac provides: Specialist care from diagnosis to treatment
All care provided virtually in patient’s home – except for imaging
Evidence for clinical effectiveness
Medication
3 months – 3 years
Cognitive therapy
92%
Proportion of participants in cognitive therapy that experienced improvement against their cognitive goals after three sessions.
Isaac Health data
Caregiver support
3 – 12 months
1: JAMA. 2020;323(8):764-785. doi:10.1001/jama.2019.22258
Benefits to MA plans and ACOs
Unique offering
to attract patients and caregivers and set your MA plan apart
Better outcomes
Added value
through increased risk adjustment (see our White Paper), lower cost to diagnosis, lower cost of care due to delay of cognitive decline and care coordination, and Stars revenue
1: JAMA. 2020;323(8):764-785. doi:10.1001/jama.2019.22258
2: Adults in Healthcare – Outpatient 2019 (p. 36), see also AAN guideline published in Neurology. 2018;90:1-10. doi:10.1212/WNL.0000000000004826
Example Pilot design
Start date
Time for review of outcomes
After 6 months
Key outcome metrics are:
- Clinical: Observed vs. expected trajectory of clinical outcomes
- Operational: Change in % with dementia diagnosis, PCP-to-Specialist time
- Financial: Observed vs. expected cost of care trajectory (DiD)
Population
e.g., Whole at-risk population or a subset of counties
Reimbursement for diagnosis or treatment / management
Either: FFS CMS rates
OR: Episode-based rates for diagnosis (incl. imaging and labs where required) and therapy (per active month, covering medical and cognitive therapy) (full rate sheet can be provided)
Interested in connecting with us?
Book a time to connect with us to discuss how Isaac Health can support you
Key contacts
- Former consultant in McKinsey’s healthcare practice with focus on payers and health systems
- Former neurologist
Joel Salinas, MD, MBA, MSc
(Chief Medical Officer)
- Ass. Prof. Behavioral Neurology, NYU Memory Clinic
- Ex Clinical Director Mass. Gen. Center for Brain Health
Sean Zhao, FSA
(Senior Advisor )
- Experienced and credentialed healthcare actuary
- Expert in health plan economics and former McKinsey AP
