The Centers for Medicare and Medicaid Services recently released a request for application for its new Guiding-an-Improved-Dementia-Experience (GUIDE) model. The aim is to test an alternative payment methodology for the support and treatment of Medicare fee-for-service beneficiaries with dementia. In this paper, we discuss: 

• Participant requirements
• How overall experience differs for beneficiaries with and without a dementia diagnosis code
• What revenues, expenses, and savings might look like
• Shared savings and Innovation Center accountable-care-organization models
• Is it worth applying for GUIDE?
• The impact on long-term care insurers and Medicaid
• What about Medicare Advantage?