CMS GUIDE Model • Q4 2025 Performance Data
Fewer ER Visits. Fewer Admissions. Better Outcomes.
Florida Elder Care outperforms the national GUIDE cohort on the majority of utilization metrics. Our geriatrician-led team delivers measurably better outcomes for your patients.
WHY REFER TO FLORIDA ELDER CARE
When you refer a patient to Florida Elder Care, you connect them with a top-performing GUIDE Model practice. Our geriatrician-led team delivers measurably lower hospital admissions, fewer ED visits, and more efficient resource utilization than the national average — better outcomes for your patients and stronger quality metrics for your organization.
Source: CMS GUIDE Model Dashboard
Outperforming the National GUIDE Average
All rates shown per 100 beneficiaries, Q4 2025. Lower is better.
Admissions, Obs & ED Visits
139.63
FLEC Program Track
153.42
GUIDE National Avg
9% below national avg
Inpatient Admissions
53.32
FLEC Program Track
57.76
GUIDE National Avg
8% below national avg
Observation Stays
9.24
FLEC Program Track
9.32
GUIDE National Avg
1% below national avg
ED Visits
89.23
FLEC Program Track
99.19
GUIDE National Avg
10% below national avg
Resource Utilization & Post-Acute Care
Efficient, patient-centered use of diagnostics and post-acute services.
Lab & Testing per Beneficiary
11.33
FLEC Program Track
11.14
GUIDE National Avg
At parity
Imaging per Beneficiary
1.36
FLEC Program Track
1.40
GUIDE National Avg
3% below national avg
Home Health per 100 Benes
194.45
FLEC Program Track
182.86
GUIDE National Avg
Intentional (see below)
IRF per 100 Benes
80.63
FLEC Program Track
83.35
GUIDE National Avg
3% below national avg
Understanding the data: Lower values mean fewer acute events per 100 beneficiaries — patients staying healthier at home. We proactively use Home Health for high-risk patients, but not everyone; our slightly higher rate reflects targeted, intentional home-based care to prevent avoidable admissions. IRF at 80.63 remains below the national GUIDE average of 83.35. All rates are per 100 beneficiaries, Q4 2025.
What This Means for Your Patients & Your Organization
Hospitals & Health Systems
Fewer 30-day readmissions improve your quality scores, reduce CMS penalties, and free up acute-care beds.
Primary Care Providers
Your dementia patients get 24/7 support, a dedicated Care Navigator, and coordinated care that reduces after-hours calls.
SNFs, ALFs & Home Health
We partner, not compete. Our GUIDE model complements your services with specialist geriatric oversight and respite benefits.
Families & Caregivers
Comprehensive support — a 24/7 crisis line, up to $2,625/year in respite benefits, and a personalized care plan for your loved one.
What GUIDE Patients Receive
✓ Geriatrician-led care team with a 24/7 support line
✓ Up to $2,625/year in CMS-funded respite benefits
✓ Medication management and fall prevention
✓ A dedicated Care Navigator for every patient
✓ Comprehensive care plan with ongoing reassessments
✓ Caregiver education, coaching, and support groups
Refer a Patient Today
Accepting referrals statewide — Medicare patients 65+ with a dementia diagnosis
13005 Southern Blvd, Unit 225, Loxahatchee, FL 33470
24/7 GUIDE Support Line available — our Care Navigator will contact you within one business day.
Dr. Manoj Bhattarai, MD • Board-Certified in Geriatrics, Internal Medicine & Nephrology • Serving all of Florida • CMS GUIDE + ACCESS Model (effective July 2026)