Rippl Reports 30% Reduction in Emergency Department Visits for Seniors Living with Dementia

Innovative value-based dementia care provider demonstrates its intervention effectively reduces emergency room visits, keeping patients at home and significantly lowering the total cost of care, for this complex and high-cost patient demographic.

Rippl, a company focused on transforming dementia care, announced early findings from its participation in Medicare’s GUIDE program showing a 30% reduction in emergency department (ED) visits among program participants.

The analysis compared the six months prior to enrollment with the six months following enrollment in Rippl’s dementia care services. Results suggest that timely, expert-led dementia care can significantly reduce avoidable emergency department use.

“Since we started Rippl in 2021, our goal has been to help seniors stay healthier at home and out of the emergency room and hospital,” said Kris Engskov, Founder and CEO of Rippl. “This data shows that when dementia care is built around accessibility, clinical expertise, and family support, we can change outcomes — and quality of life — in a meaningful way.”

Emergency department visits are a frequent and often avoidable occurrence for individuals living with dementia. National studies show that seniors with dementia visit the ER 2.5 times more often than those without the disease. More than 75% of those visits result in a hospital admission, and over 60% begin with an ambulance ride. These events are often triggered by preventable behavioral, medical, or caregiver-related escalations that could be addressed earlier in the care journey.

“These are exciting, positive early results,” said Dr. Jamie Sharp, Chief Medical Officer at Rippl. “By proactively managing the behavioral and medical complexities of dementia, and supporting caregivers in real time, we are seeing fewer moments that escalate to emergency care. It’s the kind of impact we hoped to see — and one we’re committed to building on.”

In addition to the reduction in ED visits, Rippl reported strong early signals of satisfaction among those receiving care. Customer satisfaction (CSAT) is currently 94 percent, with the overwhelming majority of patients and caregivers rating their experience as “excellent” or “good.” Rippl’s Net Promoter Score (NPS) stands at 96, reflecting strong trust and willingness to recommend the service. This score significantly exceeds industry norms for telehealth and virtual care, where average NPS ranges between 40 and 60, signaling that Rippl isn’t just delivering effective care — it’s delivering an experience that patients and caregivers actively advocate.

Rippl is one of the first organizations participating in GUIDE (Guiding an Improved Dementia Experience), a national, eight-year initiative led by the Centers for Medicare & Medicaid Services to improve care for people living with dementia and support their unpaid caregivers.

For more information about Rippl and its initiatives, please visit www.ripplcare.com.

About Rippl Care Rippl is redefining dementia care for older adults and their families. Built to meet the complex needs of people living with Alzheimer’s and other dementias, Rippl delivers 24/7 access to expert, relationship and clinically-based care from a dedicated team of specialists. The company partners with value-based care entities in risk-based contracts, improving outcomes for patients and caregivers alike. Rippl is backed by ARCH Venture Partners and General Catalyst. Learn more at www.ripplcare.com.

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“By proactively managing the behavioral and medical complexities of dementia, and supporting caregivers in real time, we are seeing fewer moments that escalate to emergency care. It’s the kind of impact we hoped to see..."