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West Health Leveraging PACE Model to Disrupt Senior Care By Robert Holly | January 29, 2020
When it comes to health care delivered in the home, many see hospital-at-home models as the next big, innovative concept to hit a boom period. But investors and other stakeholders interested in home- and community-based care shouldn’t sleep on PACE programs, either.
PACE Programs Are Ready To Grow Exponentially | March, 2019
Ask consumers, caregivers, payers or providers about their vision for the future of long-term services and support and the answers you hear are surprisingly consistent about how to aid those in need of daily self-care... download
Aging Services Prepares for Risk | March, 2019
In managed care systems, controlling your organization’s destiny is easier if you’re prepared to create your own value-based delivery systems that bear financial risk. These providers explain why.
What's your vision for PACE expansion and innovation? | January, 2017
In the final days of the Obama administration,In managed care systems, controlling your organization’s destiny is easier if you’re prepared to create your own value-based delivery systems that bear financial risk. These providers explain why. the Center for Medicare & Medicaid Services provided a parting gift to the PACE community by issuing a Request for Information seeking stakeholder input on the design and implementation of a broad range of PACE pilots. The PACE Innovation Act of 2015 provided CMS with the necessary waiver authority to undertake pilots that would allow organizations to provide PACE-like services to new and expanded populations.
Hospitals & Health Networks: How to Build a Successful Acute/Post-Acute Care Continuum | May, 2016
Alternative payment models for value-based payment, including the comprehensive care for joint replacement bundled payment model, put hospitals and health systems at risk for patient outcomes and the cost of care for a time period well beyond the acute hospital stay. With 42 percent of Medicare patients discharged to a post-acute venue, hospital executives must learn how to establish formalized partnerships with unaffiliated post-acute care providers and to create seamless continuing care models to meet the Triple Aim goals of improving the patient experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of health care.
Catholic Health Association: New Opportunities To Grow PACE | March-April, 2016
In 2016, PACE leaders are looking forward to new opportunities to serve expanded populations with a more flexible model as a result of the 2015 PACE Innovation Act. In addition, PACE leaders also are expecting an updated federal regulation in 2016 that will offer greater flexibility in adapting to the current operational realities to reduce costs and improve outcomes.... download
American Hospital Association: The Role of Post-Acute Care in New Care Delivery Models | December, 2015
The AHA Trend Watch report offers guidance to post-acute providers and their partners as they evaluate new models of care delivery and payment. This report highlights case examples from PAC innovators and their partners as they adapt to the early stages of delivery system reform; it also examines the current and potential future landscape for long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies. The Addendum provides background on each of these care settings, including their clinical scopes of services, current payment methodologies and regulatory changes.
PACE: Innovation Act Creates Opportunities | McKnight's, November, 2015
When President Obama signed the Program of All-Inclusive Care for the Elderly Innovation Act into law on November 6, 2015, PACE received recognition as a high-quality, cost-effective program. Assuming the Centers for Medicare & Medicaid Services moves swiftly to use this broad authority to create PACE pilots, a new world of possibilities is opening for existing PACE providers and other entities... download
PACE: Now is the Time to Scale.pdf | McKnight's, October, 2015
For over three decades, the Program of all-Inclusive Care for the Elderly (PACE) has maintained a stellar reputation as the only fully integrated Medicare and Medicaid program for nursing home eligibles that delivers coordinated care and achieves the Triple Aim. Most recently, at a July event celebrating the 50th anniversary of Medicare, Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt, visited the On Lok Program in San Francisco. He called PACE a "glimpse into our future"... download
ExecutiveInsight: Managed Care for Dual Eligibles.pdf | March 2015
In July 2011, the Center for Medicare and Medicaid Services (CMS) launched a demonstration to give all states the opportunity to test models of care that integrate acute care, behavioral health and long term services and supports (LTSS) for dual eligible populations. Called the federal Financial Alignment Demonstration (FAD), this initiative is a joint effort of the Center for Medicare and Medicaid Innovation (CMMI) and the Medicare-Medicaid Coordination Office... download
PACE: Community-Based Model Still Leads the Way for Dual-Eligibles.pdf | Mar/Apr 2013
A tried-and-true program serves hospitals as a learning laboratory for new kinds of care delivery... download
Dual-Eligibles, Financial Risk Shifts to More Providers.pdf | Nov/Dec 2012
Transformational changes now being processed in the health care delivery system for Medicare and Medicaid dual-eligibles are breathtaking in scope and scale. The growth of the dual-eligible population and upward spiral in costs of care have prompted federal and state policy makers to create programs that improve care coordination while shifting financial risk to providers and managed-care organizations... download
ExecutiveInsight: PACE as an Accountable Care Strategy.pdf | August 2011
The era of accountable care that has swept into existence with passage of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) has focused national attention on the failure of our health care delivery system to meet the complex needs of dual eligible individuals and of persons with multiple chronic conditions who require constant, intense and coordinated care... download
Testimony: House Veterans Affairs Committee, House of Representatives.pdf | January 2004
Congressional testimonial by Jade Gong to the Department of Veterans Affairs on policies affecting millions of veterans who will need long-term care in the next ten years...download
When it comes to health care delivered in the home, many see hospital-at-home models as the next big, innovative concept to hit a boom period. But investors and other stakeholders interested in home- and community-based care shouldn’t sleep on PACE programs, either.
PACE Programs Are Ready To Grow Exponentially | March, 2019
Ask consumers, caregivers, payers or providers about their vision for the future of long-term services and support and the answers you hear are surprisingly consistent about how to aid those in need of daily self-care... download
Aging Services Prepares for Risk | March, 2019
In managed care systems, controlling your organization’s destiny is easier if you’re prepared to create your own value-based delivery systems that bear financial risk. These providers explain why.
What's your vision for PACE expansion and innovation? | January, 2017
In the final days of the Obama administration,In managed care systems, controlling your organization’s destiny is easier if you’re prepared to create your own value-based delivery systems that bear financial risk. These providers explain why. the Center for Medicare & Medicaid Services provided a parting gift to the PACE community by issuing a Request for Information seeking stakeholder input on the design and implementation of a broad range of PACE pilots. The PACE Innovation Act of 2015 provided CMS with the necessary waiver authority to undertake pilots that would allow organizations to provide PACE-like services to new and expanded populations.
Hospitals & Health Networks: How to Build a Successful Acute/Post-Acute Care Continuum | May, 2016
Alternative payment models for value-based payment, including the comprehensive care for joint replacement bundled payment model, put hospitals and health systems at risk for patient outcomes and the cost of care for a time period well beyond the acute hospital stay. With 42 percent of Medicare patients discharged to a post-acute venue, hospital executives must learn how to establish formalized partnerships with unaffiliated post-acute care providers and to create seamless continuing care models to meet the Triple Aim goals of improving the patient experience of care (including quality and satisfaction), improving the health of populations and reducing the per capita cost of health care.
Catholic Health Association: New Opportunities To Grow PACE | March-April, 2016
In 2016, PACE leaders are looking forward to new opportunities to serve expanded populations with a more flexible model as a result of the 2015 PACE Innovation Act. In addition, PACE leaders also are expecting an updated federal regulation in 2016 that will offer greater flexibility in adapting to the current operational realities to reduce costs and improve outcomes.... download
American Hospital Association: The Role of Post-Acute Care in New Care Delivery Models | December, 2015
The AHA Trend Watch report offers guidance to post-acute providers and their partners as they evaluate new models of care delivery and payment. This report highlights case examples from PAC innovators and their partners as they adapt to the early stages of delivery system reform; it also examines the current and potential future landscape for long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies. The Addendum provides background on each of these care settings, including their clinical scopes of services, current payment methodologies and regulatory changes.
- Report: The Role of Post-Acute Care in New Care Delivery Models, December 2015
- Addendum: Background on Post-Acute Care, December, 2015
PACE: Innovation Act Creates Opportunities | McKnight's, November, 2015
When President Obama signed the Program of All-Inclusive Care for the Elderly Innovation Act into law on November 6, 2015, PACE received recognition as a high-quality, cost-effective program. Assuming the Centers for Medicare & Medicaid Services moves swiftly to use this broad authority to create PACE pilots, a new world of possibilities is opening for existing PACE providers and other entities... download
PACE: Now is the Time to Scale.pdf | McKnight's, October, 2015
For over three decades, the Program of all-Inclusive Care for the Elderly (PACE) has maintained a stellar reputation as the only fully integrated Medicare and Medicaid program for nursing home eligibles that delivers coordinated care and achieves the Triple Aim. Most recently, at a July event celebrating the 50th anniversary of Medicare, Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt, visited the On Lok Program in San Francisco. He called PACE a "glimpse into our future"... download
ExecutiveInsight: Managed Care for Dual Eligibles.pdf | March 2015
In July 2011, the Center for Medicare and Medicaid Services (CMS) launched a demonstration to give all states the opportunity to test models of care that integrate acute care, behavioral health and long term services and supports (LTSS) for dual eligible populations. Called the federal Financial Alignment Demonstration (FAD), this initiative is a joint effort of the Center for Medicare and Medicaid Innovation (CMMI) and the Medicare-Medicaid Coordination Office... download
PACE: Community-Based Model Still Leads the Way for Dual-Eligibles.pdf | Mar/Apr 2013
A tried-and-true program serves hospitals as a learning laboratory for new kinds of care delivery... download
Dual-Eligibles, Financial Risk Shifts to More Providers.pdf | Nov/Dec 2012
Transformational changes now being processed in the health care delivery system for Medicare and Medicaid dual-eligibles are breathtaking in scope and scale. The growth of the dual-eligible population and upward spiral in costs of care have prompted federal and state policy makers to create programs that improve care coordination while shifting financial risk to providers and managed-care organizations... download
ExecutiveInsight: PACE as an Accountable Care Strategy.pdf | August 2011
The era of accountable care that has swept into existence with passage of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) has focused national attention on the failure of our health care delivery system to meet the complex needs of dual eligible individuals and of persons with multiple chronic conditions who require constant, intense and coordinated care... download
Testimony: House Veterans Affairs Committee, House of Representatives.pdf | January 2004
Congressional testimonial by Jade Gong to the Department of Veterans Affairs on policies affecting millions of veterans who will need long-term care in the next ten years...download