Publications
Why PACE Will Be A Bigger Piece In The Long-Term Care Puzzle In 2023 | January 4, 2023 | Joyce Famakina. In the new, a number of states will expand their Program of All-Inclusive Care for the Elderly (PACE) efforts. PACE has been touted not only as a major opportunity for home-based care providers, but also a risk- and value-based program that actually works for seniors.
Assuring PACE for frail seniors: Recommendations to simplify enrollment and expansion | December 9, 2022 | Jade Gong and Jennie Chin Hansen. BPC identified many of the obstacles to PACE growth that can be addressed through a combination of Center for Medicare & Medicaid Services regulatory action and potential legislative action. PACE showed its value and effectiveness in many ways during the COVID-19 pandemic, and now more than ever, more consumers want to receive care at home.
Policy Momentum, PE Interest Could Spur Major Growth for PACE | February 23, 2022 | Joyce Famakinwa. The Program of All-Inclusive Care for the Elderly (PACE) model performed especially well amid the COVID-19 emergency. Building off of that momentum, it's likely that the model will continue to make inroads throughout 2022.
Strategies and Analysis for Medicare Advantage, Medicare Part D and Managed Medicaid | December 16, 2021 | RADAR on
Medicare Advantage. Programs of All-Inclusive Care for the Elderly (PACE) are designed to support frail, elderly Americans who require a nursing home level of care by providing comprehensive medical care and social supports to help them remain at home, and sources tell AIS Health that PACE competition is heating up as more venture capital firms look to invest in PACE organizations and as multiple states expand their programs.
Despite Formidable Challenges, PACE Leaders Keep Expansion Dreams Alive | July 25, 2021 | Joyce Famakinwa. Despite recent traction and the model's clear benefits, PACE still faces a long list of formidable growth barriers.
InnovAge, National PACE Association Applaud ‘PACE Plus Act’ By Joyce Famakinwa | April 18, 2021 | Sen. Bob Casey, a Democrat from Pennsylvania and chairman of the Senate Special Committee on Aging, on Thursday introduced the “PACE Plus Act,” a bill that aims to expand access to PACE across the country.
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.
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.
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.
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."
Executive Insight: 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.
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.
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.
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.
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.
Assuring PACE for frail seniors: Recommendations to simplify enrollment and expansion | December 9, 2022 | Jade Gong and Jennie Chin Hansen. BPC identified many of the obstacles to PACE growth that can be addressed through a combination of Center for Medicare & Medicaid Services regulatory action and potential legislative action. PACE showed its value and effectiveness in many ways during the COVID-19 pandemic, and now more than ever, more consumers want to receive care at home.
Policy Momentum, PE Interest Could Spur Major Growth for PACE | February 23, 2022 | Joyce Famakinwa. The Program of All-Inclusive Care for the Elderly (PACE) model performed especially well amid the COVID-19 emergency. Building off of that momentum, it's likely that the model will continue to make inroads throughout 2022.
Strategies and Analysis for Medicare Advantage, Medicare Part D and Managed Medicaid | December 16, 2021 | RADAR on
Medicare Advantage. Programs of All-Inclusive Care for the Elderly (PACE) are designed to support frail, elderly Americans who require a nursing home level of care by providing comprehensive medical care and social supports to help them remain at home, and sources tell AIS Health that PACE competition is heating up as more venture capital firms look to invest in PACE organizations and as multiple states expand their programs.
Despite Formidable Challenges, PACE Leaders Keep Expansion Dreams Alive | July 25, 2021 | Joyce Famakinwa. Despite recent traction and the model's clear benefits, PACE still faces a long list of formidable growth barriers.
InnovAge, National PACE Association Applaud ‘PACE Plus Act’ By Joyce Famakinwa | April 18, 2021 | Sen. Bob Casey, a Democrat from Pennsylvania and chairman of the Senate Special Committee on Aging, on Thursday introduced the “PACE Plus Act,” a bill that aims to expand access to PACE across the country.
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.
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.
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.
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."
Executive Insight: 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.
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.
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.
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.
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.