The Program of All-Inclusive Care for the Elderly (PACE), a US health care program, provides comprehensive services for the elderly. To be eligible for care under the PACE program, the elderly must meet the requirements of the state Medicaid program. Eligibility for the PACE program is subject to several conditions. CenterLight Teamcare, WelbeHealth, On Lok, and PACE Southeast Michigan are some examples of PACE programs.
CenterLight Teamcare
CenterLight Teamcare is a comprehensive long-term care program offered by CenterLight Healthcare. The personalized plan includes both home and medical care. There are also social activities, transportation, congregate meals, and other services. This model of care has been a proven way to reduce avoidable hospitalization and improve health and quality of life for the elderly. There are many CenterLight Teamcare plans that can assist seniors, whether they need residential or assisted living.
WelbeHealth
WelbeHealth are just a few of the hundreds that provide senior care in the country. The company provides comprehensive medical, therapy and social care for frail older adults living in their communities as part of the PACE program. Individuals can maintain their independence while living in their homes safely. WelbeHealth's mission aims to support people as they age in their homes. It is California’s most prominent provider of PACE.
Lok
On Lok expands its program by incorporating a social day care center into the On Lok model. It also offers in-home and home-delivered meal delivery, as well as housing assistance for the elderly. These services extend the On Lok model of care from providing basic medical care to providing social support to older adults. On Lok is supported by a federal grant from Department of Health and Human Services. This grants allows it to create a national model of all-inclusive care for the elderly. On Lok funds the creation of the National PACE Association. Now there are 21 PACE programs across nine states.
PACE Southeast Michigan
All inclusive care is provided by the PACE Southeast Michigan program. It provides a range of services that can help seniors remain independent in their own homes. These services could include counseling, primary care, social work, and therapy. They also offer prescriptions, outpatient care, behavioral health, and substance abuse services. In addition to these services, PACE Southeast Michigan also offers recreational activities, transportation, and home maintenance.
WelbeHealth’s model care
WelbeHealth isn't new to the concept of providing all-inclusive care for the aged. The organization has been providing senior care for many years. They were praised last year during the influenza pandemic. University of California Berkeley's study found that WelbeHealth patients had a death rate five times lower then that of nursing home residents and other PACE groups. These programs serve the most economically disadvantaged counties in California.
Medicare and Medicaid reimbursements
PACE Programs for the Elderly are pre-paid capitated plans. They provide all Medicare and Medicaid-covered service in one comprehensive plan. Providers must provide the same level care to all Medicare-eligible clients to be eligible for the program. PACE reimbursements are calculated on the basis of prospective capitation. In order to be considered a PACE provider, a facility must be in good standing with both federal and state health insurance programs.
PACE allows you to withdraw from your enrollment
A recent study looked at the patterns of disenrollment in the PACE program that provides all-inclusive care to the aging population. This program was intended for Medicare beneficiaries with frailties who require long-term nursing. Participants may be disenrolled from PACE, which could have significant fiscal and social implications. As managed care is the foundation of federal and state healthcare policies, any disenrollment form a PACE program could have adverse fiscal and social effects.