The Program of All-Inclusive Care for the Elderly (PACE), a US health care program, provides comprehensive services for the elderly. For the PACE program to be effective, elderly people must be considered nursing home residents under the state Medicaid program. Eligibility for the PACE program is subject to several conditions. CenterLight Teamcare and WelbeHealth are just a few examples of PACE program.
CenterLight Teamcare
CenterLight Healthcare's comprehensive long-term care program, CenterLight Teamcare offers. This program provides a customized plan that includes medical and home care as well as social activities and transportation. This model of care has been a proven way to reduce avoidable hospitalization and improve health and quality of life for the elderly. A CenterLight Teamcare plan can provide residential and assisted living for seniors.
WelbeHealth
WelbeHealth, one of the hundreds of senior care providers throughout the country, is WelbeHealth. The company provides social, medical, and therapy services to elderly people living in poverty as part its PACE program. Individuals are encouraged to remain independent and continue living safely at home. WelbeHealth's mission is to help people age in place. It is California's largest provider of PACE.
Lok
On Lok now offers a social service center as part of its On Lok program. It provides elderly people with housing assistance, in-home care and home-delivered meals. These services expand the On Lok model of care beyond basic medical care and provide social support for older adults. A federal grant from the Department of Health and Human Services supports the growth of On Lok, allowing it to develop a national model for 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
The PACE Southeast Michigan program for all inclusive care offers a continuum care service to seniors that enables them to live independently in their own home. These services could include counseling, primary care, social work, and therapy. They also provide prescriptions and outpatient services. PACE Southeast Michigan also provides transportation and home maintenance services.
WelbeHealth’s model care
WelbeHealth's all-inclusive senior care model is not new. The organization provides senior services for many, many years. It was even praised in the face of the pandemic. According to a University of California Berkeley study, the death rate of WelbeHealth patients is 5 times lower that that of nursing homes or other PACE organizations. These programs are for the most economically poor counties of California.
Medicare and Medicaid reimbursements
PACE Programs are prepaid capitated plans for seniors that provide all Medicare-covered services through one comprehensive plan. To be eligible, providers must provide the same level and quality of care to all Medicare-eligible clients. Medicare and Medicaid reimbursements for PACE are based on prospective capitation. A facility must be in good standing for both federal and state healthcare programs to be considered as a PACE provider.
PACE - Disenrollment
Recent research examined the patterns of enrollment in the PACE program for all inclusive care for the elderly population. This program is for Medicare beneficiaries who have long-term needs and are frail. Participant disenrollment from PACE could have serious fiscal and social consequences. The basis of federal and State health policies is managed care, so disenrollment may have negative social and financial consequences.