PACE® - Programs of All-Inclusive Care for the Elderly

PACE serves individuals who are age 55 or older, certified by their state to need nursing home care, able to live safely in the community at the time of enrollment, and live in a PACE service area. Currently, there are 151 PACE Programs operating in 32 states and DC with a total census of 68,578 

Peter Fitzgerald,  Executive Vice President, Policy and Strategy with the National PACE Association

peterf@npaonline.org     |     703-535-1519     |     www.npaonline.org

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Questions Asked

• Is PACE a needs-based program?
• After these decades of experience, what innovations / tweaks are now needed to help keep PACE on pace with changing needs/interests of the 65+. Thank you. EXCELLENT description of PACE
• Are you aware of any Federally Qualified Health Centers that also operate PACE programs?
• do you still need other insurance plans or is everything covered (other than part D). How about hospital stay?
• Has the satisfaction rate been measured for individuals/families who use PACE?
• Has the satisfaction rate been measured for individuals/families who use PACE?
• who administers PACE? DHHS?
• what training do Pace care givers have? Are they paid by Pace?
• So an individual in a PACE Program does not have a choice of medical providers? For example, someone may no longer have the doctor who they have had a relationship with for years and instead have to adjut to someone entirely new. Or, will PACE attempt to keep the same providers for the individual?
• What are the toughest issues faced by rural areas if they wish to start a PACE?
• I work for Harbor Health PACE in southeastern MA - that is where I get the info'
• so since i host a day program, I could partner with a PACE organization to offer this to the PACE members?
• so since i host a day program, I could partner with a PACE organization to offer this to the PACE members?
• Does PACE keep data on which of the 151 PACE Programs serve clients in languages other than English?  Thank you
• Is there more or less incentive for a physician to take on PACE participants from a reimbursement perspective? Are they being paid more or less for treating other senior populations such as traditional fee-for-service, Medicare Advantage, etc.?
• So does PACE pay a higher wage to caregivers such as STNAs and other daily staff to prevent employee overturn in the organization?
• So do you use medication dispensers like the MedCube?
• How can we get in touch with Peter after the session to follow up on additional questions?

Chat Transcript

12:08:01     From  Jacob Smith   to   Hosts and panelists : Hello! Sorry I joined a few minutes later.

12:10:14     From  Steve Gurney - ProAging Community : National PACE Association https://www.npaonline.org/

12:12:25     From  Jacob Smith   to   Hosts and panelists : interesting, definately a need for those individuals.

12:17:01     From  Aubrey Balcom : Sorry - just jumping in - have you found PACE programs coordinating with Pooled Trusts?

12:19:29     From  Memella Drake   to   Hosts and panelists : Is there an application?

12:20:31     From  Craig Hillman : Given the value of PACE, why are there so few participants (~60,000?)

12:20:50     From  Steve Gurney - ProAging Community : Here are the programs https://www.npaonline.org/pace-you/pacefinder-find-pace-program-your-neighborhood

12:21:02     From  Emily Shewmaker   to   Hosts and panelists : Does PACE provide medication management services in patients homes?

12:24:36     From  Steve Gurney - ProAging Community : Bipartisan, Bicameral PACE Part D Choice Act Would Reduce Part D Costs and Increase Access for Medicare Beneficiaries to Innovative Programs of All Inclusive Care for the Elderly https://www.prnewswire.com/news-releases/bipartisan-bicameral-pace-part-d-choice-act-would-reduce-part-d-costs-and-increase-access-for-medicare-beneficiaries-to-innovative-programs-of-all-inclusive-care-for-the-elderly-301829468.html

12:26:20     From  Jacob Smith   to   Hosts and panelists : I'm confused - is this an MCO?

12:27:32     From  Barbara Korenblit : Can you spend down to MA for PACE?

12:27:34     From  Emily Shewmaker   to   Hosts and panelists : Are there certain parameters a Healthcare Professional has to meet or accept to provide services to PACE beneficiaries?

12:28:06     From  Steve Gurney - ProAging Community : Meet the Underdog of Senior Care https://www.nytimes.com/2022/03/12/health/elderly-health-care-pace.html#:~:text=PACE programs receive a set,t want to enter one.

12:28:32     From  Norma Marotta : CT on June 27 raised the cash asset limit for 65+ Medicaid

12:29:24     From  Amy Solomon : Why is the PACE Program only available to nursing home residents? Will the PACE Program eventually be offered to AL/IL residents who are aging in place?

12:30:06     From  Dixcy Bosley   to   Hosts and panelists : As a NP and geriatric care manager,  PACE is a creative practical approach to delivering quality care. The new program in SE DC is inspiring to me beyond measure.  Curious how the Medicare hospice benefit interfaces w PACE providers?  Bravo for your work and offering hope to our tragically broken fee for services systerm

12:30:16     From  Jacob Smith   to   Hosts and panelists : good question, Amy

12:30:31     From  Jacob Smith : Good questions, Amy

12:31:14     From  Amy Solomon : The LeadingAge chapters are educating their provider members to help educate about the PACE programs

12:31:41     From  Michelle Nowak   to   Hosts and panelists : PACE is an amazing program. Please share downside or things you can’t have or decision choices you lose with PACE.  Just for awareness.

12:32:13     From  Norma Marotta : Amy - generally AL/IL residents would be over income & asset limits for PACE programs

12:33:00     From  Norma Marotta : The PACE org I work for does contract with some ALs; PACE covers the healthcare but the resident/family is responsible for the room & board portion of the monthly cost

12:33:09     From  Amy Griboff   to   Hosts and panelists : Can Peter explain how they support caregivers with the "disabled" person at home?

12:34:31     From  Steve Gurney - ProAging Community : Cherry Blossom PACE

1901 N Beauregard St Ste 110

Alexandria, Virginia

+1 571 789 0770

andre.atkins@cherryblossompace.com

12:35:01     From  Steve Gurney - ProAging Community : Hopkins ElderPlus

Baltimore, Maryland

+1 410 550 7047

12:35:35     From  Steve Gurney - ProAging Community : Norma Marotta 12:34 PM 

the Massachusetts PACE Association reports that 94% of participants and their families are satisfied with their care

12:36:05     From  Jacob Smith : so since i host a day program, I could partner with a PACE organization to offer this to the PACE members?

12:36:27     From  Steve Gurney - ProAging Community : Federally Qualified Health Centers https://www.fqhc.org/what-is-an-fqhc

12:37:57     From  Aubrey Balcom   to   Hosts and panelists : If you could connect us with any PACE/FQHC it would be greatly appreciated.  Our FQHC (the Community Health Center of Buffalo) is looking at PACE.  We were considering also joining NPA to help with planning and startup.

12:40:14     From  Aubrey Balcom : In addition to serving the City of Buffalo and City of Niagara Falls we operate in some rural areas of Western New York - we would like to be able to serve this community as well - however we are looking at contracting with physicians, home care and adult day centers in the rural community - is that feasible?  Perhaps supported with telehealth?

12:43:27     From  Jacob Smith : We would probably also have to do the same, Aubrey. Great question.

12:44:19     From  Puru Sharma   to   Hosts and panelists : Do you have PACE model operational in India or south-asia? How to be an associate in this process if someone is interested?

12:44:52     From  ESTHER GREENHOUSE : A PACE center would have made a huge difference for me and my mother when I was her primary caregiver for 10 years. I look forward to hearing it positive stories about expansion…like NYS https://www.nysenate.gov/legislation/bills/2023/S855

12:48:48     From  Barbara Korenblit : Did you say medicare-only members pay $3500 per month?

12:51:03     From  Michelle Nowak   to   Hosts and panelists : Who decides client is nursing home eligible? Primary care dr? Or independent eval by PACE?

12:51:53     From  Emily Shewmaker   to   Hosts and panelists : Would it be possible to get contact information for Peter to connect on more specific topics?  Thank you

12:54:59     From  Steve Gurney - ProAging Community : Peter Fitzgerald

Executive Vice President, Policy and Strategy

National PACE Association | 675 N. Washington St., Suite 300 | Alexandria, VA  22314

peterf@npaonline.org     |     703-535-1519     |     www.npaonline.org

12:57:00     From  Aubrey Balcom : Student loan foregiveness programs are great for recruitment and retention

12:57:42     From  Barbara Korenblit : Would love to hear Johns Hopkins Bayview program present

12:57:48     From  ESTHER GREENHOUSE : Thank you for covering this important topic.

12:57:53     From  Leslie McTyre : Real eye opener - thanks!!!

12:58:08     From  Aubrey Balcom : Thank you both!

12:58:18     From  Memella Drake   to   Hosts and panelists : Thank you.

12:58:20     From  Benjamin Bradburn   to   Hosts and panelists : Great program. Thank you!

12:58:35     From  Nancy Piness   to   Hosts and panelists : Fabulous program, Steve and Peter! Thrilled we finally have PACE in DC!