In the United States, a health care program known as the Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive health services to the frail elderly. The elderly must qualify as nursing home residents under the state Medicaid program in order to receive care under the PACE program. There are several criteria for PACE eligibility. CenterLight Teamcare is one example of a PACE program. WelbeHealth, On Lok and PACE Southeast Michigan are others.
CenterLight Teamcare
CenterLight Healthcare's comprehensive long-term care program, CenterLight Teamcare offers. The program offers a personalized plan that combines medical and home care, as well as social activities, transportation, and congregate meals. This method of care is proven to reduce unnecessary hospitalizations and improve the health and quality life of seniors. No matter if a senior requires assisted living or residential care there are CenterLight teamcare plans that can help.
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 are encouraged to remain independent and continue living safely at home. WelbeHealth's mission it to help seniors age in place. It is the leading provider of PACE in California.
Lok
On Lok adds a social care center to its On Lok program. It also offers in-home and home-delivered meal delivery, as well as housing assistance for the elderly. These services go beyond the On Lok model and offer social support as well as basic medical care. On Lok receives a federal grant through the Department of Health and Human Services to help it grow and develop a national model of care for the aged. The National PACE Association is established with On Lok's support and there are now 21 PACE programs operating in 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 may include primary care, physical therapy, counseling, social work, and meals. They also provide prescriptions and outpatient services. PACE Southeast Michigan provides services that include transportation, recreation, and home maintenance.
WelbeHealth's model of care
WelbeHealth's model of all-inclusive care for the elderly is not a new concept. The organization has been providing senior care for many years. They were praised last year during the influenza pandemic. A study from the University of California, Berkeley found that the death rate of WelbeHealth patients was 5 times lower than that of nursing homes and other PACE organizations. These programs help California's most economically disadvantaged areas.
Medicare and Medicaid reimbursements
PACE Programs are prepaid capitated plans for seniors that provide all Medicare-covered services through one comprehensive plan. In order to qualify for the program, providers must offer the same level of care to all Medicare and Medicaid-eligible clients. PACE reimbursements to Medicare and Medicaid are based upon 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.
Disenrollment from the PACE
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 designed for Medicare beneficiaries who are frail and require long-term care. Important fiscal and social consequences could result from the disenrollment or exclusion of PACE participants. Disenrollment from PACE plans may have detrimental social and fiscal effects, as managed care is the base for both federal and state policies in health.