A health care program called the Program of All-Inclusive Care for the Elderly in the United States (PACE) provides comprehensive healthcare services for 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. For PACE to be eligible, there are many requirements. Some examples of PACE programs include WelbeHealth and CenterLight Teamcare.
CenterLight Teamcare
CenterLight Teamcare is a comprehensive long-term care program offered by CenterLight Healthcare. This program offers personalized care that incorporates home and medical care. It also includes social activities, transportation, and meals together. This type of care has been shown to improve the quality of life and reduce hospitalizations. There are many CenterLight Teamcare plans that can assist seniors, whether they need residential or assisted living.
WelbeHealth
WelbeHealth can be counted among the many senior care providers in the United States. The company provides social, medical, and therapy services to elderly people living in poverty as part its PACE program. The program helps individuals maintain their independence and live safely in their homes. WelbeHealth is committed to helping people age in their own places. It is California's leading provider of PACE.
Lok
On Lok now offers a social service center as part of its On Lok program. It also offers home-delivered meals, in-home assistance, and housing assistance to seniors. These services allow On Lok to provide basic medical and social care for older adults. 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. On Lok supported the formation of the National PACE Association. There are now 21 PACE program operating in nine US states.
PACE Southeast Michigan
The PACE Southeast Michigan program of all inclusive care provides a continuum of care services to help seniors live independently in their homes. These services include counseling, therapy, meals, and physical therapy. In addition, they provide prescriptions, outpatient services, and behavioral health and substance abuse care. PACE Southeast Michigan also provides transportation and home maintenance services.
WelbeHealth's care model
WelbeHealth's concept of all-inclusive elder care is not a new idea. This organization has been providing senior services since many years and was highly praised during the last year's deadly flu 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 provide assistance to California's most economically-disadvantaged counties.
Medicare and Medicaid reimbursements
PACE Programs are pre-paid capitated plans that are designed to cover all Medicare- and Medicaid-covered services under one plan. Providers must offer the same level or care to all Medicare-eligible clients in order to be eligible to the program. PACE reimbursements are calculated on the basis of prospective capitation. PACE providers must be in good standing with state and federal health insurance programs.
Resignation from the PACE
A recent study examined the patterns of disenrollment from the PACE program of all inclusive care for the aging population. This program is for Medicare beneficiaries who have long-term needs and are frail. 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.