Upcoming Changes to PACE: Caring for Patients Where They're Comfortable

April 11, 2017

PACE is a program provided by Medicare and Medicaid that seeks to meet people where they're at. The goal of the program is to encourage community and home-based care as an alternative to nursing homes and other care facilities. Recently, the PACE program has undergone some changes to adapt to our rapidly-growing world and technological advancements in the healthcare sector.

The below article (albeit short) does an excellent job of summarizing the recent changes to Programs of All-Inclusive Care for the Elderly (PACE). 

This program, which has seen few changes in the last decade, seeks to meet the healthcare needs of aging populations in the places where they are most comfortable. As technology continues to have profound changes in the world around us, these new proposed changes seek to use technology to improve engagement among patients and better allow coordinated services to work together for the patient. New enrollment procedures would also allow automated application processes that would be better suited to customize services and tailor them to the needs of each patient.

This article was originally published by CMS here.

Delivering on the Promise of Better Care for Older Adults

Since becoming the acting administrator, I have spoken frequently about to the importance of moving to the next chapter in implementing the Affordable Care Act. This new chapter goes beyond providing people with quality, affordable coverage – but making sure that we are delivering patient-centered care to all consumers at critical stages of their lives.

What does that look like? It looks like more individualized care – care that allows people to heal, recover, and age in their homes and communities; care that is coordinated so we avoid people falling through the cracks; and care that includes family members and the realities of all the things that impact our health like culture, nutrition, and other social factors. For the growing number of aging and frail Americans, many living with Alzheimer’s, it looks like PACE.

The Programs of All-inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community in which they live instead of a nursing home or other care facility. The focus is on the participant. A team of healthcare professionals works to make sure that care is coordinated in the home, the community, and at a PACE center.

Today, CMS proposed the first major update to the PACE program in a decade. This proposal will help the program reflect the latest advances in caring for frail elders and changes in the use of technology. The goal of this proposal is to strengthen beneficiary protections and provide PACE organizations with more administrative and operational flexibilities so they can do what they do best – caring for our nation’s most vulnerable individuals. While PACE serves a relatively small number of people today, our proposal is intended to encourage states to further expand these programs.

Our proposals aim to offer the kind of common sense supports to allow older adults to get the best care possible. For example, individual care team members would be able to serve more than one role in addressing the wide spectrum of a participant’s needs, rather than just the one role they are permitted to occupy today. This would help better coordinate services while providing important flexibility to care providers.

We also propose more modern and simplified administrative and operational rules to enhance PACE organizations’ ability to do a number of things more easily, including a more automated application process to speed up and customize services to participants.

Over the last six years, since the onset of the Affordable Care Act, we have been taking significant steps to care for more people, care for them better, and make health care more affordable. But for us to be successful, we need to work hand-in-hand with patients and their families, physicians and clinicians, and other actors to support new approaches to care. Team-based models that put the individual in the center, like PACE, will be a vital part of the fabric of our system.

We must work hard to support these approaches so our country can continue to provide our people with the care they need in the years ahead.

Learn more about the proposed rule to update and modernize PACE.

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