Transcription
PACE in IowaLiz ParryNational PACE Association
PACE 101
What is PACE?Seeing PACE Firsthand
What is PACE? Comprehensive Community Based Coordinated Capitated
Who Does PACE Serve? 55 and older At a Nursing Home Level of Care Able to live in Community, with PACE services
Milestones in the PACE Model History
How Does PACE Operate? PACE Center Primary CareRehabilitative CareActivitiesMeals In the Home Transportation Contracted Network: SpecialistsHospitalsAssisted LivingOther
Integrated Service Delivery and Team Managed Care
Outcomes Better care Fewer unmet needs Improved chronic care management Better functional support Longer life Higher Quality of Life
PACE Costs Reduces high cost of uncoordinated care Fewer hospitalizationsLess ER use Capitated Predictable PACE rate less than current Medicaid cost No copays
Who Pays for PACE Care PACE is a financially capitated program Organizations receive a per member, per month paymentto deliver all the necessary care Breakdown of Participants 90% dually eligible for Medicaid and Medicare 9% Medicaid-only 1% private pay, Medicare-only, other
PACE by the Numbers - Who42,000 Participants76 A95%In Home &Communitiesverage Participant Age13
PACE by the Numbers - What123 PACEOrganizations11242 PACE CentersAverage # YearsPrograms in Operation14
PACE by the Numbers - Where31PACE States49%19Operate in Rural Areasof all PACEorganizations operate in5States15
PACE by the NumbersNumber of States with 1816
PACE by the NumbersNumber of PACE Organizations by State17
PACE by the NumbersWhere is PACE18
PACE by the NumbersTrends in Number of PACE Centers196210228242[VALUE]17312619
PACE by the NumbersTrends in Number of PACE ry-15January-16January-17January-1820
PACE by the NumbersTop Eight Largest PACE Programs in 2017PACE Organization NameStateCensusCenterLight Health CareInnovAge of GreaterColoradoNY3282CO2667AltaMed Buena SeniorCareCA2147On Lok LifewaysProvidence ElderPlace PortlandCA1439OR1268Summit ElderCareMA1155Element CareMA954Bienvivir All-InclusiveTX92721
Why Grow PACE Delivery system reform – fully realized Integrated (Medicare/Medicaid; Acute/Primary/LTSS) Community based Person centered, provider-sponsored Value Below states’ cost of serving a comparable population – 16% Predictable, capitated cost to states Quality 12Increased life expectancy 1Improved physical and mental functioning 1Higher quality of life 1Longer ability to live at home 2Wieland, D., Boland, R., Baskins, J., Kinosian, B. (2010). Five-year survival in a Program of All-Inclusive Care for the Elderly compared with alternative institutional and home- and community-based care. J Gerontol ABiol Sci Med Sci. July: 65 (7), pp. 721-726.Segelman, M., Cai, X, van Reenen, Temkin-Greener, H. Transitioning From Community-Based to Institutional Long-term Care: Comparing 1915(c) Waiver and PACE Enrollees. The Gerontologist 2015.
New PACE Program GrowthBetween Jan. 1, 2013 – Jan. 1, 2017 the following states opened five ormore new programs:
Current PACE Program GrowthBetween Jan. 1, 2013 – Jan. 1, 2017 the following states opened five ormore new centers:
PACE Census GrowthBetween Jan. 1, 2013, and Jan. 1, 2017, the following states had theiroverall census numbers grow more than 50 percent
Questions?Liz Parry, Senior Director, State Policy, NPAlizp@npaonline.org
Immanuel PathwaysCouncil Bluffs, IowaImmanuel PathwaysOmaha, NebraskaImmanuel PathwaysDes Moines, Iowa27
PACE in IowaTotal Number of Participants Served in Iowa: 460 Participants28
What Does the Immanuel Pathways PACE PopulationLook Like?29Central IowaSouthwest IowaAverage Age6772Min5556Max9497Percent Female64%54%Independent Living87%82%
What Does the Immanuel Pathways PACE PopulationLook Like?Central Iowa30Southwest IowaDual11096%15094%MedicareOnly11%32%Medicaid Only43%64%
Immanuel Pathways Southwest IowaLocation: Council Bluffs, IAOpening Date: January 2012Service Area: Mills, Pottawattamie, and Harrison CountiesEnrollment: 159 participants (20% saturation)55-64: 25%65 : 75%Center Capacity: 230-240 participants31
Immanuel Pathways Central IowaLocation: Windsor Heights, IAOpening Date: October 2015Service Area: Boone, Dallas, Jasper, Madison, Marion, Marshall, Polk, Story andWarren countiesEnrollment: 115 participants (3% saturation)55-64: 54%65 : 46%Center Capacity: 250 participants32
Barriers to growing PACE- Cut-off dates for Enrollment into program- Awareness in the state- MCOs reluctant to refer individuals with high needs toPACE- Expansion of PACE program- Capital needed to start program- Iowa good partner and always willing to haveconversation33
QUESTIONS?
At a Nursing Home Level of Care Able to live in Community, with PACE services . Milestones in the PACE Model History. How Does PACE Operate? . R., Baskins, J., Kinosian , B. (2010). Five -year survival in a Program of All-Inclusive Care for the Elderly compared with alternative institutional and home- and community -based care. J .
