NPA has developed a post-election member update to provide information on the key policy issues of concern to PACE organizations.
NPA worked with a group of PACE organizations, consumers and policy organizations to develop a framework for an at-risk medically complex pilot population. The At-Risk Medically Complex Pilot Framework addresses the following components of a pilot for this population:
NPA and the workgroup members strongly believe that a pilot guided by this framework holds great potential for improving the quality of life and quality of care experienced by individuals who are at risk of needing a nursing home level of care. Through better coordinated care that promotes well-being and slows health decline, the PACE organizations in the pilot can delay the need for nursing home care. For many, this also will delay their need to have their care paid for by state Medicaid programs.
NPA has provided the pilot framework to the Centers for Medicare & Medicaid Services (CMS) and encourages CMS to use its PACE pilot authority to conduct a pilot for the at-risk medically complex population.
NPA, along with a number of disability community stakeholders, hosted a webinar titled "PACE Pilots: A New Era for Individuals with Disabilities" about the Adapted PACE Protocol on Aug. 24.
The PACE Innovation Act of 2015 provides the Centers for Medicare and Medicaid Innovation (CMMI) the authority to develop PACE pilots for new populations. In anticipation of the pilots, NPA and a number of disability community stakeholders have completed work on the Adapted PACE Protocol, which builds on the current PACE program design and adapts it to address the needs and concerns of younger people with disabilities.
The webinar addressed the potential pilot populations being served under the PACE Innovation Act of 2015, the Adapted PACE Protocol and next steps. Speakers included Peter Fitzgerald, executive vice president of Policy and Strategy at NPA; Esme Grant, of the American Network of Community Options and Resources; Laura Weidner, of the National Multiple Sclerosis Society; and Sarah Meek, of the Lutheran Services in America Disability Network.
Delivery System Reform: Improving Care for Individuals Dually Eligible for Medicare and Medicaid: This 2016 report from the Bipartisan Policy Center recommends that CMS test several PACE initiatives.
NPA works with Congress to promote PACE innovation and growth.