Proposal for PACE Pilot Is
Included in President's Budget
March 4, 2014 - The President’s 2015 budget released today includes a proposal for a PACE pilot that would allow Programs of All-Inclusive Care for the Elderly (PACE®) to serve those under the age of 55. NPA has long advocated such a pilot and is grateful to the Administration for its inclusion of the pilot in the budget. Over the past few years, NPA has been working with PACE organizations, providers caring for younger people with disabilities, and consumer groups to consider how the PACE model could be adapted to serve those under the age of 55. We look forward to working with the Administration and Congress to support the proposed pilot.
In the section on “Improving Care Delivery for Low-Income Medicare-Medicaid Beneﬁciaries,” the budget proposes “a budget-neutral pilot in a limited number of states to provide qualifying low-income adults under age 55 beneﬁts under the Program for All-Inclusive Care for the Elderly (PACE). Under current law, PACE provides comprehensive long-term services to qualifying individuals age 55 and older. Pilots will test whether PACE programs can effectively serve a younger population without increasing costs."
CMS Releases Advance
Notice of MA Capitation Rates
On Feb. 21 the Centers for Medicare & Medicaid Services (CMS) released the Advance Notice of Methodological Changes for Calendar Year (CY) 2015 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2015 Call Letter. The Advance Notice is the mechanism CMS uses to notify Medicare managed care and prescription drug plans, including PACE organizations, of changes in Medicare Advantage and Part D payment policies for the upcoming contract year. The Advance Notice is available on the CMS website. CMS will accept comments and questions on the Advance Notice until 6 p.m. ET on Friday, March 7. The Final Notice of CY 2015 Payment, in which CMS will address comments on the Advance Notice, will be published on April 7. The National PACE Association recommends that PACE organizations review the Advance Notice to determine the potential impact of the proposed changes on their payments.
RGHS Opens Second PACE Center
Rochester General Health System (RGHS) has opened a second PACE center in Rochester, NY. The North Park ElderOne PACE Center is "vibrant and active, witih individual projects and active small and large group programs," according to RGHS. Its programs "are culturally diverse and offer the opportunity for each participant to pursue their individual interests, as well as become a part of the ElderOne Community."
New Book Cites PACE Services
The newly released third edition of How to Care for Aging Parents: A One-Stop Resource for All Your Medical, Financial, Housing, and Emotional Issues, by Viginia Morris, notes that PACE programs "provide a broad menu of programs and services, from transportion to adult day services to home care, so that elderly people who are eligible for nursing home care can stay in their own homes instead." The book was released on Feb. 11 by Workman Publishing Company.