Expanding PACE Through
New Payer Relationships
State and federal initiatives expanding managed care and introducing delivery system changes for long-term services and supports may create new opportunities for Programs of All-Inclusive Care for the Elderly (PACE®). The National PACE Association (NPA), with the support of The SCAN Foundation, asked PACE organizations, health plans and health systems to describe how they might form relationships to explore new opportunities.
The findings are presented in a new report, titled “PACE and Managed Care: Strategies for Expanding PACE Through New Payer Relationships.” The report details what PACE organizations and their prospective new partners have identified as the issues and approaches to forming new relationships. Three case studies of PACE organizations exploring new payer relationships also are included.
While primarily addressing PACE organizations, the ideas are relevant to the new payers and delivery systems that the organizations may seek to engage. As PACE organizations and their new partners test and refine arrangements, their experience will provide new insights and models that can be implemented more broadly.
Mary Kummer Naber Named
President and CEO at CSI
Mary Kummer Naber has been appointed president and chief executive officer of the Center for Senior Independence (CSI) in Detroit. CSI is the provider of the Program of All-Inclusive Care for the Elderly (PACE) serving Wayne, Oakland and Macomb counties.
In her new position with CSI, Naber will oversee the strategic and administrative leadership and management responsibilities for comprehensive organizational and operational success.
“We are confident that her leadership will greatly assist with the continued growth of this important and much-needed community-based program,” said CSI board chair John Polanski.
Senators Urge CMS to Release
Revised PACE Regulation
A bipartisan group of senators has sent a letter to the Centers for Medicare & Medicaid Services (CMS) urging the agency "to release a revised PACE regulation and foster a regulatory environment that increases access to the proven, high-quality, cost-effective PACE model."
This effort was led by Sens. Tom Carper (D-DE) and Pat Toomey (R-PA) and supported by Sens. Lamar Alexander (R-TN), Michael Bennet (D-CO), Cory Booker (D-NJ), Richard Burr (R-NC), Mike Enzi (R-WY), Bill Nelson (D-FL), Pat Roberts (R-KS), Marco Rubio (R-FL), Charles Schumer (D-NY), Debbie Stabenow (D-MI), and Mark Warner (D-VA).
ABC News reported on the senators' action yesterday.
NPA continues to work with CMS leadership to allow greater flexibility for Programs of All-Inclusive Care for the Elderly (PACE) and expand PACE to new populations.
Redwood Coast and Fresno
County PACE Open in California
Two new PACE programs opened on Sept. 1 in California. PACE Fresno County is located in Fresno, and Redwood Coast PACE is in Eureka. They are among 10 PACE programs in the state and bring the total number of PACE programs nationwide to 105 operating in 31 states.
"We are changing the way we provide health care for older adults, and we are one of the first integrated, social service medical models in the state," Joyce Hayes, executive director of the Humboldt Senior Resource Center at Redwood Coast PACE, told the Eureka Times-Standard.
"No one wants to be put into a nursing home," Abe Marouf, CFO of PACE Fresno County, told The Fresno Bee. "We want to keep these seniors out of nursing homes and in their own communities."
PACE Nurses Invited to Get
Involved with Consortium
By Mary Austin and Karen Madden
The United States has the opportunity to transform its health care system to provide seamless and affordable quality care that is accessible to all, patient-centered and evidence-based and leads to improved health outcomes, according to a 2011 report on the future of nursing by the Institute of Medicine (“The Future of Nursing: Leading Change, Advancing Health”). Achieving these goals will require change in many aspects of the health care system.
This is especially true for the nursing profession, the largest segment of the health care workforce. NPA established the Nursing Consortium in 2010 to provide a support system for nurses who work in PACE throughout the country.
As the number of PACE organizations and participants increase, the Nursing Consortium is poised to grow as well. We invite all interested PACE nurses to become involved with the consortium to share best practices, participate in the learning forums, and contribute to the advancement of nursing in PACE.
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