PACE Innovation Act
July 29, 2015 – Reps. Christopher Smith (R-NJ-4), Earl Blumenauer (D-OR-3), Kevin Brady (R-TX-8), and Jim McDermott (D-WA-7), along with 15 other bipartisan members, introduced the PACE Innovation Act of 2015 (HR 3243) yesterday in the U.S. House of Representatives. The legislation would allow the Centers for Medicare & Medicaid Services (CMS) to test innovations in the model of care for Programs of All-Inclusive Care for the Elderly (PACE®), including changes that would allow PACE programs to serve high-need, high-cost individuals under 55.
“We appreciate leaders in Congress supporting our efforts to expand the number of individuals who can benefit from the PACE model of care,” said Shawn Bloom, president and CEO of the National PACE Association (NPA). “NPA and PACE organizations have been working for years to provide opportunities for innovation of the PACE model. PACE providers recognize that the model can serve as an effective platform for the delivery of long-term services and supports for vulnerable individuals living in many different types of circumstances.”
NPA has developed a press release for PACE organizations to adapt and submit to their local media.
The House legislation is a companion to Senate bill 1362, which was introduced by Sens. Tom Carper (D-DE) and Patrick Toomey (R-PA) and unanimously reported out of the Senate Finance Committee earlier this summer.
NPA Announces Call for
Nominations for Annual Awards
PACE attracts caring professionals who are committed, compassionate, innovative and inspirational. Each year, NPA takes time during its annual conference to recognize individuals who exemplify these traits.
A call for nominations is now under way for the 2015 Marie-Louise Ansak Award, the Judy Baskins Volunteer Leadership Award, and the Nurse of the Year Award.
NPA members can visit our NPA Awards Program page for more information and to access the nomination forms. Honorees will be recognized at an Awards Luncheon during the 2015 NPA Annual Conference on Tuesday, Oct. 20, at Loews Philadelphia Hotel. For more information, contact Sharon Cochraham, Association Services Manager.
PACE of the Triad Adds
On-Site Dental Services
Ellen Smith, RN, center manager for PACE of the Triad, in Greensboro, NC, had seen the problem before. As former supervisor for a hospice and palliative care agency, her patients needing dental care had to be shuttled from home to a local dental office, where the staff sometimes wanted to refer the fragile individuals to a specialist. The trip would end up being a waste of time and a poor use of resources.
Smith heard about Access Dental Care (ADC), in Asheboro, NC, through her nursing home contacts and reached out to the nonprofit special care dental organization, which provides onsite care to skilled nursing facilities, group home day centers, and patients with HIV/AIDS.
“ADC’s staff moved their two operatories of dental equipment into the clinic area and started treating PACE participants, many of whom had not seen a dentist in years,” she said. “Instantly, comprehensive dental services were an integral part of our care routine. We knew that poor oral health caused aspiration pneumonia, heart problems, septic issues, diabetes and cancer-related complications. Our job of managing the participant’s total health was now supported by these long-term care dental experts.”
Leadership Training Program
Offered to New PACE Executives
The National PACE Association (NPA) is excited to announce the launch of a Leadership Training Program developed and facilitated in partnership with On Lok PACEpartners.
Programs of All-Inclusive Care for the Elderly (PACE®) is a complex model of care that is growing faster than the number of trained or experienced PACE leaders. Leadership training opportunities are paramount to the success of each program and for PACE as a whole.
The new Leadership Training Program, which will be offered annually, is geared toward new PACE executives, as well as individuals exploring PACE as an option. For experienced PACE leaders, the course will provide a deeper understanding of PACE leadership requirements and new skills.
CMS Study Opens Door to
For-Profit Sponsors for PACE
The U.S. Department of Health and Human Services (HHS) has published the study of for-profit PACE demonstration programs conducted by the Centers for Medicare & Medicaid Services (CMS). HHS submitted the results of the study to Congress on June 2 in response to its call for the study in the Balanced Budget Act of 1997, the legislation that created PACE as a permanent Medicare provider type and optional state Medicaid service.
With the submission of the study to Congress, CMS announced that it would no longer take not-for-profit or for-profit status into account when accepting and reviewing PACE provider applications. As a result, the door is open for the first time for for-profit sponsors to develop PACE programs.
“It is no surprise that the PACE approach remains an effective model under for-profit sponsorship,” NPA president and CEO Shawn Bloom said in a statement about the study. “PACE has demonstrated over and over again that it is a self-correcting model, providing financial incentives for delivering high-quality care and services.”
He congratulated the staff at Senior LIFE, the organization that sponsors the for-profit PACE organizations in the study. “Senior LIFE is now recognized as a full PACE provider in the eyes of CMS,” Bloom said.
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