Recognizing the importance of health plan management services for PACE organizations and in response to the needs of PACE organizations for technical assistance to prepare for and comply with CMS encounter data reporting requirements, NPA selects strategic partners to offer claims management and encounter reporting services to its members.

Peak Health Plan Management

Peak Health Plan Management, a service of Capstone Performance Systems, has more than 100 years of combined PACE and health plan management experience. Peak assists PACE organizations with financial management and fulfilling regulatory requirements for health plan functions. Peak's approach to health plan management is PACE-specific, so Peak can help your organization remain compliant, obtain accurate reimbursement, and measure performance. For more information, visit Peak Health Plan Management.


Among the wide range of services provided by Peak Health Plan Management are the payment and adjudication of medical claims, diagnostic information for the Medicare Risk Adjustment Processing System (RAPS), and reports on service utilization rates and trends.

Peak Health Plan Management has the expertise and resources to provide NPA members with the comprehensive array of services needed to understand, prepare for, and comply effectively with CMS encounter data reporting requirements. Peak can provide valuable and essential turnkey resources to PACE organizations in complying efficiently and effectively with those requirements.

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