New Report from Bipartisan Policy Center Recommends CMS Test PACE Initiatives

September 21, 2016

A new report from the nonprofit Bipartisan Policy Center recommends that the Centers for Medicare & Medicaid Services (CMS) test several initiatives for Programs of All-Inclusive Care for the Elderly (PACE®).

The initiatives recommended by the authors of the report, titled Delivery System Reform: Improving Care for Individuals Dually Eligible for Medicare and Medicaid, include an expansion of the program to individuals, regardless of age, who meet all other PACE criteria and do not require a nursing home level of care; an option that permits individuals to enroll in PACE but opt out of adult day services; and an option that includes both Medicare-covered services and a beneficiary “buy-in” of a limited long-term services and supports (LTSS) benefit that is less than the full range of Medicaid-covered LTSS for individuals who are not eligible for Medicaid and whose income exceeds 300 percent of Social Security eligibility income.

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