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S3 E6 - BoldAge PACE
Manage episode 443999624 series 3496265
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What distinguishes the PACE model from other Medicaid managed care programs, particularly in terms of cost-effectiveness and service delivery?
Joining us are two incredible guests, Heidi Webster, National Director of Business Development for BoldAge PACE, and Jeremy Diaz, Executive Director for the Columbus BoldAge PACE.
The PACE model has been around since the early 1970s, originating in San Francisco with the On Lok community. It became a federal program integrated into Medicare and Medicaid by the late 1990s. Now, this holistic care model is expanding in Ohio, aiming to provide comprehensive healthcare for seniors right in their homes.
In today’s discussion, we’ll cover everything from the financial operations and cost-effectiveness of PACE, to how BoldAge PACE is addressing key community issues such as housing and food insecurity. We’ll also dive into the detailed application process and the vital importance of community support and engagement.
Key Moments
08:40 PACE model: Elder care since 1970s; expanded nationwide.
13:00 PACE adoption in Ohio spearheaded by LeadingAge.
14:40 PACE applications are lengthy but completed quickly.
18:21 PACE program: holistic care for independent living.
22:02 Trained staff ensures LGBTQ+ elders feel welcome.
27:26 Comprehensive care team supports participants' daily needs.
30:02 PACE prevents rehospitalization, ensures post-discharge medical care.
33:32 PACE program: local day centers cater to needs.
37:31 Personalized healthcare and entertainment for participants' needs.
39:07 Care plans created and reevaluated every 6 months.
43:57 PACE is underutilized yet should be embraced.
Top Takeaways
Sure, here are ten takeaway concepts from the episode of "Pretend I Know Nothing" entitled "PACE Final":
Originated in the early 1970s with the On Lok community in San Francisco. Became a federal program under the Balanced Budget Act in the late 1990s and was integrated into Medicare and Medicaid.
Expansion and Introduction to Ohio - Relatively new to Ohio, with organizations like Bold Age PACE and McGregor PACE operating in the state. Statewide expansion efforts saw Bold Age PACE applying and receiving licenses for Franklin, Montgomery, and Lucas counties.
Financing and Cost-Effectiveness - Targets dual-eligible Medicare and Medicaid participants, funded on a per participant per month basis. Demonstrated cost savings of about 13% compared to other Medicaid managed care programs.
Comprehensive Care and Benefits - Provides integrated care encompassing medical, dental, vision, pharmacy, and more without co-pays. Offers an alternative to nursing homes, supporting participants to remain at home. Day centers offer transportation, meals, social activities, and healthcare services. Activities and therapies aimed at enhancing quality of life and reducing depression and isolation.
Participants must be 55 years or older and meet state-approved nursing home levels of care. Must reside in approved counties/zones and have safe community housing.
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