Hospice News May 7, 2021
Hospices are increasingly launching Programs for All-Inclusive Care of the Elderly (PACE) programs to engage patients further upstream. Offering PACE services can also position hospice providers for participation in emerging value-based payment models such as Primary Care First and direct contracting.
PACE programs depict a comprehensive approach to care for participants who meet certain eligibility criteria, mainly to seniors who have significant medical and non-medical needs to help them age in place and avoid the hospital or nursing homes. Most PACE participants are dually eligible for both Medicare and Medicaid, according to the U.S. Centers for Medicare & Medicaid Services (CMS).
PACE providers receive monthly Medicare and Medicaid capitated payments for each enrollee. PACE programs are also Part D providers...