PACE helps save Med­i­caid dol­lars, a reader says

Modern Healthcare - - EDITORIAL -

Re­gard­ing the May 7 ar­ti­cle “Dual costs” (May 7, p. 28), thank you for high­light­ing the role the Pro­gram of All-in­clu­sive Care for the El­derly is play­ing in help­ing states in­te­grate care for their high-cost, high-need dualel­i­gi­ble pop­u­la­tion. We ap­pre­ci­ate your at­ten­tion on the im­por­tant work PACE or­ga­ni­za­tions do to im­prove the lives of the thou­sands of se­niors and fam­i­lies that we serve.

One point of clar­i­fi­ca­tion, how­ever: States are ea­ger to ex­pand PACE be­cause it has been shown to save Med­i­caid dol­lars while pro­vid­ing bet­ter care and higher qual­ity of life for those en­rolled in the pro­gram. In fact, a key com­po­nent of the PACE rate-set­ting process is that the CMS re­quires states to es­ti­mate the amount they would spend on ex­pected PACE en­rollees in the state’s fee-for-ser­vice Med­i­caid pro­gram and then set the PACE cap­i­ta­tion rate be­low that amount. The PACE Med­i­caid rate­set­ting process builds in sav­ings for each state. Cur­rently, many states that do not have PACE or­ga­ni­za­tions are work­ing with lo­cal health­care providers to es­tab­lish PACE or­ga­ni­za­tions and, of course, many states with PACE or­ga­ni­za­tions are work­ing to ex­pand PACE.

We are look­ing for­ward to a time soon when frail se­niors and their fam­i­lies will de­mand the type of in­te­grated care and ser­vices pro­vided by PACE.

Shawn Bloom Na­tional PACE As­so­ci­a­tion Alexan­dria, Va.

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