Issue 3

Our Members

AltaMed PACE

Los Angeles County

Brandman Centers for Senior Care

Los Angeles County

CalOptima PACE

Orange County

Center for Elders' Independence

North Alameda and Contra Costa County

Fresno PACE

Fresno County

Redwood Coast PACE

Humboldt County

InnovAge of Greater California PACE

Riverside and San Bernardino County

On Lok Lifeways

South Alameda, San Francisco and Santa Clara County

St. Paul's PACE

San Diego County

Sutter SeniorCare

Sacramento County

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January 2015

State Works to Boost Referrals to PACE

CalPACE, in conjunction with the California PACE organizations, has been working with the Department of Health Care Services (DHCS) to correct a system error that was allowing Medi-Cal beneficiaries to be passively enrolled into Cal MediConnect health plans while they were being assessed for PACE eligibility. DHCS researched the issue and confirmed that there was not a system edit in place to hold passive enrollment which was causing Medi-Cal beneficiaries to maintain their passive path into a Ca MediConnect health plan.

DHCS worked to correct this error and put a system edit in place that began cancelling passive enrollments when a request for PACE referral was received.

CalPACE is continuing to work with DHCS to identify and resolve any issues with Cal MediConnect referrals to PACE.

CalPACE Puts Forward Principles

for New Rate Methodology

In December, CalPACE provided DHCS with a set of rate development principles as part of the work to develop a new experience based rate methodology for PACE in California. These principles were recommended to DHCS as a way to ensure rates for PACE organizations are sustainable, fair, and inclusive of all of the services that PACE provides.

CalPACE and its members continue to work closely with DHCS through an actuarial work group to shape and define the developing experience based rate methodology.

Expanding PACE Through New Payer Relationships

State and federal initiatives expanding managed care and introducing delivery system changes for long-term services and supports may create new opportunities for PACE. The National PACE Association (NPA), with the support of The SCAN Foundation, asked PACE organizations, health plans and health systems to describe how they might form relationships to explore new opportunities.

The findings are presented in a new report, titled "PACE and Managed Care: Strategies for Expanding PACE Through New Payer Relationships." The report details what PACE organizations and their prospective new partners have identified as the issues and approaches to forming new relationships. Three case studies of PACE organizations exploring new payer relationships also are included. Read the Report.

PACE Cited as a Model for Reducing Burden on Informal Caregivers

A recent Brown Political Review article documents that family members and informal caregivers are the main providers of home care for elderly persons with long-term care needs.

The article notes that PACE helps assist families by focusing on training familial care givers and supporting them through social services. Rather than being the sole source of care, loved ones are used are used as a complement to formal care under the PACE model. Read More.

National PACE Association Celebrates 20 Years

2014 marks the 20th anniversary of the National PACE Association (NPA). To commemorate its 20th anniversary, NPA released a video featuring footage of PACE pioneers such as Marie-Louise Ansak and William Gee, who started On Lok Health Services in San Francisco, CA. The video also features interviews with current PACE leaders throughout the country. Watch the Video.

Nationally, 107 PACE organizations operate in 32 states, serving over 32,000 participants.

CalPACE, the California PACE Association, is 501(c)(6) association is dedicated to the expansion of comprehensive health care services to seniors with chronic care needs through the Program of All-inclusive Care for Elderly (PACE). Through education and advocacy, CalPACE members strive to support, maintain, and safeguard the PACE model and promote high-quality comprehensive health care services to California's seniors.

There are currently ten operational PACE organizations as well as two PACE organizations in development in California. Our members provide and coordinate services to over 4,500 participants through 28 PACE centers in twelve of California's largest counties.

For further information, visit our website at www.calpace.org.

Peter Hansel

Chief Executive Officer

CalPACE

CalPACE | 1315 I Street | Suite 100
Sacramento, CA 95814

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