For Providers: A Whole New Level of Care for Your Patients
When you partner with CenterLight Healthcare Program of All-Inclusive Care for the Elderly (PACE), you enjoy a host of benefits for your practice, while helping your patients live safely and independently in their homes. PACE is an integrated model of care where older adults 55+ with long term care needs can enjoy access to all the care they require, including medical care; rehabilitation; social work, nutrition, and recreation services; prescription and over-the-counter medications; and home care.*
With CenterLight PACE, you remain the Primary Care Provider (PCP) and share the responsibility of patient care with our Interdisciplinary Team (IDT) which includes, but is not limited to, Nurses, Rehab Therapists, Social Workers, Dietitians, and Therapeutic Recreation Specialists. Some participants (individuals enrolled in PACE) may receive primary care services from us, but a large number keeps their existing doctors. We work with community providers, meet those we serve where they are, and integrate with their ecosystem. So when our doctors and the rest of the IDT encounter your patient throughout their healthcare journey, we address their immediate needs and strive to communicate, collaborate, and be true partners in care to you. As majority of PACE participants are frail older adults with complex medical and social needs, we count on having an effective and efficient relationship with our primary care partners to accomplish our shared goal of providing high quality services that help improve their quality of life.
Benefits for Your Medical Practice
- One payor source: no need to bill fee-for-service Medicaid for Part B deductible and cost shares.
- IDT develops, coordinates, and carries out an individualized plan of care and provides health education to participants and/or caregivers.
- Transportation coordination for medical appointments reduces no-shows.
- Improved engagement with participants who do not come frequently to their regular primary care appointments.
- Access to homebound participants through the IDT.
- Social worker helps with entitlements and behavioral health issues.
- Collaboration with a pharmacist to assist with medication review and reconciliation.
- An opportunity to grow your practice as we grow our membership.
PACE Model of Care: Proven Results
Through continuous collaboration between the participants’ primary care provider and the CenterLight PACE IDT, participants benefit from high quality, holistic care. IDT involvement helps prevent unnecessary hospitalizations, achieve high quality outcomes, and helps improve social determinants of health outcomes. The charts below illustrate how PACE outcomes compare with national averages.
Working Together to Provide High Quality Care
One of CenterLight’s core responsibilities is to ensure care coordination and delivery of services to our participants. Our participants’ consulting physician or primary care provider play an integral role as a member of their care team.
- The CenterLight IDT provides wrap around services (urgent care access, chronic illness management, transition of care support, palliative care, and more) to your patient and functions as an extension to your team.
- We collaborate with you when there is a change in a participant’s status and to closely monitor their condition. We are your eyes and ears when you can’t see them, and we strive to make our interactions brief, efficient and beneficial, and avoid adding unnecessary burden on you.
- Medical encounter notes are required to ensure that the participant’s visit to your office becomes part of their medical records.
- As part of PACE regulatory requirements, CenterLight participants are required to have semiannual and annual assessments done by members of their IDT. Most of these assessments may be done at the PACE Center. The nurse and physical/occupational therapist must do assessments and safety evaluations in the home twice a year.
Please check back soon for more articles about how we can work together to provide high quality care to those we serve.
This blog post is written by Ziad Farah, MD, MBA, Chief Medical Officer at CenterLight Healthcare PACE.
H3329 ForProvidersBlog Approved MMDDYYYY
Pending CMS and DOH Approval
Last Updated September 4, 2024
*As determined by the IDT.
1 CenterLight Healthcare PACE Quality Report, all sites data in the last 90 days as of May 7, 2024
2 Number of Emergency Department Visits per 100 people in the US in 2021, Statista
3 Trends in Nonfatal Falls and Fall-Related Injuries Among Adults ≥65 Years, Centers for Disease Control and Prevention (CDC), July 10, 2020
4 Flu Vaccine Coverage in the US 2014-2023, Statista.
5 https://media.market.us/home-healthcare-statistics/
6 CenterLight Healthcare PACE Tableau Census Dashboard as of May 2, 2024
The participant may be liable for the costs of unauthorized or out-of-PACE program agreement services. Upon enrollment, the PACE program will be the participant’s sole service provider. Participants will have access to all services needed as identified by the Interdisciplinary Team, but not to a specific provider of these services.