The Long Term Care Discussion Group
A voluntary independent group that meets solely for the purpose
of educating the policy community on all facets of long term care
Thursday, November 9, 2017 at 10:00 a.m. ET
America’s Health Insurance Plans
601 Pennsylvania Avenue NW
South Building, Suite 500
Dial in: 866-396-1316
Code: 202 778 3202
PLEASE RSVP for Access and
BE SURE TO MUTE YOUR PHONES (*6)
The Case for PACE…
Why Should and How Can This Model Expand
Long term services and supports (LTSS) have largely been financed and provided within a fragmented and uncoordinated fee-for-service system. Both state managed care LTSS initiatives and the Affordable Care Act (ACA) authorized dual alignment demonstrations that have illustrated some advantages over the prevailing fee-for-service approach. But the effective outcomes of care and predictable costs stemming from the PACE model – the Program for All Inclusive Care for the Elderly – largely have been overlooked. While PACE program performance has been exceptional, it is often discounted as a model for finance reform because of its unique scope and focus; specifically, PACE currently only serves about 42,000 individuals, 95% of whom are eligible for both Medicare and Medicaid (dually-eligible).
Because a growing number of individuals have multiple and complex illness, the expanded availability of a fully integrated care delivery model such as PACE holds great promise in terms of cost control and effective care management. This session will provide a brief overview of the PACE model, evidence of program efficacy, rationale for expansion and will explore comprehensive efforts to expand PACE through a variety of channels. These include the PACE Innovation Act - the PACE 2.0 grant-supported initiative - and other efforts to expand PACE access to middle to upper income individuals.
Shawn Bloom is the President and CEO of the National PACE Association (NPA), an organization that represents 122 operating PACE sites operating in 31 states and approximately 22 additional health care organizations in various stages of PACE site development. Prior to NPA, Shawn spent 5 years as the Executive Director of the Missouri Association of Homes for the Aging (MoAHA). Before that, he worked in the Policy and Governmental Affairs Division of the American Association of Homes and Services for the Aging (AAHSA) – now called Leading Age – a Washington, D.C. based trade association representing not-for-profit long term care and housing services for the aging. Shawn received his B.S. in biochemistry and gerontology from Kansas State University and completed his Masters coursework in long term care at the University of North Texas, Center for Studies in Aging. Shawn began his career working as a nursing home Certified Nurse Aide in high school and college.
Anne Montgomery is the Deputy Director for Altarum’s Center for Elder Care and Advanced Illness and a visiting scholar at the National Academy of Social Insurance. From 2007 to 2013, Ms. Montgomery served as senior policy advisor for the U.S. Senate Special Committee on Aging, where she was responsible for developing hearings and legislation to improve nursing homes and home and community-based services in Medicaid, for dually-eligible beneficiaries, health care workforce and other issues. She has also served as a senior health policy associate with the Alliance for Health Reform in Washington, DC, a senior analyst in public health at the U.S. Government Accountability Office, and a legislative aide for the Ways & Means Health Subcommittee. A member of the National Academy of Social Insurance and Academy Health, Ms. Montgomery has an M.S. in journalism from Columbia University and a B.A. from the University of Virginia.
HOW TO RSVP:
· Please RSVP to attend by phone or in person by sending an email to email@example.com. Please DO NOT REPLY to this email.
· For those participating by telephone, the meeting materials (once available) will be posted at our website: http://www.ltcdiscussiongroup.org on the ARCHIVES page.
· Telephone dial-in information is provided above. It is imperative that you RSVP if you wish to participate by telephone. We also ask that you MUTE your phones during the call.
Long Term Care Discussion Group Co-Chairs:
Susan Coronel, John Cutler, Hunter McKay (ex-officio), Karl Polzer,
Jill Randolph, and Eileen J. Tell
Long Term Care Discussion Group meetings are intended as forums for candid discussion.
Dialogue and comments made during these meetings should be treated as off the record.
For more information about the Long Term Care Discussion Group, and to access materials and information from previous meetings, visit www.ltcdiscussiongroup.org
|Site Design: Gates Studio|