CMS to update PACE program for first time in decade: 4 thoughts

The Programs of All-Inclusive Care for the Elderly will be updated for the first time in a decade under a proposal the Centers for Medicare and Medicaid Services announced on Thursday, McKnight’s reports

Advertisement

Here’s what you need to know:

1. The PACE program was last overhauled in 2006. It provides coordinated, community-based services to Medicare and Medicaid beneficiaries who qualify for skilled nursing care.

2. The proposal could allow coordinating participants’ care teams to have a “more flexible approach” than the current structure. Non-physician caregivers like nurse practitioners would be allowed to provide some services primary care physicians would normally cover.

3. Additionally the updates would block people with convictions for physical, sexual or substance abuse from being employed in a position that would threaten PACE beneficiaries.

4. The update would also make regulations more consistent, transparent and comprehensible.

More news related to coding, billing and collections:
1. Future POTUS to deal with next ACA enrollment potential fallouts: 5 things to know
2. Vulnerable patients have limited access to ACO physicians: 5 notes
3. Cost drivers sparking insurance hikes — Outpatient procedures rank as #6

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Register to Attend Webinar

Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.