Overview
As part of our MediCaring® Communities reform agenda, Altarum is working with PACE, the Program of All-Inclusive Care for the Elderly, in Ypsilanti, Michigan, to test reforms needed to expand this government program to a growing population of seniors who need a mix of geriatric care and long-term supportive services. Under current Medicare and Medicaid coverage, millions of older adults face multiple challenges in locating reliable, comprehensive services.
Our Approach
PACE is one of the most promising ways of expanding access to long-term supportive services to more elders, but administrative and structural reforms are needed to ensure it is affordable and accessible. This pilot project is testing some of those reforms, including a pricing structure that would allow many of the services to be obtained affordably through cost-sharing and savings arrangements involving the beneficiary, Medicaid and Medicare.
Results
The project is an essential foundation for a new system of care that meets the needs of the country’s growing population of frail or disabled elders. As these efforts come to fruition, they will help lower the cost of long-term services and supports to individuals and to Medicaid, and enable more elderly persons to live at home longer.
Contact Us
Anne Montgomery - MS
Program Director, Delivery System Transformation
Areas of Expertise- Long-Term Services and Supports
- Medicare, Medicaid, the Older Americans Act, and other programs
- Social Determinants of Health in Older Adults
Anne Montgomery develops policy and research initiatives that improve long-term services and supports and medical care for older adults receiving services from Medicare, Medicaid, the Older Americans Act, and other programs. She is co-leading efforts to implement and evaluate comprehensive culture change and quality improvement in nursing homes and is working with colleagues to develop a new volunteer-based Community Care Corps program at the national level. Anne conducts workforce policy analysis for home and community-based services (HCBS) and advises on how to expand models of community-based care for older adults requiring complex services.
Sarah Slocum - MA
Program Director, Delivery System Transformation
Areas of Expertise- Long-term Services and Supports
- Medicare
- Medicaid
As a leader working to transform services, Sarah strives to create innovations and system changes that will make care for frail elders and people with disabilities available, accessible, and high quality in the setting of their choice. Through nursing home quality improvement, PACE expansion, benefit flexibility, and culture change efforts, she aims to change care delivery to a person-centered model.