The PACE medical advantage program which was established back in the 1980s has been serving a high-need population which qualifies for Medicaid and Medicare.
The major disadvantage of the program for all-inclusive care (PACE) is that it is limited to serve only those with 55 years and above. The main point with this is that the plan has adopted comparatively high capitated payments for those who enroll and has not reduced the Medicare spending for their clients which might be a struggle for some aged people to meet since most of them are not in the working group (Hansen & Hewitt, 2012). Their expenditures are created on the advanced standards that were outlined in Medicare advantage plans before the ACA enactment. In addition, the expenditures for this plan are set equal to the standards; the plan
...does not stand up to tenders. Lastly, payments given to PACE are attuned to Medicare Advantage risk procedures, however, with extra costs for fragile recipients in the program. This makes the program more expensive.
Despite the disadvantage of costs, PACE programs help families that require skilled home care. This program helps families not rely entirely on the program but to undertake some personal care for them. In cases where the plan cannot continue supporting a participant at home, they pay for a skilled health care. Is a participant is using a home care then it might be cheaper. In my opinion, the PACE medical advantage program is a very good option for any person and for families that are in a position to give a certain level of care. This is because, despite the high rates of payments, the plan is
trusted for the provision of highly skilled care for aged people.
Most people are using this program so, yes, people are happy with the program. Regrettably, this plan is facing some limitations, in that since March 2016, this program was no longer available countrywide, only 137 locations in 36 states have the program (Hansen, Hewitt, 2012). Additionally, elders should stop using basic healthcare and start using this program. Last but not least, PACE in some region, may consume meaningful time to enroll and have the application sort out earlier before membership (Hansen, Hewitt, 2012).
References
- Hansen, J. C., & Hewitt, M. (2012). PACE provides a sense of belonging for elders. Generations, 36(1), 37-43.
- Medicare Policy Kaiser Family; Foundation Policy Options to Sustain Medicare for the Future http://kaiserfamilyfoundation.files.wordpress.com/2013/02/8402.pdf
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