PACE@Home Selects InfoMC Technology for Dual Eligible Program - InfoMC

PACE@Home Selects InfoMC Technology for Dual Eligible Program

Incedo Helps North Carolina Senior Day Services Manage Clinical and Business Processes

Media Contact:  Angela Madara, angelam@infomc.com, 484.567.0603

September 11, 2012 – Conshohocken PA – InfoMC, a leading provider of clinical and financial management software for care coordination, is very pleased to welcome PACE@Home as a client and partner in bringing state-of-the-art technology solutions to programs serving one of the fastest growing healthcare demographics – individuals who are “dual eligible.”

The Medicare Payment Advisory Commission (MedPAC) defines dual eligibility as qualifying, in some way, for both Medicare and Medicaid coverage. Participants must navigate both systems to access services, and rely on Medicaid to pay Medicare premiums and cover critical benefits Medicare does not cover, such as long-term care. A May 2011 report by the Kaiser Family Foundation estimates that nearly 9 million Medicaid beneficiaries are dual eligible and incur in excess of $300 billion annually in healthcare spending.

Since their inception, PACE (Program of All-inclusive Care for the Elderly) programs have been consistently recognized as a therapeutically-successful and cost-effective approach offered by the Centers for Medicaid and Medicare Services (CMS) for serving a traditionally vulnerable and expensive segment of the population. PACE models of care help eligible patients achieve greater independence at a much lower cost by extending the availability of home and/or community-based care and reducing the need for hospitalization or transfer to a residential nursing facility.

Located in Newton, Catawba County, in western North Carolina, PACE@Home is a program of all-inclusive care for the elderly that allows individuals in need of skilled nursing home care to remain in their home or community setting. PACE@Home is a voluntary, medical/social-based model of care for those who are eligible.

PACE@Home creates an individualized plan of care for each participant and delivers all needed medical and supportive services. This person centered plan of care is developed, reviewed and updated regularly by an Interdisciplinary Team to insure the participant’s needs are addressed. Services may include:

  • Adult day health services
  • Medical care and medical specialists
  • Dental, vision, hearing and foot care
  • Meal planning and nutrition services
  • Home healthcare and personal care assistance
  • Medications
  • Social Services
  • Respite care
  • Physical, occupational, and speech therapy
  • Recreational and social activities
  • Care-related transportation
  • Hospital care, emergency services and nursing facility care

PACE@Home CEO Jane Rollins, who is also Chair of the North Carolina Adult Day Services Association, says, “We chose InfoMC technology to help manage our business for many reasons – not the least of which is the ability to efficiently and accurately address all our clinical documentation, care coordination, contract management, regulatory reporting, and financial transaction needs. Most important to me, however, was the obvious commitment of their staff and leadership to a true partnership with us, not just a customer-vendor relationship.”

JJ Farook, InfoMC CEO, believes his company’s software solutions can help define the next generation of PACE and other dual eligible programs. “Our technology combines managed care functionality and clinical care data to efficiently meet the business needs of a PACE program as a Medicare Advantage plan – whose enrollees are by definition dual eligible – and provides a way to integrate clinical care information in a usable record for clinical staff on a single platform.  PACE plans use many forms to collect and transmit patient information. Incedo’s unique capability to turn data into useful information for the entire PACE team helps improve clinical care,” he said.

The PACE model is centered around the belief that it is better for the well-being of seniors with chronic care needs and their families to be served in the community whenever possible. It is based on a flat capitated payment system that allows PACE providers to respond to the needs of each participant, rather than a fee-for-service system.

According to the National PACE Association, the PACE model of care can be traced to the early 1970s and an effort by Dr. William Gee, a public health dentist, and Marie-Louise Ansak, a Swiss-born social worker on staff at San Francisco General Hospital, who developed a program for addressing the long-term-care needs of immigrant families in San Francisco. Called On Lok (Cantonese for “peaceful, happy abode”), by 1990 it had evolved into the first federally-funded PACE programs. Creation of PACE programs steadily increased across the country for the next two decades. Today, there are more than 80 PACE programs operating in 29 states.

About InfoMC:

InfoMC has been developing and perfecting collaborative healthcare process management technology for commercial and public sector markets for nearly 20 years. Some of the largest, most-respected names in managed care, behavioral health, and employee assistance programs, as well as state and local governments, use InfoMC technology to run their businesses. InfoMC’s comprehensive software includes robust transaction processing, proactive care management and care coordination, consumer engagement, and advanced analytics and business intelligence. Products for managing and coordinating care include Incedo™ Health Management System, Incedo ProviderConnect, InfoMC INTERACTIVE and InfoMC Data Adapter.  These products work independently or combined to form exceptional healthcare management and wellness solutions and are powered by InfoMC’s cutting-edge G70™ Platform, a new healthcare software accelerator. (www.infomc.com)

About PACE@Home:

PACE@Home is a collaborative effort of founding partners Palliative CareCenter & Hospice of Catawba Valley, Lutheran Services for the Aging, Catawba Valley Medical Center, and Adult Life Programs. The PACE@Home service area includes Catawba, Lincoln, Caldwell, Burke, and Alexander Counties in the Western Piedmont region of North Carolina. To learn more about PACE@Home, go to www.pace-at-home.org, call 828-468-3980, email info@pace-at-home.org, or visit their offices at 1915 Fairgrove Church Road SE, Newton NC 28658. For more information about national PACE programs, go to www.npaonline.org.