The Private Sector Is Setting The PACE For Managed Care

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Private organizations, including for-profit entities beginning in 2015, deliver the actual services, which are funded by per-person/per-month fees (e.g., capitated payments) from Medicare and Medicaid. While the program covers costs for patients that require nursing home care, the goal is to keep participants out of nursing homes and in the broader community for as long as possible.

Rising demand for long-term care is inevitable as more and more baby boomers retire. Meeting this demand will be a challenge.

Recent evidence from the PACE program demonstrates that for-profit care providers can help meet this growing demand, but only if the regulatory environment allows it.

Read the op-ed here.

Nothing contained in this blog is to be construed as necessarily reflecting the views of the Pacific Research Institute or as an attempt to thwart or aid the passage of any legislation.

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