LIFE (PACE)
Catholic Health’s PACE (Programs of All-Inclusive Care for the Elderly) Program, called LIFE (Living Independently for Elders), is a managed long-term care delivery model for individuals aged 55+ who qualify for nursing home care but can live safely at home with comprehensive medical and social services. Most PACE/LIFE participants are dual-eligible for Medicare and Medicaid benefits. An interdisciplinary team of health professionals provides PACE participants with coordinated care. The comprehensive service package enables most participants to remain in the community rather than receive care in a nursing home.
Financing for the program is capped, which allows providers to deliver all services participants need rather than only those reimbursable under Medicare and Medicaid fee-for-service plans. PACE is a program under Medicare, and states can elect to provide PACE services to Medicaid beneficiaries as an optional Medicaid benefit. The PACE program becomes the sole source of Medicaid and Medicare benefits for PACE participants.
Key Annual Stats
OLV
1,804
Member Months
32.1
LIFE Full-Time Equivalents
142
Census as of 12/31/23
26
LIFE Mercy Home Care FTEs
Villa Maria
1,013
Member Months
9
LIFE Full-time Equivalents
90
Census as of 12/21/23
9
LIFE Mercy Home Care FTEs
Definitions
Medicare
The federal health insurance program for people age 65+ and people with disabilities.
Medicaid
A joint federal and state program that provides health coverage to those with limited income and resources.
Capitation Reimbursement
A way of paying health care providers or organizations to receive a set amount of money covering the predicted cost of all or some healthcare services for a specific patient over a certain period.
Member Months
The total of each month’s PACE plans census. It is the most common metric to discuss volume.
Census
The current number of individuals a facility is providing care for at a time.