Host Ankur Patel, MD, MBA, FAAFP, is joined by Dr. Mike Brett, Senior Vice President, Chief Medical Officer, Capstone Risk Adjustment Services, to discuss how PACE programs can utilize Risk Adjustment Services to evaluate their participants’ risk scores now to better prepare for 2024. They also discuss how specificity in your documentation can improve participant care. Our experts share insights into strategies for clinical documentation and best practices for a comprehensive Risk Adjustment program.

This episode features an informative discussion on the impact of pharmacogenomics (PGx) in PACE (Program of All-Inclusive Care for the Elderly), led by a panel of innovative medical professionals. Listen in as our guests break down the different aspects of PGx; share how PGx is implemented and utilized within PACE programs; explain case studies and trends; and describe stories of how incorporating PGx into participant care has optimized medication regimens, improved outcomes and enhanced quality of life.

Episode Breakdown:

Intro: 00:00 – 00:31

Guest Introductions: 00:32 – 4:12

What is Pharmacogenomics (PGx): 04:13 – 06:30

PGx in PACE: 06:31 – 19:35

PGx Studies, Trends and Data: 19:36 – 26:26

Phenoconversion: 26:27 – 28:12

Utilization of PGx: 28:13 – 32:11

PGx Outside of PACE: 32:12 – 35:02

Success Stories: 35:03 – 38:01

Rapid Question Round: 38:02 – 43:43

Outro: 43:44 – End

Join us for a thought-provoking discussion surrounding topics of PACE participant enrollment and growth. Our panelists share insights into strategies for increased growth both internally and externally, overcoming operational barriers, interdisciplinary team (IDT) solutions regarding enrollment, and heart-warming PACE success stories.

Episode Breakdown:

Intro: 00:00 – 00:31

Guest Introductions: 00:32 – 5:50

Strategies for Growth and Enrollment: 05:51 – 10:28

PACE Zip Codes: 10:29 – 16:20

Targeting Specific PACE Populations: 16:24 – 21:40

Overcoming Enrollment Barriers: 21:41 – 27:35

IDT and Enrollment: 27:36 – 36:40

PACE Success Stories: 36:41 – 43:21

Rapid Six Round: 44:30 – 48:32

Outro: 48:33 – End

Welcome to the first episode of Prescription Health (formerly Keep Up With PACE). In this episode, our guests discuss the trends driving the future of healthcare, the expanding role of pharmacy in value-based care, the barriers that hinder growth, and more.

Episode Breakdown:

Intro: 00:00 – 00:31

Guest Introductions: 00:32 – 03:08

Emerging Trends Driving the Future of Healthcare: 03:09 – 10:19

The Expanding Role Pharmacists/Pharmacy Solutions Play in Value-Based Care: 10:20 – 16:20

The Impact Pharmacists Have in Medication Regimens and the Overall Health of a Patient: 16:21 – 21:35

Barriers that Hinder Growth for Pharmacies: 21:36 – 26:57

The Role TRHC Plays in Helping Healthcare Move Forward: 26:58 – 30:38

Outro: 30:39 – End

Welcome to our newly expanded podcast, Prescription Health (formerly Keep Up With PACE). We invite you to join us for lively conversations with industry experts that explore emerging developments including innovative models of care, advancements in the application of science and technology, changing dynamics of healthcare consumer expectations, and trends in other value-based care models including PACE (Program of All-Inclusive Care for the Elderly).

Healthcare doesn’t stand still, and we all have a stake in how the industry and its impact evolves. So, tune in and stay current with Prescription Health! 

In this episode of Keep Up With PACE, Al’Asia Powell, Director of Quality and Patient Safety, Inspira LIFE, outlines the process of preparing for a CMS audit. Her outline consists of a five-phased approach a PACE program should follow – (1) complete a gap analysis, (2) create a plan, (3) execution, (4) implementation, and (5) resolution. In addition to audit preparation, Ms. Powell shares insights on creating a strong culture of compliance and effective communication within a PACE team.

Episode Breakdown:

Intro: 00:00 – 01:30

Background in PACE: 01:53 – 3:19

Role as Director of Quality and Patient Safety: 03:20 – 04:03

Culture of Compliance: 05:37 – 12:55

Phase 1 (Gap Analysis):12: 56 – 16:57

Phase 2 (Planning): 16:58 – 26:05

Phase 3 (Execution) 26:06 – 27:18

Phase 4 (Implementation): 27:19 – 29:02

Phase 5 (Resolution): 29:03 – 32:00

Creating a Non-Punitive Environment: 32:01 – 33:15

Continuing Improvement: 33:16 – 38:56

Tips for Preparation: 38:57 – 41:19

Success Story/Inspiration: 41:20 – 44:20

Rapid Fire Round: 44:26 – 46:58

Outro: 46:58 – End

Keep Up With PACE kicks off 2023 with guest Peter Fitzgerald, Executive Vice President of Policy and Strategy at the National PACE Association. In this episode, Peter offers insight into the future of PACE with discussions regarding PACE 2.0, PACE policies and bills, the importance of telehealth and other technologies for participants, and growing the PACE workforce. Peter stresses the importance of eliminating barriers by making PACE more affordable for Medicare-only individuals, as well as making it easier to enroll in the program for all participants.

Episode Breakdown:

Intro: 00:00 – 01:33

Background in PACE: 01:34 – 4:25

Role at NPA: 04:26 – 08:59

Bipartisan Policy Center: 09:04 – 10:56

PACE Growth: 10:57 – 16:50

Mid-Month Access to PACE Services: 16:52 – 20:23

PACE Policies (PACE Plus Act/PACE Expanded Act/PACE Part D Plan Choice Act): 20:24 – 31:40

Future of PACE (VA contracts, telehealth, PACE workforce): 31:41 – 43:32

Diversity, Equity, and Inclusion Council: 43:33 – 48:51

PACE Success Story: 48:52 – 51:14

Contact: 51:14 – 51:56

Rapid Fire Round: 52:06 – 53:50

Outro: 53:51 – End

Keep Up With PACE concludes Season 1 with a compilation of best moments from each episode. Guests include PACE leaders such as Shawn Bloom (CEO of the National PACE Association), Maria Zamora (CEO at Center for Elders’ Independence), and Adam Burrows (Medical Director at Upham’s Corner PACE) who share insights into the future of PACE, successful initiatives they’ve implemented, and heartfelt stories of participants who have benefited from PACE.

Episode Breakdown

Intro: 00:00 – 01:53

Future of PACE (Shawn Bloom): 01:54 – 05:37

Lessons from COVID (Maria Zamora): 05:47 – 09:57

Partnerships in PACE (Samira Beckwith): 10:04 – 15:12

PACE Success Story/Housing (Dan Drake): 15:20 – 18:44

Preventing Burnout (Ross Colt): 18:53 – 21:32

Opioid Initiative Program (Jeff Montemurro): 21:39 – 27:40

Interdisciplinary Teams (Adam Burrows): 28:04 – 31:19

Staff Retention (Alan Sadowsky): 31:29 – 36:18

Creating Meaningful Life for Participants (Stephen Gordon): 36:42 – 40:21

Extending Quantity/Quality of Life (David Wensel): 40:36 – 44:35

Why Work in PACE? (Luz Ramos): 44:43 – 47:44

Outro: 48:00 – End

Host Ankur Patel, MD, MBA, FAAFP, interviews Dr. Luz Ramos, Chief Quality Officer and Regional Medical Officer for InnovAge. Dr. Ramos shares the inspirational story of how her parent’s military service affected her pursuit of a medical career, as well as the challenges she faced immigrating from the Philippines to establish her career in the United States. As the Chief Quality Officer and Regional Medical Officer for InnovAge, Dr. Ramos speaks to the value-based care, quality initiatives, and preventative strategies, such as a Falls Committee, InnovAge provides its participants. She stresses the importance of giving back to the frail elderly by caring for them at the end of their lives, the same way they have cared for their loved ones. 

Host Ankur Patel, MD, MBA, FAAFP, interviews David Wensel, DO, HMDC, FAAHPM, Chief Medical Officer, Tru Community Care. In this episode, Dr. Wensel shares how Tru Community Care, one of the original legacy hospices, ventured into PACE and its goals for significant growth in both rural and metropolitan areas. He discusses his experiences and dedication to improving hospice and palliative care services to all patients and families on a national level. Dr. Wensel is the current chair of the Primary Care Committee and the End of Life and Palliative Medicine Work Group for the National PACE Association. He serves on the board of directors for the National PACE Association, the Governance Committee of the American Academy of Hospice and Palliative Medicine, and the Hospice Medical Director Certification Board.