Healthcare Ecosystems
1
HEALTHCARE ECOSYSTEMS
Healthcare Ecosystems
RLTT: Task 2
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HEALTHCARE ECOSYSTEMS
PACE and Telemedicine
All-Inclusive Care for the Elderly otherwise known as (PACE) is a benefit program provided by the Centers for Medicare and Medicaid Services (CMS) for patients that are 55 and older and can be nursing home certified. CMS works with state administering agencies to operate a PACE program in their respective state. PACE is only provided by states that choose to offer the program under Medicaid provisions. PACE is a benefit provided by Medicare and is optional with those having Medicaid. As one of the only programs that combine Medicare and
Medicaid, the PACE objective is to keep the patient living in their communities and homes, instead of nursing homes. The program is a team health care approach with contracted providers and specialists in the patient’s community. Telemedicine is one type of patient care that offers the means of a patient-doctor relationship remotely. Telemedicine is “ the practice of medicine using electronic communication, information technology or other means between a physician in one location and a patient in another location with or without an intervening healthcare provider”
(“Balancing access, safety”, 2011). The use of telemedicine is improving the patient’s access to care, improving their outcome, and reducing costs for both the patient and provider.
CHIP and ACOs
Children’s Health Insurance Program (CHIP), provided by State and Federal governments and based on the Medicaid Assistance Program, provides health coverage for children whose families do not qualify for Medicaid, but can’t afford private insurance. States are responsible for setting up their own CHIP program through a set of mandatory federal guidelines. The Children’s Health Insurance Program Reauthorization Act (CHIPRA) recently extended eligibility standards through 2019 and extended federal funding through October 1,
3
HEALTHCARE
HEALTHCARE ECOSYSTEMS
Healthcare Ecosystems
RLTT: Task 2
2
HEALTHCARE ECOSYSTEMS
PACE and Telemedicine
All-Inclusive Care for the Elderly otherwise known as (PACE) is a benefit program provided by the Centers for Medicare and Medicaid Services (CMS) for patients that are 55 and older and can be nursing home certified. CMS works with state administering agencies to operate a PACE program in their respective state. PACE is only provided by states that choose to offer the program under Medicaid provisions. PACE is a benefit provided by Medicare and is optional with those having Medicaid. As one of the only programs that combine Medicare and
Medicaid, the PACE objective is to keep the patient living in their communities and homes, instead of nursing homes. The program is a team health care approach with contracted providers and specialists in the patient’s community. Telemedicine is one type of patient care that offers the means of a patient-doctor relationship remotely. Telemedicine is “ the practice of medicine using electronic communication, information technology or other means between a physician in one location and a patient in another location with or without an intervening healthcare provider”
(“Balancing access, safety”, 2011). The use of telemedicine is improving the patient’s access to care, improving their outcome, and reducing costs for both the patient and provider.
CHIP and ACOs
Children’s Health Insurance Program (CHIP), provided by State and Federal governments and based on the Medicaid Assistance Program, provides health coverage for children whose families do not qualify for Medicaid, but can’t afford private insurance. States are responsible for setting up their own CHIP program through a set of mandatory federal guidelines. The Children’s Health Insurance Program Reauthorization Act (CHIPRA) recently extended eligibility standards through 2019 and extended federal funding through October 1,
3
HEALTHCARE
References: Nationwide health information network: conditions for trusted exchange. (2012).