Program of all-inclusive care for the elderly (PACE) fast facts, 07/2012

              Program of All-Inclusive Care for the Elderly (PACE)
This publication is authorized by the Oklahoma Health Care Authority in accordance with state and federal regulations. OHCA is in compliance with the Title VI and Title VII of the
1964 Civil Rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA’s website www.okhca.org under Research/Statistics and Data (http://
www.okhca.org/research/data). The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, gender, religion, age or disability in employment or
the provision of services. The data is valid as of the report date and is subject to change.
Program of All-Inclusive Care for the Elderly (PACE) is a unique, capitated, one-stop, home and community-based program. PACE pro-vides
an array of necessary medical and social services for the frail and elderly within the home or at the Cherokee Elder Care Center in
Tahlequah. It is the first Native American sponsored program in the United States and is available to those living within specific Zip Codes
of the piloted area. Moreover, one must be 55 years of age or older, qualify for state nursing home level of care, be safely cared for in a
community setting and meet the financial qualifications for SoonerCare .
PACE programs assume full financial risk for each member’s care without limits on dollars or duration and are responsible for a full range
of needed services. PACE is a permanent provider under the Medicare program and a state option under the SoonerCare program.
8/15/2012
Fast Facts
55 - 69
40
70 - 84
48
85 and Older
15
Age Breakdown of Total PACE Enrollment
52 55 59 61 62 63
41
43 40 40 41 40
93
98 99 101 103 103
0
20
40
60
80
100
120
February 2012 March 2012 April 2012 May 2012 June 2012 July 2012
Enrollees
American Indian All Other Races
Total PACE Enrollment and Race Groupings
July 2012
Gender Total Currently Enrolled
Male 37
Female 66
Total 103
PACE Enrollment
Gender
Continued Enrollment
from Previous Month
New Enrollment
This Month
Male 37 0
Female 66 0
Total 103 0
Breakdown of Current Enrollment
$7,536,385
(A Dual member is a member enrolled in both Medicare and SoonerCare)
Capitation Rate per Dual Member $2,736.63
Capitation Rate per SoonerCare Member $3,444.39
Total Payments Since Program Inception August 2008
Capitation Payment Information
148
Unduplicated Count of Members SFY 2013 (July 2012-
June 2013)
Unduplicated Count of Members Since Program
Inception August 2008
103
Unduplicated Count of Members SFY & Since Inception
Gender
Aged/
Medicare
Aged/Non-
Medicare
Disable/
Medicare
Disabled/Non-
Medicare
Male 22 5 6 0
Female 38 8 7 2
Total 60 13 13 2
Breakdown of Dual Enrollees for PACE