Program of All-Inclusive Care for the Elderly (PACE) fast facts, 04/2012

              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.
5/15/2012
Fast Facts
55 - 69
34
70 - 84
48
85 and Older
17
Age Breakdown of Total PACE Enrollment
49 49 49 52 55 59
37 36 40 41
43 40
86 85
89 93
98 99
0
20
40
60
80
100
120
November 2011 December 2011 January 2012 February 2012 March 2012 April 2012
Enrollees
American Indian All Other Races
Total PACE Enrollment and Race Groupings
April 2012
Gender Total Currently Enrolled
Male 35
Female 64
Total 99
PACE Enrollment
Gender
Continued Enrollment
from Previous Month
New Enrollment
This Month
Male 35 0
Female 61 3
Total 96 3
Breakdown of Current Enrollment
Gender
Aged/
Medicare
Disabled/
Medicare
Aged/Non-
Medicare
Male 26 7 1
Female 47 7 3
Total 73 14 4
Breakdown of Dual Enrollees for PACE
$6,713,179
(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
136
Unduplicated Count of Members SFY 2012 (July 2011-
June 2012)
Unduplicated Count of Members Since Program
Inception August 2008
112
Unduplicated Count of Members SFY & Since Inception