Prescription Health

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.

12/4/23 • 31:33

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 – 00:31Guest Introductions: 00:32 – 4:12What is Pharmacogenomics (PGx): 04:13 – 06:30PGx in PACE: 06:31 – 19:35PGx Studies, Trends and Data: 19:36 – 26:26Phenoconversion: 26:27 – 28:12Utilization of PGx: 28:13 – 32:11PGx Outside of PACE: 32:12 – 35:02Success Stories: 35:03 – 38:01Rapid Question Round: 38:02 – 43:43Outro: 43:44 – End

8/15/23 • 44:18

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 – 00:31Guest Introductions: 00:32 – 5:50Strategies for Growth and Enrollment: 05:51 – 10:28PACE Zip Codes: 10:29 – 16:20Targeting Specific PACE Populations: 16:24 – 21:40Overcoming Enrollment Barriers: 21:41 – 27:35IDT and Enrollment: 27:36 – 36:40PACE Success Stories: 36:41 – 43:21Rapid Six Round: 44:30 – 48:32Outro: 48:33 – End

6/29/23 • 47:51

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 – 00:31Guest Introductions: 00:32 – 03:08Emerging Trends Driving the Future of Healthcare: 03:09 – 10:19The Expanding Role Pharmacists/Pharmacy Solutions Play in Value-Based Care: 10:20 – 16:20The Impact Pharmacists Have in Medication Regimens and the Overall Health of a Patient: 16:21 – 21:35Barriers that Hinder Growth for Pharmacies: 21:36 – 26:57The Role TRHC Plays in Helping Healthcare Move Forward: 26:58 – 30:38Outro: 30:39 – End

5/8/23 • 28:02

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! 

5/1/23 • 00:59

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 – 01:30Background in PACE: 01:53 – 3:19Role as Director of Quality and Patient Safety: 03:20 – 04:03Culture of Compliance: 05:37 – 12:55Phase 1 (Gap Analysis):12: 56 – 16:57Phase 2 (Planning): 16:58 – 26:05Phase 3 (Execution) 26:06 – 27:18Phase 4 (Implementation): 27:19 – 29:02Phase 5 (Resolution): 29:03 – 32:00Creating a Non-Punitive Environment: 32:01 – 33:15Continuing Improvement: 33:16 – 38:56Tips for Preparation: 38:57 – 41:19Success Story/Inspiration: 41:20 – 44:20Rapid Fire Round: 44:26 – 46:58Outro: 46:58 – End

3/2/23 • 48:28

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 – 01:33Background in PACE: 01:34 – 4:25Role at NPA: 04:26 – 08:59Bipartisan Policy Center: 09:04 – 10:56PACE Growth: 10:57 – 16:50Mid-Month Access to PACE Services: 16:52 – 20:23PACE Policies (PACE Plus Act/PACE Expanded Act/PACE Part D Plan Choice Act): 20:24 – 31:40Future of PACE (VA contracts, telehealth, PACE workforce): 31:41 – 43:32Diversity, Equity, and Inclusion Council: 43:33 – 48:51PACE Success Story: 48:52 – 51:14Contact: 51:14 – 51:56Rapid Fire Round: 52:06 – 53:50Outro: 53:51 – End

1/15/23 • 54:46

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 BreakdownIntro: 00:00 – 01:53Future of PACE (Shawn Bloom): 01:54 – 05:37Lessons from COVID (Maria Zamora): 05:47 – 09:57Partnerships in PACE (Samira Beckwith): 10:04 – 15:12PACE Success Story/Housing (Dan Drake): 15:20 – 18:44Preventing Burnout (Ross Colt): 18:53 – 21:32Opioid Initiative Program (Jeff Montemurro): 21:39 – 27:40Interdisciplinary Teams (Adam Burrows): 28:04 – 31:19Staff Retention (Alan Sadowsky): 31:29 – 36:18Creating Meaningful Life for Participants (Stephen Gordon): 36:42 – 40:21Extending Quantity/Quality of Life (David Wensel): 40:36 – 44:35Why Work in PACE? (Luz Ramos): 44:43 – 47:44Outro: 48:00 – End

12/14/22 • 50:51

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. 

11/17/22 • 44:00

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. 

10/9/22 • 56:39

Host Ankur Patel, MD, MBA, FAAFP, interviews Stephen Gordon, MD, MBA, Founder and CEO of Edenbridge Health. A board-certified geriatrician with a lifelong passion for improving the care of the elderly, Dr. Gordon founded Edenbridge Health in 2016. He continues to practice geriatrics at Upham’s Corner PACE; is on the faculty of Harvard Medical School; holds clinical appointments at Beth Israel Deaconess Medical Center, Boston Medical Center, and Hebrew SeniorLife; and is a supervising physician for United Community Health Plan.

9/12/22 • 53:25

Host Ankur Patel, MD, MBA, FAAFP, interviews Alan Sadowsky, PhD, MSW, Senior Vice President of MorseLife Health System. Dr. Sadowsky has administrative responsibility for the MorseLife Home Care division, which includes Palm Beach PACE, Palm Beach Hospice and Palliative Care, Home Care services, Adult Day Care, Meals on Wheels, and Geriatric Care Management. Dr. Sadowsky serves as a board member for the National PACE Association and the Florida PACE Providers Association. He previously served as president of the Area Agency on Aging of Palm Beach and Treasure Coast.

8/14/22 • 49:00

Host Ankur Patel, MD, MBA, FAAFP, interviews Adam Burrows, MD, Medical Director of Upham’s PACE, an organization of the Upham's Corner Health Center. A geriatrician and assistant professor of medicine at the Boston University School of Medicine, Dr. Burrows is active in promoting and supporting integrated models of community-based care for frail and disabled older adults. He is a member of the National PACE Association’s (NPA’s) Board of Directors and serves as chair of the NPA’s Primary Care Committee and editor of the PACE Medical Director's Handbook. Additionally, Dr. Burrows is a health services consultant for the Rural PACE Project and is chair of the Rural PACE Ethics Committee.

7/18/22 • 65:08

Host Ankur Patel, MD, MBA, FAAFP, interviews Jeff Montemurro, Occupational Therapist for Inspira LIFE. Jeff is a dual-licensed occupational therapist and medical massage practitioner specializing in pain management and wellness. At Inspira LIFE, Jeff evaluates treatment for the geriatric population, completes home safety assessments and provides recommendations to improve safety within the home environment.

6/6/22 • 52:17

Host Ankur Patel, MD, MBA, FAAFP, interviews Army Colonel (Ret.) Ross Colt, MD, MBA, FAAFP. Dr. Colt has served as the Medical Director for the Gary and Mary West PACE since 2018 and is a family physician with more than two decades of clinical practice experience, including a deep background in academic medicine and leadership in managed care environments. A decorated war veteran, Dr. Colt served two combat tours in Iraq and retired after 24 years as an Army Colonel.

5/2/22 • 57:44

Host Ankur Patel, MD, MBA, FAAFP, interviews Dan Drake, President and CEO of Trinity Health PACE. Prior to his current role, Dan served as President of Continuing Care for Trinity Mid-Atlantic. Dan was also the Vice President of Continuing Care at St. Mary Medical Center in Langhorne, Pennsylvania. Dan has served on the Pennsylvania Aging Council, and he leads Trinity's Advocacy and Legislative efforts in Pennsylvania. He is a Registered Nurse and a Licensed Nursing Home Administrator, holds degrees in Nursing Science and Business Administration, and has a master’s degree in Health Science Administration. 

4/3/22 • 50:41

Host Ankur Patel, MD, MBA, FAAFP, interviews Dr. Samira Beckwith. Dr. Beckwith has served as President and CEO of Hope Healthcare in Southwest Florida for more than 30 years. Within the state of Florida, she served on the Transition Advisory Committee on Health and Wellness, the Florida Center for Nursing Board of Directors, and the Long-Term Care Advisory Committee. Dr. Beckwith has also served on the White House Conference on Aging and on the boards of the National Hospice and Palliative Care Organization and the National Hospice Foundation. She is the Founding President of the Florida PACE Providers Association and a Founding Director of the National Partnership for Hospice Innovation, as well as past president of the Florida Hospice and Palliative Care Association. 

2/28/22 • 47:32

Host Ankur Patel, MD, MBA, FAAFP, interviews Shawn Bloom, President and CEO of the National PACE Association (NPA), on the future of PACE. Shawn has served in this role since 2000; is responsible for the strategic direction, operational activities and overall performance of the association; and leads state-related activities. Prior to joining NPA, Shawn was executive director of the Missouri Association of Homes for the Aging and worked in the Policy and Governmental Affairs Department at the American Association of Homes and Services for the Aging. 

1/18/22 • 53:29

Host Ankur Patel, MD, MBA, FAAFP, interviews Maria Zamora, CEO at Center for Elders’ Independence (CEI). Maria has been with CEI since March 2021 and has more than 24 years of experience in the healthcare and insurance industries. Prior to joining CEI, Maria served as Vice President of Senior Care Services/PACE at AltaMed Health Services and Regional Executive Director for InnovAge. She serves as Chair and Executive Committee member of the Board of Directors for the National PACE Association and serves as Vice Chair and Executive Committee member of the Board of Directors for California PACE Association. 

1/18/22 • 56:18

The Keep Up With PACE podcast, hosted by Ankur Patel, MD, MBA, FAAFP, brings strategies and best practices focusing on growing Program of All-Inclusive Care for the Elderly (PACE) to the forefront. PACE is one of the best models of care for the frail elderly, and the podcast will feature interviews with expert PACE professionals. 

1/18/22 • 00:43