Maximize Automation in Your PACE Administration
The Program for All-Inclusive Care for the Elderly (PACE) offers comprehensive long term services for Medicare and Medicaid enrollees. The breadth of services and the complexity of the benefit design creates operational challenges for plans administering this business.
HEALTHsuite Mercato is highly flexible and can automate even the most complex benefit structures. This adaptability and precision accuracy increases automation and streamlines processing for the PACE program. Following are some of the features available with HEALTHsuite Mercato:
- Coverage for Medicaid waiver services
- Support for beneficiaries in group home settings including billing for room and board
- Identification of support teams by beneficiary
- Support for adult day care, in-home care, and personal care
- Billing for beneficiary cost-shares when the beneficiary is not fully dual-eligible