See recent article on Kissito 5/10/2013:
Approval for Program for All-inclusive Care for the Elderly (PACE) came for Roanoke’s Kissito Healthcare the last week of March. Kissito runs a series of nursing homes, assisted living facilities and medical facilities in Virginia, Texas and Arizona with 800 employees.
At the National PACE Association Annual Policy Conference in March bureaucrats, policy makers and decision makers from Capitol Hill delivered a clear message regarding better health and reduced cost.
Former Governor Tim Kaine was a avid supporter of PACE. and HERE and HERE.
Putting downward pressure on health care costs was the conundrum thrown out to citizens at a Monday neighborhood meeting. The PACE program is based upon regions. Kissito will be the only PACE provider is this region. A region encompasses participants within a one-hour radius of a center.
Other news CLICK HERE.
According to the CFO of Kissito Healthcare, Sam Rasoul the Affordable Healthcare Act “is not real reform … it only tackles one side of it which is access.” The other side of the conversation is the cost of healthcare.
The current system is a “sickness based model,” said Rasoul where everyone makes money when you are sick. The PACE philosophy is “that they make money when you are well.” The government in the next 10 years will not be able to subsidize nursing homes with the current cost model.
Rasoul explained that, “something’s got to give … we have an aging demographic” that is stretching Medicare and Medicaid to the limit. These are people that just need assistance with activities of daily living that are placed in nursing homes as an only option.
The PACE model has been around since 1985. The closest one in Virginia is in Lynchburg. Participants are primarily on Medicare and Medicaid.
Kissito as a PACE provider would receive about $6000 per participant. Medicare compensates about $3500 and Medicaid $2700. A dually eligible participant that would ordinarily be in a nursing home would instead be cared for at a PACE center costing less while receiving the level of care they need.
“There are many people living in a nursing home who could live at home if they had limited support,” said Rasoul. The dilemma for many children of aging parents is time. Both children work and are struggling with their own finances. A doctor certifies the elder parent as nursing home eligible when they could live on their own with limited support.
Under the PACE program it is a “logistical operation … we use a combination of tactics,” said Rasoul. A Kissito PACE program participant could use in-home help or be picked up from their home and taken to their adult daycare center a couple times a week. One doctor is always on staff for the 200 participants per center.
The second phase of Kissito’s program would include a home-like adult foster care concept. The state of Virginia does not currently have an adult foster care concept and the concept may take legislators some time to enact in Richmond. They are “a little bit slow,” said Rasoul. The only adult foster care in Virginia is for adults with mental disabilities. Kissito would be the first PACE center in Virginia and possibly the country to provide elder foster care.
Their plans would be to build the PACE Center, day care and move their headquarters now located at ValleyPointe Parkway to part of the city-owned Countryside property. It will bring about 200 new jobs to the Roanoke area.
It is about “keeping people safe and healthy … that is the real part of a health care reform solution,” said Rasoul. It is a wellness based model because if the PACE participant goes to the hospital the cost can be up to $5000 a day. It is just one of the ingredients to health care reform.
Virginia would save on a daily basis 25 to 30 percent of nursing home costs. It is even possible to give family members a small stipend to stay home with their elderly relative rather than having someone come in from outside.
Kissito’s first property choice for their PACE center is the city-owned Countryside golf course. They were hoping to start construction this summer but due to the Master Plan in development that won’t happen for at least a year.
Virginia’s state approval was based on Kissito being able to open their PACE center by the summer of 2012. That would mean Kissito would have to break ground by August 1 of this year. The city of Roanoke says that won’t happen. Kissito will now have to open somewhere else and hopefully transition to the Countryside property later pending the City’s approval.
Kissito Healthcare International also operates as a non-profit in Africa, the Philippines, and Haiti. Kissito Healthcare International serves the world’s most vulnerable people. CEO Tom Clarke is currently in Africa.
Posted By Valerie Garner
Categories: Business, Community, Local Events, Politics, Roanoke City Politics, State Politics
Tags: economy, health, legislators