web02.fireside.fm Thu, 16 Apr 2026 08:51:37 -0500 Fireside (https://fireside.fm) https://www.masteringmedicare.net/tags/remote%20health%20monitoring Sat, 21 Sep 2024 11:00:00 -0400 What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space? For physicians, other healthcare professionals, and senior-serving professionals, interacting with Medicare can be complicated and wrought with pitfalls, which, if not understood and managed, will mire your practice in endless paperwork and frustration. We interview industry experts in every aspect of healthcare, from insurance companies, DME companies, home health agencies, medical providers, and many others, to bring you their real world expertise in the American healthcare system. Your hosts are Dr. Amy Schiffman and Dr. Alex Mohseni, two Emergency Medicine physicians who have branched off from traditional Emergency Medicine to explore and build solutions with a particular focus on eldercare and population health. Join our Facebook group: https://www.facebook.com/groups/602747270479020/ Join our Subscriber List and get exclusive access to our Mastering Medicare Cheat Sheet and other goodies: https://www.masteringmedicare.net/subscribe en-us episodic Demystifying healthcare and Medicare for senior-serving professionals and providers. Mastering Medicare What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space? For physicians, other healthcare professionals, and senior-serving professionals, interacting with Medicare can be complicated and wrought with pitfalls, which, if not understood and managed, will mire your practice in endless paperwork and frustration. We interview industry experts in every aspect of healthcare, from insurance companies, DME companies, home health agencies, medical providers, and many others, to bring you their real world expertise in the American healthcare system. Your hosts are Dr. Amy Schiffman and Dr. Alex Mohseni, two Emergency Medicine physicians who have branched off from traditional Emergency Medicine to explore and build solutions with a particular focus on eldercare and population health. Join our Facebook group: https://www.facebook.com/groups/602747270479020/ Join our Subscriber List and get exclusive access to our Mastering Medicare Cheat Sheet and other goodies: https://www.masteringmedicare.net/subscribe no elder care, eldercare, Medicare, Medicaid, healthcare, senior care, senior, seniors, senior-serving professionals, medical care, insurance company Mastering Medicare alex@masteringmedicare.net https://www.masteringmedicare.net/25 e2eac381-da74-431c-b144-76794d9279e0 Sat, 21 Sep 2024 11:00:00 -0400 Mastering Medicare full Mastering Medicare Mastering Medicare is a podcast helping demystify healthcare and Medicare for senior-serving professionals and providers. 1:03:47 no E25: Deep dive into the PACE program with Dr Rob Schreiber and Eric Patzelt from myPlace Health (https://www.myplacehealth.com/). PACE Overview: Program of All-Inclusive Care for the Elderly provides comprehensive care for seniors, allowing them to live in the community rather than nursing homes. Eligibility: Seniors must be 55+, certifiable for nursing home care, and safe in the community with PACE services. Funding: PACE is funded by Medicare, Medicaid, and individual contributions, with high startup costs and a long-term recovery period. Revenue: PACE receives ~$9,500–11,000 PMPM for dual-eligible members and ~$7,000–8,000 for Medicaid-only members, higher than Medicare Advantage. Services Provided: Includes adult day care, primary care, home care, dental, therapy, nutrition, social work, and transportation. Target Demographic: Serves high-need populations with complex health issues and short life expectancy, helping to manage costs and reduce hospitalizations. Coverage: PACE covers all care aspects except direct housing costs unless in a nursing home, where it covers the non-Social Security portion. Handling Health Declines: Provides immediate care and support, including home visits and temporary nursing home placements. Technology Integration: Uses technology for communication, remote monitoring, and data analysis, especially accelerated by COVID-19. Financial Implications: PACE can save money in the long run by reducing hospitalizations and emergency visits, though initial costs are high. Enrollment: Participants can leave voluntarily or be involuntarily disenrolled due to death, loss of coverage, or moving out of the service area. Comparison to Medicare Models: PACE offers an integrated care model distinct from Medicare Parts A, B, C, and D, operating on a capitated model. Hospice Care: PACE provides comprehensive end-of-life care, but participants must disenroll from PACE to fully access hospice services. Social Work Role: Social workers in PACE advocate for participants, addressing needs and enhancing care through personal connections. Healthcare Innovation: Models like PACE demonstrate potential for improved care and outcomes, with ongoing support and adaptation crucial for success. Medicare, healthcare, physician, medical, senior care, eldercare, elder care, elder, seniors, PACE E25: Deep dive into the PACE program with Dr Rob Schreiber and Eric Patzelt from myPlace Health.

• PACE Overview: Program of All-Inclusive Care for the Elderly provides comprehensive care for seniors, allowing them to live in the community rather than nursing homes.
• Eligibility: Seniors must be 55+, certifiable for nursing home care, and safe in the community with PACE services.
• Funding: PACE is funded by Medicare, Medicaid, and individual contributions, with high startup costs and a long-term recovery period.
• Revenue: PACE receives ~$9,500–11,000 PMPM for dual-eligible members and ~$7,000–8,000 for Medicaid-only members, higher than Medicare Advantage.
• Services Provided: Includes adult day care, primary care, home care, dental, therapy, nutrition, social work, and transportation.
• Target Demographic: Serves high-need populations with complex health issues and short life expectancy, helping to manage costs and reduce hospitalizations.
• Coverage: PACE covers all care aspects except direct housing costs unless in a nursing home, where it covers the non-Social Security portion.
• Handling Health Declines: Provides immediate care and support, including home visits and temporary nursing home placements.
• Technology Integration: Uses technology for communication, remote monitoring, and data analysis, especially accelerated by COVID-19.
• Financial Implications: PACE can save money in the long run by reducing hospitalizations and emergency visits, though initial costs are high.
• Enrollment: Participants can leave voluntarily or be involuntarily disenrolled due to death, loss of coverage, or moving out of the service area.
• Comparison to Medicare Models: PACE offers an integrated care model distinct from Medicare Parts A, B, C, and D, operating on a capitated model.
• Hospice Care: PACE provides comprehensive end-of-life care, but participants must disenroll from PACE to fully access hospice services.
• Social Work Role: Social workers in PACE advocate for participants, addressing needs and enhancing care through personal connections.
• Healthcare Innovation: Models like PACE demonstrate potential for improved care and outcomes, with ongoing support and adaptation crucial for success.

]]> E25: Deep dive into the PACE program with Dr Rob Schreiber and Eric Patzelt from myPlace Health.

• PACE Overview: Program of All-Inclusive Care for the Elderly provides comprehensive care for seniors, allowing them to live in the community rather than nursing homes.
• Eligibility: Seniors must be 55+, certifiable for nursing home care, and safe in the community with PACE services.
• Funding: PACE is funded by Medicare, Medicaid, and individual contributions, with high startup costs and a long-term recovery period.
• Revenue: PACE receives ~$9,500–11,000 PMPM for dual-eligible members and ~$7,000–8,000 for Medicaid-only members, higher than Medicare Advantage.
• Services Provided: Includes adult day care, primary care, home care, dental, therapy, nutrition, social work, and transportation.
• Target Demographic: Serves high-need populations with complex health issues and short life expectancy, helping to manage costs and reduce hospitalizations.
• Coverage: PACE covers all care aspects except direct housing costs unless in a nursing home, where it covers the non-Social Security portion.
• Handling Health Declines: Provides immediate care and support, including home visits and temporary nursing home placements.
• Technology Integration: Uses technology for communication, remote monitoring, and data analysis, especially accelerated by COVID-19.
• Financial Implications: PACE can save money in the long run by reducing hospitalizations and emergency visits, though initial costs are high.
• Enrollment: Participants can leave voluntarily or be involuntarily disenrolled due to death, loss of coverage, or moving out of the service area.
• Comparison to Medicare Models: PACE offers an integrated care model distinct from Medicare Parts A, B, C, and D, operating on a capitated model.
• Hospice Care: PACE provides comprehensive end-of-life care, but participants must disenroll from PACE to fully access hospice services.
• Social Work Role: Social workers in PACE advocate for participants, addressing needs and enhancing care through personal connections.
• Healthcare Innovation: Models like PACE demonstrate potential for improved care and outcomes, with ongoing support and adaptation crucial for success.

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