|Tabula Rasa HealthCare Continues Growth Trajectory by Expanding Integrated Services in PACE|
|By: Nasdaq / GlobenewsWire - 22 Apr 2019||Back to overview list
Subsidiary companies now support all aspects of PACE health plan management
MOORESTOWN, N.J., April 22, 2019 (GLOBE NEWSWIRE) -- Tabula Rasa HealthCare, Inc. (TRHC) (NASDAQ: TRHC), a leading provider of technology-enabled solutions to mitigate medication risk and improve health plan operations has rapidly expanded its services to Programs of All-inclusive Care for the Elderly (PACE), a Federal program benefiting individuals 55 and older across 31 states.
Since January 2019, Peak Health Plan Management Services (PEAK), a division of TRHC’s Capstone Performance Systems, has added four new PACE clients. These new clients include an established PACE organization in Massachusetts, two start-up organizations in California and Arkansas, and a large PACE organization in Colorado, with a total estimated new census for Peak of over 1,000 participants. Today, Peak serves nearly 40% of PACE organizations nationally.
“While these are new customer relationships for Peak, they represent the expansion of existing relationships for TRHC and a strong signal that cross selling has accelerated as a result of the launch of CareVention HealthCare,” said TRHC President and Chief Marketing and New Business Development Officer, Orsula V. Knowlton, PharmD. “TRHC now works with PACE organizations at all stages, providing end-to-end services to assure our clients are regulatory compliant, to ensure participant health and safety, and to optimize cost savings. Our goal is to support the PACE community with solutions that enhance humanistic, clinical and economic outcomes.”
As a subsidiary of TRHC, Peak supports all aspects of PACE health plan management. With decades of experience in PACE, Peak provides these organizations with comprehensive services that would otherwise be cost prohibitive. Using Peak helps PACE plans avoid the common challenges of staff turnover and meet new State and Federal reporting requirements. Peak team members are highly trained to provide timely claims processing and payment, accurate data submissions, new member enrollment, provider support, accounts receivable reconciliation and management, Medicare Part D submissions, coordination of benefits through Medicare or other payers, extensive standard and custom reporting, education and training, and audit/compliance support and more.
Advantages of using Peak services include improved pricing accuracy, use of national claims clearinghouses, data submission to CMS, discrepancy reconciliation, provider call center, annual 1099 issuance and meeting CMS’s newest requirements for precluded providers. Direct integration with TRHC’s market-leading electronic health records platforms, Cognify and Mediture, is also available.
PACE is a federal program benefiting individuals 55 and older who are nursing home eligible. PACE includes 240 centers in 31 states serving a growing number of eligible Medicare and Medicaid participants. The goal of the program is to keep participants living at home in their communities for as long as possible.
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