Articles

CareVention Consulting: Committed to Your PACE Success

CareVention Consulting | Technical Assistance Center’s team of advisors support for- and not-for-profit organizations in exploring PACE and developing new programs. The team also partners with existing PACE programs to provide ongoing operations support in many areas. With years of experience in the PACE model of care and using a highly collaborative approach, the CVC team is committed to your program’s success.

The CareVention Consulting team is led by Senior PACE Consultants Dorothy Ginsberg and Sharon Hilton, both highly-experienced in…

19 Aug

Nominations for 2019 Richard O. Schamp, MD, Award Now Open

in Articles Newsletter Uncategorized | tagged: PACE award PACE Medical Director

Capstone Performance Systems is now accepting nominations for the 2019 Richard O. Schamp, MD, Award. The Award is presented annually to a PACE Medical Director who espouses the many principles Dr. Schamp championed. David Wenzel, DO, of Midland Care was the inaugural 2018 recipient.

This year, nomination for the award is open to any PACE Medical Director whose organization is a client of a CareVention HealthCare company (Capstone, CareKinesis, Cognify, Mediture, and PeakTPA/eClusive). The criteria to be used in selecting…

02 May

CMS Announces Changes to HCC Payment Model for 2020

in Articles CMS Information ICD-10 Coding Newsletter | tagged: CMS-HCC Risk Adjustment Medicare Risk Adjustment PACE Medicare Risk Adjustment Risk Adjustment

On April 1, the Centers for Medicare & Medicaid Services (CMS) released the Final Announcement outlining changes to the HCC Payment model for Medicare Advantage Plans and PACE Programs for Payment Year 2020. The HCC model used to calculate risk scores for PACE will change from the version used since 2012 (Version 21) to the 2017 model known as Version 22.

George H. Brett, MD Chief…

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19 Jul

Dr. Indira Kanouka Joins Capstone Performance Systems’ Consulting Team

in Articles Newsletter Staff Uncategorized

Indira Kanouka, MD

Indira Kanouka, MD, has joined Capstone Performance Systems’ consulting team. A private practice physician in New Jersey, Dr. Kanouka had previously served as medical director of Beacon of Life, a PACE (Program of All-inclusive Care for the Elderly) organization, and of Specialty Hospital of Central Jersey.

Dr. Kanouka has extensive experience working with the geriatric population,…

18 Jul

Kim Browning Joins TRHC and Capstone Performance Systems

in Articles Newsletter Staff Uncategorized

Kim Browning, CHC, PMP, has joined Tabula Rasa HealthCare (TRHC) as Executive Vice President (EVP) responsible for subsidiary company Capstone Performance Systems and its new division, Peak Health Plan Management, which resulted from Capstone’s recent acquisition of Peak PACE Solutions, an Altitude Edge company.

Kim Browning

Most recently, Ms. Browning was EVP of Cognisight, LLC, in…

18 Jul

Peak PACE Solutions is Now Part of Capstone

in Articles Newsletter Peak Health Plan Management Staff Uncategorized | tagged: PACE health plan management

On May 1, Tabula Rasa HealthCare (TRHC), parent company of Capstone Performance Systems, acquired Peak PACE Solutions from Altitude Edge (AE), following the news of AE founders’ David Reyes and Ronda Hackbart retirements. Peak PACE Solutions is now Peak Health Plan Management Services and will operate as a service of Capstone.

“Capstone’s mission is to help our client organizations succeed fiscally in a compliant manner,” said Capstone CEO Richard Schamp, MD. “Having worked collaboratively for years with Peak, we look…

18 Jul

CMS Notifying PACE Plans of Next Round of 1/3 Part D Financial Audits

in 1/3 Part D Financial Audit Articles CMS Information Newsletter Uncategorized | tagged: 1/3 audit part d audit

By Matt Zimmerman
Director of Client Success/Part D Consultant

It’s that time of year again! We have been advised that CMS is in the process of notifying PACE plans of their selection for the next round of 1/3 Part D Financial Audits. Selected plans will receive a notice from the CPA contracted to conduct this year’s audits shortly. If your plan is selected for this round of Part D financial audits, the audit team will be focusing on Payment Year 2017….

03 May

Peak PACE Solutions to Join Capstone Performance Systems

in Articles Press Releases | tagged: PACE health plan management Peak health plan management Peak PACE Solutions

Acquisition will expand TRHC’s presence in PACE market

St. Louis, MO, and Moorestown, NJ, May 3, 2018 – Tabula Rasa HealthCare (NASDAQ:TRHC), a healthcare technology company offering comprehensive data-driven software solutions and services for healthcare organizations, today announced it has acquired Peak PACE Solutions, the leading health plan management solutions and services provider in the PACE (Program of All-inclusive Care for the Elderly) market. Peak PACE Solutions will become Peak Health Plan Management Services, and operate as a…

28 Mar

ON TARGET: Senior TLC

in Articles Newsletter

On Target recognizes a client who is showing process improvement from putting Capstone’s processes and advice into action.

Pain points
ICD-10 was the tipping point. CMS’s implementation of the new edition of the coding system was the point of no return for Senior Total Life Care (STLC), a PACE organization serving 175 participants in a rural area less than 20 miles outside of Charlotte, North Carolina. (more…)

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Peak PACE Solutions to Join Capstone Performance Systems

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