Programs

  • Program 1 [2018]

    ELEMENT CARE, INC. IS A PROGRAM OF ALL INCLUSIVE CARE FOR THE ELDERLY (PACE) WHICH ENABLES ELIGIBLE SENIORS TO REMAIN IN THEIR OWN COMMUNITIES. THE PACE MODEL PROVIDES ONE STOP COMPREHENSIVE HEALTH AND SOCIAL SERVICES FOR ITS PARTICIPANTS. PACE'S GOAL IS TO MAXIMIZE THE HEALTH AND FUNCTIONING LEVELS OF PROGRAM ENROLLEES TO ENABLE THEM TO CONTINUE LIVING IN THE COMMUNITY. TO ACCOMPLISH THIS, THE PROGRAM: PROVIDES A COMPREHENSIVE RANGE OF PREVENTATIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES; USES AN INTEGRATED INTERDISCIPLINARY TEAM TO MANAGE CARE; DEVELOPS APPROPRIATE COMMUNITY-BASED ALTERNATIVES TO PROVIDING CARE IN INSTITUTIONAL SETTINGS AND CONSOLIDATES CAPITATED FUNDING FROM MEDICARE AND MEDICAID. THE ORGANIZATION HAD AN INCREASE IN PROGRAM SERVICES ENROLLMENT.AS A PRIMARY CARE SITE OF THE COMMONWEALTH CARE ALLIANCE (CCA), THE ORGANIZATION PROVIDES SERVICES TO SENIOR CARE OPTIONS (SCO) ELIGIBLE SENIORS IN THE GREATER LYNN, NORTH SHORE AND CAPE ANN AREAS. CCA RECEIVES REVENUE FROM MEDICARE AND MEDICAID AND PAYS THE MEDICAL CLAIMS DIRECTLY TO THE PROVIDERS UNDER CONTRACT. THE ORGANIZATION RECEIVES A MONTHLY PAYMENT FROM CCA REFLECTIVE OF CONTRACTUAL ARRANGEMENTS FOR SERVICES RENDERED TO SCO PARTICIPANTS, WHICH REPRESENTS THE NET OF TOTAL REVENUE RECEIVED BY CCA, LESS MEDICAL CLAIMS AND CERTAIN ADMINISTRATIVE EXPENSES INCURRED BY CCA. THIS REVENUE IS RECOGNIZED MONTHLY AS EARNED.
    Geographies
    Not indicated
    Dates
    Jul 1, 2017 – Jun 30, 2018
    Source
    990
    No causes provided
    No populations provided
    –
    $77M

  • Element Care Comprehensive Services

    ELEMENT CARE, INC. IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) WHICH ENABLES ELIGIBLE SENIORS TO REMAIN IN THEIR OWN COMMUNITIES. THE PACE MODEL PROVIDES ONE STOP COMPREHENSIVE HEALTH AND SOCIAL SERVICES FOR ITS PARTICIPANTS. PACE'S GOAL IS TO MAXIMIZE THE HEALTH AND FUNCTIONING LEVELS OF PROGRAM ENROLLEES TO ENABLE THEM TO CONTINUE LIVING IN THE COMMUNITY. TO ACCOMPLISH THIS, THE PROGRAM: PROVIDES A COMPREHENSIVE RANGE OF PREVENTATIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES; USES AN INTEGRATED INTERDISCIPLINARY TEAM TO MANAGE CARE; DEVELOPS APPROPRIATE COMMUNITY-BASED ALTERNATIVES TO PROVIDING CARE IN INSTITUTIONAL SETTINGS AND CONSOLIDATES CAPITATED FUNDING FROM MEDICARE AND MEDICAID.IN JUNE 2004 ELEMENT CARE, ALONG WITH GLSS AND LCHC BECAME A MEMBER OF THE SENIOR CARE OPTIONS (SCO) PROGRAM, THE PARENT ORGANIZATION IS COMMONWEALTH CARE ALLIANCE. THIS IS A STATE-RUN PROGRAM SIMILAR TO THE PACE PROGRAM, WHERE PATIENTS ARE CARED FOR, HOWEVER CCA IS THE DIRECT RECIPIENT OF THE MEDICARE AND MEDICAID REVENUE. THIS PROGRAM ALLOWS ELEMENT CARE TO REACH A WIDER POPULATION, AS THE QUALIFICATION TO BECOME A MEMBER OF THE SCO PROGRAM ARE MORE FLEXIBLE THAN THE PACE PROGRAM. WHEREAS PACE REQUIRES ALL MEMBERS TO BE "NURSING HOME ELIGIBLE", SCO MAY ALLOW FOR MUCH HEALTHIER MEMBERS TO JOIN THE PROGRAM, THEREBY GIVING ELEMENT CARE THE OPPORTUNITY TO ASSIST THESE PATIENTS EARLIER. ELEMENT CARE IS CONSIDERED A PRIMARY CARE SITE, AND PROVIDES SERVICES TO PARTICIPANTS IN THE NORTH SHORE AND THE MERRIMACK VALLEY. UP UNTIL DECEMBER 31, 2018 ELEMENT CARE OPERATED UNDER A FULL RISK MODEL WHEREBY, CCA RECEIVED MEDICARE AND MEDICAID REIMBURSEMENT (SIMILAR TO ELEMENT CARE) AND THEN REMITTED 86% OF THE PREMIUM RECEIVED LESS CLAIMS EXPENSES TO ELEMENT CARE. ELEMENT CARE IN TURN PROVIDED CARE MANAGEMENT SERVICES TO THESE PARTICIPANTS, AND REMITTED REQUIRED FUNDS TO ITS VENDORS, INCLUDING GLSS AND LCHC FOR THE SERVICES THEY PROVIDE. ELEMENT CARE OUTSOURCES TO LCHC AND GLSS FOR THEIR PROGRAM AND MEDICAL SERVICES EXPERTISE.ELEMENT CARE RENEGOTIATED ITS CONTRACT WITH CCA EFFECTIVE JANUARY 1, 2022 AND NOW IS REIMBURSED FOR CASE MANAGEMENT SERVICES ON A PER MEMBER PER MONTH BASIS AT A RATE OF $312 PMPM. IN MARCH OF 2020 THE COVED PANDEMIC OCCURRED WHICH NECESSITATED THE TEMPORARY CLOSURE OF ALL PACE ADULT DAY HEALTH CENTERS (ADHC) DAY PROGRAMING. IMMEDIATELY THE ELEMENT CARE MEDICAL AND NURSING TEAMS DEVELOPED A PLAN TO PROVIDE IN HOME SERVICES TO OVER 800 PACE PARTICIPANTS TO MAINTAIN THEIR SAFETY IN THE COMMUNITY. TO DATE THIS OUTREACH CONTINUES IN ADDITION TO A PARTIAL REOPENING OF THE ADHC IN JUNE 2020 BASED ON SQUARE FOOTAGE PER SITE AND THE ABILITY TO PROVIDE A SAFE, SOCIALLY DISTANCED ENVIRONMENT FOR PARTICIPANTS AND STAFF.
    Geographies
    Not indicated
    Dates
    Jul 1, 2021 – Jun 30, 2022
    Source
    990
    No causes provided
    No populations provided
    –
    $80M

  • Program 1 [2024]

    ELEMENT CARE, INC. IS A PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) WHICH ENABLES ELIGIBLE SENIORS TO REMAIN IN THEIR OWN COMMUNITIES. THE PACE MODEL PROVIDES ONE STOP COMPREHENSIVE HEALTH AND SOCIAL SERVICES FOR ITS PARTICIPANTS. PACE'S GOAL IS TO MAXIMIZE THE HEALTH AND FUNCTIONING LEVELS OF PROGRAM ENROLLEES TO ENABLE THEM TO CONTINUE LIVING IN THE COMMUNITY. TO ACCOMPLISH THIS, THE PROGRAM: PROVIDES A COMPREHENSIVE RANGE OF PREVENTATIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES; USES AN INTEGRATED INTERDISCIPLINARY TEAM TO MANAGE CARE; DEVELOPS APPROPRIATE COMMUNITY-BASED ALTERNATIVES TO PROVIDING CARE IN INSTITUTIONAL SETTINGS AND CONSOLIDATES CAPITATED FUNDING FROM MEDICARE AND MEDICAID.IN JUNE 2004 ELEMENT CARE, ALONG WITH GLSS AND LCHC BECAME A MEMBER OF THE SENIOR CARE OPTIONS (SCO) PROGRAM, THE PARENT ORGANIZATION IS COMMONWEALTH CARE ALLIANCE. THIS IS A STATE-RUN PROGRAM SIMILAR TO THE PACE PROGRAM, WHERE PATIENTS ARE CARED FOR, HOWEVER CCA IS THE DIRECT RECIPIENT OF THE MEDICARE AND MEDICAID REVENUE. THIS PROGRAM ALLOWS ELEMENT CARE TO REACH A WIDER POPULATION, AS THE QUALIFICATION TO BECOME A MEMBER OF THE SCO PROGRAM ARE MORE FLEXIBLE THAN THE PACE PROGRAM. WHEREAS PACE REQUIRES ALL MEMBERS TO BE "NURSING HOME ELIGIBLE", SCO MAY ALLOW FOR MUCH HEALTHIER MEMBERS TO JOIN THE PROGRAM, THEREBY GIVING ELEMENT CARE THE OPPORTUNITY TO ASSIST THESE PATIENTS EARLIER. ELEMENT CARE IS CONSIDERED A PRIMARY CARE SITE AND PROVIDES SERVICES TO PARTICIPANTS IN THE NORTH SHORE. UP UNTIL DECEMBER 31, 2018, ELEMENT CARE OPERATED UNDER A FULL RISK MODEL WHEREBY, CCA RECEIVED MEDICARE AND MEDICAID REIMBURSEMENT (SIMILAR TO ELEMENT CARE) AND THEN REMITTED 86% OF THE PREMIUM RECEIVED LESS CLAIMS EXPENSES TO ELEMENT CARE. ELEMENT CARE IN TURN PROVIDED CARE MANAGEMENT SERVICES TO THESE PARTICIPANTS, AND REMITTED REQUIRED FUNDS TO ITS VENDORS, INCLUDING GLSS AND LCHC FOR THE SERVICES THEY PROVIDE. ELEMENT CARE RENEGOTIATED ITS CONTRACT MORE RECENTLY WITH CCA EFFECTIVE JANUARY 1, 2022, AND NOW IS REIMBURSED FOR CASE MANAGEMENT SERVICES ON A PER MEMBER PER MONTH BASIS AT A RATE OF $312 PMPM.ELEMENT CARE WILL ALSO START NEGOTIATIONS FOR A NEW CONTRACT WITH CCA FOR JANUARY 1, 2025.IN 2023 ELEMENT CARE COMPLETED CONSTRUCTION ON THE NEW LYNN SITE FOR PARTICIPANTS AND THE ADMINISTRATIVE TEAM. CONSTRUCTION WAS ALSO COMPLETED ON A NEW BRIGHTON SITE JUST AFTER THE FISCAL YEAR END, IN AUGUST 2024. ELEMENT CARE MAINTAINS AN INVESTMENT IN A PACE CENTER IN WASHINGTON DC.
    Geographies
    Not indicated
    Dates
    Jul 1, 2023 – Jun 30, 2024
    Source
    990
    No causes provided
    No populations provided
    –
    $100.9M