For Medical Professionals

The Harbor Health Elder Service Plan is a provider based Managed Care Program providing a comprehensive package of services to keep frail elders in the community and out of nursing homes. The program is funded by Medicare and Medicaid (Mass Health) and serves mostly dual eligible seniors however other payment options are available. The program provides community-based care at our ESP Day Center that is supplemented by in-home and referral services in accordance with participants’ needs. The PACE model is centered on the belief that it is better for the wellbeing of seniors with chronic care needs and their families to be served in the community whenever possible.

PACE incorporates features of new models of care being developed including:

  • Patient Centered Medical Homes
  • Global Payment
  • Integrated Care Organizations (ICO’s)
  • Care Management

A person may be eligible for Harbor Services Elder Service Plan if:

  • They are 55-years-old or older
  • Require a Skilled Nursing Facility level of care
  • Are able to live safely in the community, with additional medical and social support from ESP
  • Reside in Avon, Boston, Braintree, Brookline, Canton, Dedham, Milton, Norwood, Quincy, Randolph, Sharon, Stoughton or Weymouth

PACE provides our geriatric medical professionals flexibility to meet the participants healthcare needs. A team of health care professionals provides coordinated care to participants including geriatricians who lead each medical team. The clinical team works with the participant, caregivers, and family (if appropriate) to develop the most effective plan of care.

PACE provides all the care and services covered by Medicare and Medicaid, as authorized by the ESP Care Team. They also cover additional medically-necessary care and services not covered by Medicare and Medicaid that the team may decide is needed. PACE provides and arranges for prescription drugs, physician and medical care, transportation, home care, checkups, hospital visits, and nursing home stays when necessary.

Students Gain Insight from Interprofessional Clinical Immersion Experience

Read about the experience of graduate students from Simmons College dietetic internship, nursing, physical therapy, and social work programs and students from the Geisel School of Medicine at Dartmouth College who participated in the clinical program with the Elder Service Plan (ESP) of Harbor Health Services in Mattapan, MA, part of PACE (Program of All-Inclusive Care for the Elderly) here.