Programs of All-Inclusive Care for Elderly (PACE)

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PACE organizations operate in a highly regulated environment where success depends on balancing quality care, operational excellence, and ongoing compliance. BluePeak partners with PACE programs nationwide to strengthen compliance programs, prepare for audits, improve operational performance, and support teams with the expertise needed to navigate complex regulatory requirements. Whether preparing for a CMS review, enhancing oversight processes, or addressing day-to-day operational challenges, our consultants provide practical solutions tailored to the unique needs of PACE organizations.

How BluePeak Can Help PACE Programs

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Compliance & Regulatory Oversight

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Audit Readiness & Mock Audits

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Performance Improvement & Risk Mitigation

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Training & Advisory Support

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PACE Operational & Compliance Support

BluePeak understands the specialty market of All-Inclusive Care for the Elderly (PACE) plans and the importance of delivering health care services to participants while remaining compliant with CMS regulatory requirements. We assist PACE Plans with Quality Review, PACE Audit Protocols, PACE Audit Process, and Case Review preparations.


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Mock CMS Audits for Medicare Advantage, Prescription Drug Plans, EGWPs, PACE, QHP, Medicaid

BluePeak conducts CMS‑aligned mock audits that mirror how CMS actually audits, helping plans identify real compliance and operational risk before it becomes an issue. Using advanced sampling techniques and deep clinical audit expertise, we uncover root causes others miss and provide clear, actionable insight to strengthen readiness and performance.


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Compliance Program Implementation

BluePeak’s Compliance experts can build and help you implement a Compliance Program customized to your organization that meets CMS and other regulatory requirements. We will evaluate your organization’s structure and design and implement a comprehensive and effective Medicare Compliance Program with oversight plans, issue resolution, and corrective action plan processes.


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Comprehensive Oversight and Monitoring Programss

Every effective Compliance Program has robust oversight and monitoring programs to identify areas of risk and deficiencies in its internal operations as well as those delegated externally to vendors. BluePeak’s subject matter experts can evaluate your organization’s structure and build a customized and comprehensive oversight program that includes a CMS-required risk assessment and monitoring and auditing plans.


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Comprehensive Oversight and Monitoring Programs

Every effective Compliance Program has robust oversight and monitoring programs to identify areas of risk and deficiencies in its internal operations as well as those delegated externally to vendors. BluePeak’s subject matter experts can evaluate your organization’s structure and build a customized and comprehensive oversight program that includes a CMS-required risk assessment and monitoring and auditing plans.


Contact Us for a FREE Consultation →

Fraud, Waste and Abuse (FWA) Support

The BluePeak FWA Program assessment includes a comprehensive approach that helps detect and resolve issues of FWA at the member, provider, and pharmacy levels. The Program is comprised of a holistic commitment to detect, prevent, and control FWA including Training and Education, Monitoring and Detection, and Investigating and Action Plans.

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How We Deliver Results

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Building Compliance Confidence and Marketing Clarity to Required Materials with Arkansas Superior Select

Building Compliance Confidence and Marketing Clarity to Required Materials with Arkansas Superior Select

BluePeak guided a Medicare-Medicaid Plan’s transition to a FIDE and CO D-SNP by developing two fully compliant Models of Care (MOCs), aligning operations, and building a framework for long-term performance. Both MOCs achieved near-perfect NCQA scores and secured three-year approvals.
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How BluePeak Developed a High-Scoring Model of Care and a Framework Structure for an Overall Quality Program

How BluePeak Developed a High-Scoring Model of Care and a Framework Structure for an Overall Quality Program

BluePeak guided a Medicare-Medicaid Plan’s transition to a FIDE and CO D-SNP by developing two fully compliant Models of Care (MOCs), aligning operations, and building a framework for long-term performance. Both MOCs achieved near-perfect NCQA scores and secured three-year approvals.
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Neighborhood & BluePeak Successfully Executing a Competitive Medicare Bid

Neighborhood & BluePeak Successfully Executing a Competitive Medicare Bid

BluePeak guided Neighborhood Health Plan of Rhode Island through its transition from an MMP to a DSNP by providing end-to-end bid strategy, financial analysis, and compliance support. The result was a successful, on-time CY2026 bid submission with no CMS issues and a strong foundation for launch.
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Perfecting Compliance: How BluePeak Helped a Client Achieve a Flawless CMS Audit Score

Perfecting Compliance: How BluePeak Helped a Client Achieve a Flawless CMS Audit Score

BluePeak supported a long-term client through full CMS Program Audit readiness and execution, delivering strategic guidance, real-time support, and cross-functional alignment. The result was a flawless audit outcome with a 0.00 score and no corrective actions.
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Knowledge. Experience. Trust.

These aren’t just words—they’re the foundation of everything we do.