Seen Health — a recently launched tech-enabled Program of All-Inclusive Care for the Elderly (PACE) organization — is already reporting promising outcomes from its AI-focused operating and care delivery model.
Last year, the Los Angeles-based company raised $22 million in funding and opened its first PACE center in January 2025. Now, after achieving impressive clinical results, the organization is charting a future beyond the typical brick-and-mortar confines of PACE.
Yang Su, co-founder of Seen Health, identified home-based care as a key component of its care delivery model.
“A lot of folks really need help at home, and we do work with a partner to dispatch home care aids and home health support for our participants,” he said.
Currently, Seen Health serves participants receiving Medi-Cal benefits, and 65% are dually eligible for Medicare.
The company is based on a single operating platform that incorporates management of enrollment flow, the assessment process, care planning, claim management, revenue cycle and more.
“Our entire platform has many different pieces and allows us to have essentially a single pane of glass that can manage every single aspect of the PACE operation,” he told Home Health Care News.
In this pursuit, Seen Health has implemented AI tools throughout various aspects of its business. For example, Seen leverages AI to handle the company’s customer relationship management (CRM).
“Someone in the field can actually take a picture of people’s information, like insurance cards and driver’s licenses and things like that,” Su said. “Our AI agents can automatically extract that information, prepare the records, so that when they come back, they can update additional notes, and we can manage our pipelines automatically.”
Su stressed that Seen Health’s focus on AI is to ensure that the organization’s clinicians have more time to care for patients, rather than spending an inordinate amount of effort on things like documentation, compliance and all of the care coordination pieces.
Results and the future of PACE
Table of Contents
- 1. Results and the future of PACE
- 2. How does Seen Health’s PACE model address the social determinants of health to improve senior health outcomes?
- 3. Revolutionizing Long-Term Care: Seen Health’s PACE Model Drastically Reduces Hospital Admissions by 77%
- 4. Understanding the PACE Program: A Holistic Approach to Senior Care
- 5. The Impact of Hospital Readmissions: A Critical Issue in Geriatric Care
- 6. Seen Health’s PACE Model: A Deep Dive into Success
- 7. The 77% Reduction: Data and Analysis
- 8. PACE vs. Traditional Medicare: A comparative Overview
Since launching, Seen Health has achieved strong clinical outcomes. The organization reported 77% fewer acute hospital bed days and 49% fewer hospital admissions compared to the industry average. Su credits Seen Health’s multiple touch points.
“Because they have many different touch points, right from the driver to our interdisciplinary team that manages the care every single day, they are really able to stay on top of any sort of acute issues,” he said. “Maybe there’s a fall risk, maybe there’s been an incident, and they’re able to respond in real-time.”
Seen Health’s connection with AI-powered health care provider Astrana Health has been an advantage, according to Su.
“We have really incredible partners in Astrana Health,” he said. “Through that partnership, we’re actually able to directly talk with our partner hospitals and because of the type of support and wraparound care we’re able to provide, even when [people] do end up in the hospitals, they can get discharged quicker, since we have more capabilities to actually support the post-acute journey and recovery. In fact, that’s exactly what we have done for all of our hospitalizations so far.”
Seen’s patient satisfaction scores are also positive. About 97% of Seen Health’s participants claimed that they would recommend the organization.
Additionally, 29% of Seen Health’s new leads came directly from participant referrals. The organization also had a less than 2% “no-show rate.”
“I think the level of sophistication that we have around analytics and understanding our referral channels, conversion, cost and all of these things is one of the reasons why we are able to really hone in on the most effective channels, and achieve that type of outcome and growth,” Su said.
Looking ahead, expansion plans across California and outside of the state are top of mind for Seen Health. However, Su believes that the organization’s model goes beyond brick-and-mortar centers.
“Given our technology strength, one of our core missions is, we’re not here to just build PACE centers,” he said. “We want to push the entire industry forward. In many ways, we think about ourselves as leading the charge to create a path where 10,000 of these types of PACE centers or PACE lights models can exist and can serve millions of people. We think this incredible model of care should really be the default for every senior everywhere.”
Revolutionizing Long-Term Care: Seen Health’s PACE Model Drastically Reduces Hospital Admissions by 77%
Understanding the PACE Program: A Holistic Approach to Senior Care
The Program of All-Inclusive Care for the Elderly (PACE) is a comprehensive healthcare delivery model designed for individuals aged 55 and older who require a high level of care. It’s a compelling alternative to traditional fee-for-service Medicare and Medicaid, focusing on preventative care and coordinated services to help seniors maintain their independence at home for as long as possible. Seen Health is a leading provider leveraging the PACE model to achieve remarkable outcomes, notably a 77% reduction in hospital admissions. This article delves into how Seen Health’s implementation of PACE is transforming long-term care, improving senior health, and reducing healthcare costs.
The Impact of Hospital Readmissions: A Critical Issue in Geriatric Care
Hospital readmissions are a significant concern within the healthcare system, particularly for the elderly population. They contribute to increased healthcare spending, signal potential gaps in care coordination, and frequently enough indicate a decline in a patient’s overall well-being. Factors contributing to high readmission rates include:
* Chronic Conditions: Seniors frequently enough manage multiple chronic diseases like heart failure, diabetes, and COPD, increasing their risk.
* Lack of Social Support: Insufficient support networks can hinder recovery and adherence to treatment plans.
* Medication Management Challenges: Polypharmacy (taking multiple medications) increases the risk of adverse drug interactions and non-compliance.
* Insufficient Post-Discharge Care: A lack of coordinated follow-up care after hospital discharge can lead to complications and readmissions.
Traditional elderly care often struggles to address these multifaceted needs effectively.
Seen Health’s PACE Model: A Deep Dive into Success
Seen Health’s success in reducing hospital admissions stems from a fundamentally different approach to care. Their PACE program isn’t just about treating illness; it’s about proactively managing health and well-being. Here’s how they do it:
* Interdisciplinary Team: Each participant is assigned a dedicated team comprising physicians, nurses, social workers, therapists, and other specialists. This team collaborates to create a personalized care plan.
* Comprehensive Assessments: Regular, thorough assessments evaluate not only medical needs but also social, emotional, and functional capabilities.
* In-Home Support: A significant portion of care is delivered in the participant’s home, promoting comfort and independence. This includes services like medication management, personal care, and homemaking assistance.
* Coordinated Transportation: transportation is provided to and from medical appointments, eliminating a major barrier to care.
* Social and Recreational Activities: PACE programs emphasize social engagement and recreational activities to combat isolation and promote mental well-being.
* Focus on Preventative Care: Regular check-ups, screenings, and vaccinations help prevent illness and manage chronic conditions proactively.
this holistic, coordinated approach is the cornerstone of Seen Health’s impressive results. The emphasis on preventative healthcare and care coordination directly addresses the root causes of hospital readmissions.
The 77% Reduction: Data and Analysis
The 77% reduction in hospital admissions reported by Seen Health is a ample figure. This isn’t simply a statistical anomaly; it’s a testament to the effectiveness of the PACE model when implemented with dedication and expertise. The reduction is achieved through:
- Early Intervention: Identifying and addressing health concerns before they escalate into emergencies.
- Proactive Management of Chronic Conditions: Aggressive management of conditions like heart failure and diabetes reduces the likelihood of acute exacerbations.
- Reduced Emergency Room Visits: The availability of 24/7 access to the care team minimizes the need for emergency room visits for non-emergency issues.
- Improved Medication Adherence: Medication management services ensure participants take their medications as prescribed.
This data highlights the potential for PACE to substantially improve patient outcomes and reduce the burden on the healthcare system.
PACE vs. Traditional Medicare: A comparative Overview
| Feature | PACE (seen Health) | Traditional Medicare |
|---|---|---|
| Care Coordination | Highly coordinated, interdisciplinary team | Fragmented, frequently enough lacking coordination |
| Focus | Preventative care, maintaining independence | Primarily reactive, treating illness |
| Setting | Primarily in-home, with some clinic visits | Primarily hospital and doctor’s office |
| Cost | Capitated (fixed monthly fee) | Fee-for-service |
| Hospital Admissions | Significantly lower | Higher |
| Social Support | Integrated social services