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Keeping the PACE

Fallon Health announced the recent appointment of Dr. Jean Jaoude as vice president and medical director of its Massachusetts Program of All-inclusive Care for the Elderly (PACE), locally called Summit ElderCare. In this role, Jaoude is responsible for supervising the medical care delivery of approximately 1,400 participants enrolled in the organization’s five PACE centers in Massachusetts, located in Leominster, Lowell, Springfield, Webster, and Worcester.

The primary goal of PACE is to allow older adults to live independently in their homes and communities instead of a nursing home, while maintaining or enhancing their quality of life with a dedicated care team, transportation, full medical care, and opportunities for socialization.

Dr. Jean Jaoude

Dr. Jean Jaoude brings deep experience in family medicine, geriatrics, hospice, and palliative care to his new role with Fallon Health’s PACE program.

Jaoude comes to Fallon Health with deep experience in family medicine, geriatrics, hospice, and palliative care. Most recently, he served as chief medical director of the Supportive and Palliative Care department within the ChristianaCare Health System in Newark, Del. Prior to that, he was chief medical officer for Baystate Home Health’s Hospice and Community Palliative Care division in Springfield. He has also served as a volunteer physician for free medical clinics for underserved populations in Iowa and was a missionary in South Africa providing education and free hospice care for underserved communities.

Jaoude is board-certified in family, geriatric, and hospice and palliative medicine. He earned his medical degree from Lebanese University in Lebanon and a master of health care administration degree from the Carlson School of Management at the University of Minnesota. He also holds a medical director certification from the American Medical Assoc. Society for Post-acute and Long-term Care Medicine and completed the Physician Leadership Academy of the American College of Physician Executives at UnityPoint Clinic in Des Moines, Iowa. He is multi-lingual and is fluent in written and spoken Arabic, French, and English.

He is an active member of the American Assoc. for Physician Leadership, the American Academy of Family Physicians, the American Medical Director Assoc., the American Geriatrics Society, and the American Academy of Hospice and Palliative Medicine, as well as the National Hospice and Palliative Care Organization.

The PACE model is centered on the core belief that given a choice, most elders, the disabled, and their families would choose to receive care in their homes and communities rather than in a nursing home. All PACE programs feature several essential components:

• An interdisciplinary team made up of healthcare and social-service professionals, such as doctors, nurse practitioners, physical and occupational therapists, social workers, and nurses;

• An individualized healthcare plan for each participant that outlines what services are needed to stay safe and healthy; and

• A PACE center that serves as the hub of services and activities, including a doctor’s office, rehabilitation gym, and social-work offices, as well as an activities center. Once enrolled in PACE, most medical services are provided at the PACE center, although services may be provided in the home or at another facility.

Backed by nearly 30 years of experience in PACE, Fallon Health boasts the largest PACE program in New England and among the largest in the country. The not-for-profit healthcare organization also operates a PACE program in Western New York.

Insurance

Change at the Top

Manny Lopes

Manny Lopes

Fallon Health, a not-for-profit healthcare services organization with a focus on improving access, quality, and affordability in government markets, announced that its board of directors has appointed Manny Lopes as its next president and CEO, effective July 1, 2024. The selection of Lopes follows a comprehensive national search that began after the organization announced the planned retirement of President and CEO Richard Burke.

The board also appointed Chief Financial Officer Todd Bailey to serve as interim CEO from Burke’s retirement on Jan. 31 through June 30.

“I am honored and grateful to the Fallon Health board of directors for the opportunity to be the next president and CEO of this exceptional organization,” Lopes said. “I look forward to leading the organization and its dedicated, passionate, and caring employees in pursuit of its vision to be the leader in providing exceptional, coordinated care and coverage that meets the unique, diverse, and changing needs of its members.”

A seasoned executive with experience across the healthcare industry, Lopes is currently the interim CEO of Fenway Health, one of the first healthcare organizations in the country to specifically address the healthcare needs of the LGBTQ+ community. Prior to that, he was executive vice president of Public Markets and Government Relations for Blue Cross Blue Shield of Massachusetts (BCBSMA), with responsibilities for the company’s Medicare division, achieving growth through innovation while also improving consumer experience and health outcomes.

“I look forward to leading the organization and its dedicated, passionate, and caring employees in pursuit of its vision to be the leader in providing exceptional, coordinated care and coverage that meets the unique, diverse, and changing needs of its members.”

Before joining BCBSMA, Lopes was president and CEO of East Boston Neighborhood Health Center, a large, nationally recognized primary-care provider and insurer that offers a Program of All-inclusive Care for the Elderly and a Senior Care Options plan, both core programs in Fallon Health’s portfolio.

“Manny’s extensive and highly relevant experience make him the ideal person to lead Fallon Health at this point in its history and in support of its strategy to predominantly focus on government markets,” said Frederick Misilo, Fallon Health board chair. “Throughout his career, he has developed a deep and empathetic understanding of the healthcare needs of the communities that Fallon Health serves today and in the future. Manny and Todd are committed to ensuring a seamless transition for Fallon Health’s employees, members, and provider, business, and community partners.”

Deborah Enos, Fallon Health board member and chair of the search committee, added that “the board’s search committee worked diligently to find the right person to lead Fallon Health and continue to move the organization forward in its strategy to be the leading healthcare-services organization committed to government-sponsored health-insurance programs. Manny has a deep understanding of and commitment to all that Fallon Health stands for: its mission, vision, values, and its strong support of the community. His proven track record and passion for innovation, equity, and improving health outcomes is unparalleled.”

Misilo added that Bailey’s leadership has put Fallon Health in a strong financial position and played a key role in the organization’s strategic decision to focus predominantly on government programs, and that his 30-plus years of experience in the health-insurance and healthcare fields, and his unique vantage point in the business, have helped drive strategic and critical decisions in support of members’ care, the workforce, and the community.

Following a 25-year career at Fallon Health, including the last eight as president and CEO, Burke will retire at the end of the month.

“Under Richard’s distinguished leadership, Fallon Health has successfully pivoted to a predominant focus on government programs, experiencing unprecedented growth in several products and historically strong financial results, and receiving continued exemplary national ratings for quality and service,” Misilo said. “The board congratulates him on his retirement, thanks him for all he has done to expand the impact of Fallon Health’s mission, and wishes Richard well as he embarks on this next journey.”