General Counsel

Blaire Bernard Joins WelbeHealth as General Counsel 

MENLO PARK, CALIF.—Physician-led healthcare organization WelbeHealth today announced that veteran healthcare law attorney Blaire Bernard has joined its leadership team as general counsel. 

Bernard has focused her 20-year legal career on supporting providers whose mission is to expand access to value-based care. Most recently she was general counsel at Iora Health and after Iora Health was acquired by One Medical, she served as senior counsel and compliance officer. She earned a bachelor’s degree from Dartmouth College and a law degree from Boston University. 

“We’re thrilled to have Blaire join our executive team,” said WelbeHealth CEO Si France, M.D. “She is a seasoned value-based care executive and a collaborative mission-driven team player. This is even more important as we continue our focus on clinical and care excellence as a public benefit company.” 

Bernard will lead WelbeHealth’s legal and compliance functions, partnering with executive and operational leaders to execute the company’s mission of bringing PACE to communities in need.  

WelbeHealth recently became the first Program of All-Inclusive Care for the Elderly (PACE) provider to convert to a public benefit company, meaning it is obligated to take into consideration the concerns of all stakeholders while prioritizing corporate responsibility and sustainability. An alternative to nursing homes, PACE is a Medicare and Medicaid program that helps keep people in their communities. 

Founded in 2015, WelbeHealth provides comprehensive home-based medical and social services to vulnerable seniors across California, including the cities of Stockton, Modesto, Pasadena, Burbank, Long Beach and Fresno. For more information, please visit welbehealth.com.   

Doctors and nurses coordinate hands

WelbeHealth Becomes First Program of All-Inclusive Care for the Elderly (PACE) Provider to Convert to Public Benefit Company Status 

FOR RELEASE: IMMEDIATE

DATE: 6/29/2022

WelbeHealth Becomes First Program of All-Inclusive Care for the Elderly (PACE) Provider to Convert to Public Benefit Company Status  

MENLO PARK, CALIF.— Physician-led healthcare organization WelbeHealth recently became the first Program of All-Inclusive Care for the Elderly (PACE) provider to convert to a public benefit company (PBC).

Founded in 2015, WelbeHealth is a leading California PACE provider. An alternative to nursing homes, PACE is a Medicare and Medicaid program that helps keep people in their communities. WelbeHealth provides comprehensive home-based medical and social services to vulnerable seniors across California, including the cities of Stockton, Modesto, Pasadena, Burbank, Long Beach and Fresno.

In joining other companies that have become public benefit companies, including Patagonia, Seventh Generation and Vital Farms, WelbeHealth is exemplifying its commitment to helping seniors thrive and live longer, said WelbeHealth co-founder and CEO Si France, M.D. 

“The seniors we serve are the elders of their communities and families,” Dr. France said. “By helping them thrive, they can live longer lives with greater connection, vitality and meaning. We’re converting to a public benefit company to ensure that our mission and purpose are protected for generations to come.” 

Public benefit companies are obligated to take into consideration the concerns of all stakeholders, not just shareholders, prioritizing corporate responsibility and sustainability. For WelbeHealth, this means participants, their families and caregivers, employees, and the broader community.  

“Both our independent board and management team wanted to formalize WelbeHealth’s commitment to its mission, clinical quality and positive community impact,” said WelbeHealth Board of Directors member Robert Margolis, M.D., founder of the Duke-Margolis Center for Health Policy. “By converting to a public benefit company, WelbeHealth is demonstrating its commitment to operating responsibly, sustainably and in the interest of all stakeholders, both now and in the future.”

This commitment to the greater good is not new. In fact, WelbeHealth was lauded for its elder care during the pandemic. A case study conducted by UC Berkeley found that WelbeHealth had a death rate more than 1.5 times lower than other PACE organizations and almost five times lower than nursing homes while, despite serving patients in some of California’s most impacted counties.  

“As the pandemic came in waves, WelbeHealth mobilized not only to vaccinate its own participants but to also vaccinate thousands in the greater community, which had an exponential impact on saving lives,” Dr. France said. “We want to take full responsibility for our part in making the world a more compassionate, loving place.” 

About WelbeHealth 

Founded in 2015, WelbeHealth is a physician-led organization that coordinates senior care, including all medical and dental care, physical and occupational therapy, transportation to medical appointments, meals and personal care services. WelbeHealth teams close the loop on comprehensive care to keep the most vulnerable seniors living safely in their own homes. WelbeHealth delivers these services through the Program of All-Inclusive Care for the Elderly (PACE), a Medicare and Medicaid program. WelbeHealth operates four programs in California:  Stockton/Modesto, Pasadena/Burbank, Long Beach and Fresno. For more information, please visit welbehealth.com

Courage to love: Realizing a future without nursing homes

Three alums reunite to improve the lives of the frailest and most vulnerable senior citizens through participation in a U.S. health care program.

By The McKinsey Alumni Center

 –  When Si France, M.D. (SVO 08-12), Vaneesh Soni, M.D. (DET, DBI, SCA 99-15), and Matt Patterson, M.D. (SVO 09-12) first met, they were streamlining hospitals. “At McKinsey, we were these three doctors who wanted to do good value-based care,” says Si.

They reunited to do just that by founding WelbeHealth, which enables frail and elderly senior citizens to continue living in their homes and communities through participation in a U.S. government program known as PACE (Program of All-Inclusive Care for the Elderly).

Matt, who grew up in a Navy family and became a doctor for the Navy SEALs, is Welbe’s President and clinical operations leader. Vaneesh is the team’s resident strategist and Chief Growth Officer, driving Welbe’s mission-driven expansion. Si is the out-of-the-box entrepreneur who has co-founded two health care startups and is leading Welbe as the CEO. Armed with complementary leadership profiles, an interdisciplinary team, and a shared values system, Welbe aspires to realize a future where seniors can receive dynamic care without the need for nursing homes.

We sat down with the trio to discuss Welbe’s care services, purpose-driven culture, and their response to the COVID pandemic, which saw them at the center of one of the hottest infection zones in the world.

Tell us about Welbe’s culture.

Vaneesh: We invest as much energy into organizational health and culture as our strategy and business model. We don’t want to be a company with the best strategy but have poor performance overall because we have a toxic culture. Service to seniors is our common intent, and clinical quality is our North Star. Our growth rate is tied to the pace at which we can ensure consistent, high-quality care.

Si: We started the company to create a culture based on a mission and values system different from what is more traditional in Silicon Valley. We knew that it would take courage to build a values-based company and that we would need to view our patients through the eyes of their loved ones. We called this our “courage to love” culture, and it permeates everything we do, whether we’re interacting with our team or interacting with our patients.

Matt: Our core values of courage to love, pioneering spirit, and shared intention are the unquestioned foundation for ensuring that we have healthy teams, our people feel uniquely cared for, and we serve vulnerable seniors with a commitment to clinical excellence. What excites me is that we’re bringing consciousness and love as a priority within our business model. We want to normalize individuals being able to show up as their authentic selves and engage at that level with each other and those that they serve.

Tell us about Welbe’s care model. What distinguishes it from other services?

Si: Our care model is called “PACE,” Program of All-Inclusive Care for the Elderly. We provide 24/7 medical and social services to frail seniors to stay healthy, live at home, and stay out of a nursing home. When people enroll in PACE, their life expectancy goes up by one-third, clinical scores improve, and it even saves taxpayers $10,000 per patient annually.

Vaneesh: PACE has an 80% reduction on depression scores nationally. As both the health plan and the provider of services, we emphasize the social and the human components of care. We can greenlight things that are truly in the best interest of each participant, medically, socially, as well as things that bring joy in life.

Matt: PACE has been around for decades, but we’re changing the landscape by bringing these services and outcomes to those who would otherwise not have them, in areas of the country that are in significant need, and at a speed and scale that previously has never been done before.

How did Welbe respond during the pandemic?

Si: We’re the first organization to do bubble-style testing, where our nurses would take a COVID test before entering anyone’s home. We were the first non-hospital owned program of our kind to vaccinate all of our team and patients. We also partnered with counties across California and vaccinated 2,000 frail seniors and front-line health care workers in the community who had nothing to do with Welbe.

Vaneesh: We closed our centers two weeks before the state of California announced the lockdown. Within four days of the lockdown, we had deployed a tablet-based, home-and-remote care model. I think the proudest moment was helping rescue seniors out of nursing homes. Many seniors in nursing homes don’t require 24/7 care; they are in a nursing home because they don’t have access to stable housing. We partnered with housing institutions to find them stable and safe housing, and provided care for them in those environments.

Matt: In the first year of the pandemic, COVID-19 mortality rates for nursing home individuals were upwards of 14%. The U.S. national average of PACE programs was about a third less, and Welbe was about a 10th. Our outcomes were 10x better than nursing home environments, and we were in two of the hottest areas for COVID infection in the entire world at various points. It’s a testament to the fact that we were very bold and decisive in deploying technology enablement, best-in-class rapid testing, early adoption of vaccination, and mass administration of vaccinations.

What impact did McKinsey have on you?

Matt: It was a profound tipping point in my journey, not the least for which I met two of my greatest friends in Si and Vaneesh. McKinsey also introduced me to the effectiveness of the remote working model by showing that I can have a laptop and work from anywhere in the world. Welbe’s technology footprint was built around a similar remote model that allowed us to be well-positioned and decisive during the pandemic.

Vaneesh: We rely on our McKinsey experiences or problem-solving daily. McKinsey showed me that it’s possible to deliver amazing impact and still do well financially and grow. Through different engagements and geographies, I gained exposure to different health systems and clinical models.

Si: It’s impossible to underestimate McKinsey’s impact on my career, from relationships, to learning how to build a principles-driven organization and how to think and communicate effectively. McKinsey gave me the tools to serve on a macro level. It was the best career decision I could have made to launch my career.

What does Welbe’s mission mean to you?

Si: What it means for me is a force for good in the world. Through the work we do and through our culture, we are caring for people beyond ourselves. To give an example, we had a patient who lived at home alone with her dog. She fell, broke her pelvis, was in the hospital, and as she recovered, she got a call from the local shelter saying, “Your neighbors reported an abandoned dog. We’re going to need to put it down.” She called our licensed vocational nurse at the center, and our LVN went down and rescued the dog and found a place for it while she recovered. Our patient said that the minute she learned of the rescue, she started going to physical therapy to get better as quickly as possible and get home to her dog.

Matt: My mom is a vulnerable senior with chronic mental illness. I have seen the failures of traditional health care models in senior care. What WelbeHealth’s mission means for me is that we advocate for those in our culture who are at the wrong intersection of not being valued and most at risk. It’s individuals who have very little social capital who are being left behind. Through our service, they can experience and share the love and wisdom that they have within them and have gained over their lifetime.

Vaneesh: What it means for me is service. In the Indian culture, we have different phases of our life: a phase for education, a phase for building a family, a phase for working, so on. There’s also a phase for service to others – called Seva.

Welbe is our service to our seniors. Our seniors, especially in the Indian culture, have the most wisdom and should be the most revered. When Matt, Si, and I reunited after McKinsey, we determined that Welbe would be governed by a profound sense of purpose to serve the most frail and vulnerable seniors and ensure they are embraced and cared for with dignity and respect so that they can age gracefully in the community or their own homes.

(This article is published in the McKinsey Alumni Center here.)

UC Berkeley Study Reveals WelbeHealth’s Rapid Adaptation To COVID-19 Eldercare Yielded Exceptional Results And Saved Lives

As policy momentum grows toward home and community-based services, study recommends that policy choices focus on the Program of All-Inclusive Care for the Elderly (PACE), and it’s 45-year track record of success in serving the most complex elderly patients.

SILICON VALLEY, Calif., July 14, 2021 — A new study from UC Berkeley’s Berkeley Roundtable on the International Economy (BRIE) features WelbeHealth in a case study illustrating how this California eldercare PACE provider responded early and decisively to the COVID-19 crisis with exceptional results.

“By rapidly transforming its care model, WelbeHealth had exceptional results: as COVID-19 cases rose across the country — and in particular within nursing home populations — WelbeHealth did not have a single COVID-19 death during the first 8 months of the pandemic. The first WelbeHealth loss from COVID-19 occurred on November 21, 2020 and 10 WelbeHealth participants died of COVID-19 since the beginning of the pandemic.”

-UC Berkeley

READ THE STORY: 

Welbehealth: Case Study of Adapting PACE Under COVID-19

Key findings:

  • WelbeHealth and the PACE community overall had lower death rates than nursing homes; the national PACE COVID-19 death rate was 3.8%, nearly one-third the 11.8% death rate in nursing homes. WelbeHealth calculated a death rate of 2.4%.
  • WelbeHealth acted early and decisively to minimize exposure with an Incident Command response strategy, dispersing tablets for telehealth visits, PPE, thermometers, food, medication, and other essentials into participants’ homes, and providing nearly all care remotely, which proved effective.
  • PACE’s capitated payment model moves the risk from payor to care provider, aligning incentives and encouraging innovation and efficiency in keeping patients well.
  • Technology provided an important amplification to PACE’s model of care — it allowed for regular check-ins and informed decision-making on care needs. However, the social aspect of the PACE day center cannot be replaced by technology, and it is clear that in-person visits are vital.
  • With America’s senior citizen population set to double by 2040, the demand for long-term care will skyrocket. The pandemic underscored that work must begin now to meet the needs of present and future vulnerable elders.
  • Existing home and community-based services (HCBS) such as PACE demonstrated profound success during the pandemic leading to fresh momentum among policymakers to expand these options further.

PACE’s person-to-person, fully integrated approach maintains the participant’s highest level of independence and quality of life[i]; PACE participants experience an 80% drop in rates of depression after joining.[ii] At a time when America is searching for a better way forward in eldercare, PACE is a proven approach for this vulnerable group.

 

“While PACE has a 45-year track record of success, it remains optional in Medicaid while nursing home benefits are required — it’s time for every vulnerable elder in the country to have access to this gold standard of long-term care,” said Elizabeth Carty, Chief Regulatory Affairs Officer of WelbeHealth.

 

Many PACE participants reside in medically underserved areas like San Joaquin County, California, where WelbeHealth’s creative problem-solving and speed to action kept seniors safe in their homes when resources for the elderly were relatively scarce.

 

“As other healthcare organizations were assessing the potential impact and spread of the pandemic, the WelbeHealth team had already taken its crisis response to the next level, ” said Amy Shin, former CEO of Health Plan of San Joaquin. “I was impressed with how nimbly this team charted out a plan not only to keep seniors safe and vaccinated but to vaccinate the community as well. This study’s findings should alert legislators that this style of home and community-based services is the ideal model of care for frail seniors.”

 

What is PACE?
PACE (Program of All-Inclusive Care for the Elderly) serves low-income seniors who meet their state requirement for nursing home level care allowing them to live independently in their own homes and communities while receiving fully coordinated medical and dental care, physical and occupational therapy, transportation, meals, day programs, home care assistance and more, managed by an 11-person integrated care team. The “one-stop-shop” PACE day centers are the hub of the program, offering seniors a pleasant place to receive care, socialize and enjoy meals within a state-of-the-art facility.

About WelbeHealth
WelbeHealth is a physician-led healthcare organization that provides seniors with high-quality, compassionate care so they can live in their own homes and communities rather than a nursing home. To accomplish this, WelbeHealth uses the PACE (Program of All-Inclusive Care for the Elderly) model. WelbeHealth currently operates four programs in the Stockton/Modesto, Pasadena/Burbank, Long Beach, and Fresno communities of California.


[i] Center for Consumer Engagement in Health Innovation, “Care That Works: Program for All-inclusive Care for the Elderly.” https://www.healthinnovation.org/resources/publications/care-that-works-pace

[ii] National PACE Association, “COVID Data Demonstrates That the PACE Model Is Safer Than Nursing Home Care.” https://www.npaonline.org/about-npa/press-releases/covid-data-demonstrates-pace-model-safer-nursing-home-care

Read more

Why We Support California Assembly Bill (AB) 523: Because Lifting Regulatory Bottlenecks Saved Lives During Covid-19 Crisis

Why Assembly Bill 540 Must Pass: Because seniors have a right to know about the PACE option for home and community based care

WELBEHEALTH PACE IN MODESTO ROLLS OUT MOBILE CLINIC TO SERVE MODESTO-AREA SENIORS

WelbeHealth Administers First Shipment of COVID-19 Vaccines

LONG BEACH Dec. 31, 2020 – WelbeHealth is administering its first COVID-19 vaccines to its elderly participants this week, beginning at the organization’s center in Long Beach, California. The first seniors received their vaccinations on Wednesday, and additional vaccines will be administered next week.

WelbeHealth, a healthcare provider delivering integrated home-based care for frail seniors across California, received its first shipment of the vaccine earlier this week and rapidly deployed its plan to administer the injections to its highest-risk participants.

“This is a momentous occasion for our programs and our society. It’s essential that we all get vaccinated, not only for ourselves but for the safety and wellbeing of everyone in our communities,” said WelbeHealth President Matt Patterson, MD. “With each vaccine, we are literally saving the lives of our elders who have given so much to enrich our world.”

WelbeHealth provides care as part of PACE (Program of All-Inclusive Care for the Elderly), a longstanding Medicare and Medicaid program that enables older adults to live in the community instead of a nursing home.

At the onset of the coronavirus pandemic, WelbeHealth shifted to a remote home-based care model, providing each participant with an internet-connected WelbeLink computer tablet and delivering care in the home whenever possible. The program has a long track record of positive outcomes, including longer life expectancy and dramatically improved mental health and quality of life. The PACE model has proven dramatically safer for seniors during the pandemic, with 85-95 percent lower infection and mortality rates than nursing homes.

 

 

Tour our PACE center in Stockton, California

Check out our amazing PACE center in Stockton.

WelbeHealth Expands PACE into Long Beach and Fresno

WelbeHealth, operator of PACE programs across California, announced the enrollment of its first participants at LA Coast PACE in Long Beach and the upcoming launch of its fourth program, Sequoia PACE, in Fresno. The company has rapidly shifted to a remote home care model to serve seniors safely during the Covid-19 pandemic and continues to enroll new participants in its service areas across California.

PACE (Program of All-Inclusive Care for the Elderly) is a longstanding Medicare and Medicaid program that provides comprehensive medical and social services enabling older adults to live in the community instead of a nursing home or other care facility. The program has a long track record of positive outcomes, including longer life expectancy (by more than one year), improved quality of life, reduced rates of depression and dementia, and enhanced personal empowerment for seniors. PACE services are available at no cost to most participants as part of their Medicare and Medi-Cal benefits.

“In our HomePACE model of remote care, we help seniors stay healthy and thriving while avoiding nursing facilities, which have tragically become hotbeds for the spread of coronavirus,” said Si France, MD, Founder and CEO of WelbeHealth. “We’re excited to expand our all-inclusive model of care into the greater Long Beach and Fresno regions to serve more vulnerable seniors when they need it most.”

LA Coast PACE’s first participants will enroll with the program on June 1, receiving comprehensive home-based medical care, dental care, physical and occupational therapy, and personal care such as assistance with bathing and meals. The program serves nursing home-eligible seniors across the South Bay and Westside region, including in Long Beach, Artesia, Cerritos, Carson, Torrance, Redondo Beach, Hermosa Beach, Manhattan Beach, El Segundo, Culver City, and other nearby communities.

Sequoia PACE, WelbeHealth’s fourth PACE program, will open later this year to serve seniors in Fresno, Kings, Madera, and Tulare Counties, including in Fresno, Clovis, Madera, Hanford, Tulare, and surrounding cities.

“There has never been a stronger imperative to keep frail seniors living more independently in their homes and communities,” said Sophia Guel-Valenzuela, Regional Vice President & Executive Director of LA Coast PACE. “We’re eager to help more seniors reach their full potential and live with confidence, purpose, and joy.”

WelbeHealth has rapidly adapted to serve seniors during the Covid-19 pandemic, shifting to a remote home-based model to continue providing care while enabling participants to stay physically distanced to reduce the spread of the virus. The company’s PACE programs provide 4G LTE “WelbeLink” tablets to each senior, enabling regular video communications to manage medical and social needs. When in-person care is required, it’s performed by a single caregiver in the home whenever possible. The programs have even continued many of their usual games and recreational activities remotely, combatting the dangerous social isolation affecting many seniors today.

Older adults and people with underlying medical conditions are at particularly high risk during the coronavirus pandemic, underscoring the benefits of a home-based care model. According to the National PACE Association, the average PACE participant in the U.S. is 77 years old with 8 medical conditions, many of which are chronic conditions such as diabetes, dementia, coronary artery disease, and cerebrovascular disease. PACE serves as an alternative to nursing homes as reports emerge that nearly 40 percent of California’s coronavirus deaths have occurred in the facilities.

In addition to LA Coast PACE and Sequoia PACE, WelbeHealth also operates Stockton PACE in the Stockton-Modesto region and Pacific PACE, which serves Pasadena, Glendale, Burbank, North Hollywood, and surrounding areas. The company continues to hire new team members at each of its programs across clinical and home health roles to meet community health needs.

For more about the seniorcare services that our PACE program provides, click here.