Summit ElderCare

What Summit ElderCare does

Summit ElderCare is a Program of All-Inclusive Care for the Elderly (PACE) operated by Fallon Health, providing comprehensive coordinated healthcare to frail older adults (primarily aged 55+) who qualify for nursing home-level care but wish to remain in their homes and communities. The program is headquartered at 1 Mercantile St., Suite 400, Worcester, Massachusetts, and serves participants across multiple Massachusetts counties (Bristol, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, and Worcester, plus partial coverage in Barnstable, Berkshire, Essex, and Franklin counties).

The program's core offering is an integrated suite of services delivered through six PACE Centers located in Dartmouth, Leominster, Lowell, Springfield, Webster, and Worcester. Services include health insurance coverage with Medicare Part D prescription drug benefits, in-home care (medication management, personal care, nursing visits, light housekeeping), adult day health services with specialized dementia programming, and an interdisciplinary Care Team of geriatric specialists (primary care providers, nurses, social workers, physical therapists, dietitians, and other specialists) accessible 24 hours via telephone. The organization has a strategic partnership with the Massachusetts chapter of the Alzheimer's Association providing access to a dedicated memory specialist. No proprietary technology platform is referenced; the program relies on standard healthcare IT systems for HIPAA-compliant care coordination.

Summit ElderCare generates revenue primarily through Medicare and Medicaid (MassHealth) capitation payments that cover monthly premiums for dual-eligible and Medicare-only participants. A private-pay option also exists for individuals who do not qualify for or choose not to use government coverage. Participants incur no copayments, deductibles, or coinsurance for covered services. The program is not an independent entity; it operates as a wholly-owned programmatic division of Fallon Health with no external investors, no venture backing, and no separate ownership structure.

Name

Summit ElderCare

Legal name

Summit ElderCare

Website

https://summiteldercare.org

Company type

Private

Founded year

1970

Operating status

Operating

Headcount range

1–10 employees

Short description

Summit ElderCare is a Fallon Health-operated PACE program in Massachusetts providing coordinated healthcare, in-home services, and adult day health to frail older adults across six PACE Centers, funded primarily by Medicare and Medicaid capitation.

Ownership category

akta.pro rank

Product category

Elder Care Healthcare Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233), Services for the Elderly and Persons with Disabilities (62412), Nursing and Residential Care Facilities (623)

SIC

Services-Health Services (8000), Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082)

akta.pro primary industry

Medicaid Waiver / PACE-Partnered Adult Day Programs (HLADAIAM)

akta.pro secondary industries

Community-Based Senior Centers with Adult Day Services (HLADAIAJ), Care Navigation & Service Coordination (Medical, Social, Community) (HSABAIAB), Adult Day Rehabilitation & Therapy Programs (PT/OT/SLP) (HLADAIAD)

Keywords

• Elderly care services
• PACE program
• Adult day health
• Home care services
• Medicare Medicaid coverage

Headquarters

HQ city

Malden

HQ country

United States

HQ region

North America

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Medicare/Medicaid PACE Revenue: Summit ElderCare operates as a PACE (Program of All-Inclusive Care for the Elderly) program. The monthly premium is covered by Medicare and/or Medicaid (MassHealth). As a health insurance plan, Fallon Health's Summit ElderCare pays for all care and services that participants receive through the program.
2. Private Pay: An option exists for private pay, where individuals can pay the monthly premium themselves if they do not qualify for or want to use Medicare/Medicaid coverage.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

Summit ElderCare operates a Program of All-Inclusive Care for the Elderly (PACE) providing complete, coordinated, individualized care for older adults aged 55+ who require nursing home level of care but wish to remain at home. The program bundles health insurance, medical care, Medicare Part D prescription drug coverage, in-home personal care and nursing, social support, adult day health services at PACE Centers, and specialized memory care, all coordinated by an interdisciplinary geriatric Care Team.

Product overview

Summit ElderCare is a single unified Program of All-Inclusive Care for the Elderly (PACE) offered by Fallon Health. The program provides complete, coordinated, individualized care for older adults who want to live at home instead of a nursing home. It consists of an integrated suite of services including: the core Summit ElderCare PACE Program (health insurance with comprehensive medical and Medicare Part D prescription drug coverage), In-Home Care Services (medication management, personal care, nursing visits, light housekeeping), Adult Day Health Services at PACE Centers, specialized Memory Care Services with dedicated dementia care areas, and Care Team Services provided by an interdisciplinary team of geriatric specialists. All services are coordinated through the Care Team with 24-hour telephone access.

Differentiator

Problem solved

Functional benefit

Products and services

• Summit ElderCare PACE Program

Quantifiable outcome

• No copayments, deductibles, or coinsurance for covered services — participants have no paperwork and no claim forms to worry about

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Massachusetts chapter of the Alzheimer's AssociationcoreStrategic or Co-development PartnerCollaboration with the Massachusetts chapter of the Alzheimer's Association provides Summit ElderCare participants and caregivers with access to a dedicated memory specialist. The memory specialist provides coaching and education on dementia-related issues and develops tailored guides for families. The specialist works closely with the Care Team to provide care recommendations and interventions.

Scale indicators2 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• ChenMed: ChenMed operates value-based primary care practices focused on low-income seniors with chronic conditions, accepting Medicare Advantage and similar capitated arrangements. While not a PACE operator, it competes for the same vulnerable elderly population with outcomes-focused care models.
• agilon health: agilon health partners with primary care physicians to provide value-based care for Medicare Advantage seniors. It is a broader incumbent peer serving the same senior population through capitated arrangements, though it operates as a platform rather than a direct care provider.
• Oak Street Health: Oak Street Health (acquired by CVS Health) operates value-based primary care clinics for older adults on Medicare. While not a PACE operator, it serves a similar dual-eligible elderly population with a coordinated care model and capitated reimbursement, making it a broader incumbent peer in senior value-based care.

Emerging players

• WelbeHealth: WelbeHealth is a PACE operator headquartered in California that has expanded to multiple states. It is an emerging PACE peer with a similar growth strategy to potential Summit ElderCare expansion, though smaller and geographically distinct.
• Encompass Health: Encompass Health operates inpatient rehabilitation hospitals and home health agencies, providing rehabilitation therapy services that overlap with Summit ElderCare's PT/OT offerings. Comparable to a degree through rehabilitation services for seniors, though the care settings (inpatient vs. PACE-centric) differ.
• Amedisys: Amedisys is a leading home health and hospice provider, with partial overlap to Summit ElderCare's in-home care services. While not a PACE operator, it provides comparable home-based clinical services to elderly populations and is consolidating with UnitedHealth Group's Optum.

Direct peers

• CenterLight Health System: CenterLight operates PACE programs in New York and Connecticut, providing comprehensive coordinated care for nursing-home-eligible seniors. It is a direct peer operating under the same PACE federal designation with Medicare/Medicaid funding and interdisciplinary care teams.
• InnovAge Holding Corp: InnovAge is the largest publicly traded pure-play PACE operator in the US, operating PACE centers across multiple states. It is the closest direct competitor to Summit ElderCare, sharing the same PACE care model, Medicare/Medicaid capitation revenue structure, and target population of frail elderly.
• Mercy LIFE (Trinity Health PACE): Mercy LIFE is a PACE program operated by Trinity Health across multiple states, offering the same comprehensive coordinated care model for nursing-home-eligible seniors. It is directly comparable to Summit ElderCare in terms of PACE designation, care model, and funding structure.
• Providence ElderPlace: Providence ElderPlace is a PACE program operated by Providence Health & Services across Oregon, Washington, and California. It serves the same dual-eligible frail elderly population with the same capitated integrated care model as Summit ElderCare.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/summit-eldercare

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Summit ElderCare