PACE enrollment has grown roughly 40% between 2019 and 2023 and now exceeds 70,000 participants nationwide, with states actively expanding programs into new and rural service areas. Collabrios Health is trusted by more than half of all PACE centers nationwide, and that footprint is growing alongside the market it serves. Growth at this pace strains the technology PACE organizations depend on to coordinate care, manage claims, and stay audit-ready, technology that — for most of the industry — still requires multiple systems, vendors, and contracts doing one job’s worth of work.

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Collabrios Health, the workflow infrastructure behind PACE, has spent more than three decades solving pieces of that problem, formed by uniting RTZ Systems and Tabula Rasa’s PACE technology divisions, both pioneers in PACE-specific care coordination. Built specifically for PACE rather than adapted from generic healthcare software, that combined expertise, not any single product, is the foundation of what the company is introducing today.

Collabrios Health announces CollabriosONE, a single native operating platform built to run every part of a PACE organization. The platform brings together seven core capabilities, clinical care, transportation, enrollment, home-based care, ambient scribe, claims, and AI-powered analytics, scorecards, and benchmarking, into one system built on decades of PACE-specific expertise.

One System, Not a Bundle

“Think about how healthcare organizations typically buy these capabilities,” said Kevin Lathrop, President of Collabrios Health. “Different vendors. Different contracts. Different implementations. Different data. Different people responsible when something doesn’t reconcile. Then we wonder why revenue leakage is so difficult to find. We built CollabriosONE differently: one fully integrated system, resulting in a single source of accountability. This is more than three decades of PACE expertise, finally operating the way it should have from the start. Not a collection of point solutions stitched together to look like a platform, a system built specifically for the people running PACE. Others solve pieces of the problem. Collabrios runs the business of PACE.”

PACEClaims: Why Claims Administration Matters to This Story

PACE isn’t traditional healthcare. Organizations operate as both a healthcare provider and a full-risk insurance plan, taking on fixed, capitated funding for a population with complex, multi-morbid needs, all while answering to strict Medicare and Medicaid audit requirements. In that model, every claim decision affects the bottom line directly, not just operationally, but financially.

Fragmentation is one of the clearest places that risk shows up. Industry-wide, the numbers are stark: the 2025 CAQH Index found that healthcare avoided $258 billion in administrative costs in 2024 through automation, yet identified a further $21 billion in savings still locked in error-prone, hands-on processes. A single manual claim-status inquiry now takes an average of 25 minutes, longer than any other administrative task CAQH measures, while the same inquiry done electronically takes just 7 minutes. Nearly half of providers cite incorrect, missing, or incomplete claim information, often the direct result of manual data entry, as the leading cause of claim denials. The industry benchmark for claims adjudication automation sits at 80%, yet many organizations achieve first-pass rates as low as 10-20%.

PACEClaims closes that gap without asking organizations to give up control:

  • Efficiency: Streamline claims administration through intelligent automation that reduces PACE Center staff workload, accelerates claims processing, and enables your organization to grow without adding administrative complexity.
  • Control: Gain real-time visibility into claims activity, payment status, denials, exceptions, and financial performance to support informed operational and reimbursement decisions.
  • Transparency: Provide a single source of truth across claims, payments, providers, and vendors, giving teams immediate access to the information they need without manual reconciliation or fragmented reporting.
  • Audit & Compliance: Maintain complete visibility and traceability across the entire claim lifecycle, including claims decisions, payment activity, workflows, approvals, and supporting documentation to simplify regulatory oversight and audit preparation.

It’s built around how an organization operates: technology-enabled for an in-house team that self-adjudicates, or fully managed by Collabrios’s team of experts.

“In a fully capitated model, a claim isn’t just an administrative transaction, it’s tied directly to the care a participant received and the compliance obligations that come with serving this population,” said Dr. Rebecca Schreiner, Chief Medical Officer at Collabrios Health. “What matters to me clinically is that PACEClaims keeps that connection intact. The record of what happened and the record of what got paid are the same story, not two separate ones we have to reconcile after the fact.”

Availability

CollabriosONE and PACEClaims are available now to PACE organizations across the country. Collabrios Health will be showcasing the platform in booth 87 at the NPA Annual Conference in Denver from October 11-14, with two sessions offering additional ways to learn more:

To learn more about PACEClaims, visit here.

About Collabrios Health

Collabrios Health delivers connected technology across two markets: PACE organizations and the broader community care ecosystem.

For PACE, Collabrios combines more than 30 years of PACE expertise with a modern, AI-enabled operating platform (CollabriosONE) designed to help organizations simplify complexity, improve performance, and confidently navigate the future of care. While others solve pieces of the problem, Collabrios runs the business of PACE.

Collabrios Community Care connects government, community, provider, and healthcare partners to coordinate services that help people live safely and independently, spanning aging and disability agencies, HCBS and LTSS programs, community-based organizations, Adult Protective Services, Ombudsman and Adult Day Services, caregiver programs, and Medicaid community programs.

Learn more at www.collabrios.com.

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