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Published: 2012

Total Pages: 50

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The Program of All-Inclusive Care for the Elderly (PACE) combines in one organization the provision and management of acute care services funded typically by Medicare with long-term services usually paid for by Medicaid. Designed for individuals age 55 and older who are determined to be nursing home eligible under Medicaid, the program is responsible for an array of long-term services including adult day health services, personal care and home health services, transportation, meals, and nursing home care, as well as a range of health related services, such as physician care, inpatient hospital, prescription drugs, occupational and physical therapies, and nursing. In exchange for a monthly capitated payment from Medicaid and, in most instances, Medicare, the PACE provider organization assumes full financial risk for participant care. PACE is one of the few programs in the U.S. that has as its goal to fully integrate acute and long-term services for older consumers. The research and policy question for this study is whether the PACE model should be expanded to other sites across the state, and if so what modifications should be made to the program in preparation for an expansion?