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PACE « Elder Care

PACE

 

Program for the All-Inclusive Care for the Elderly (PACE):
Government and Other Information and Resources

Government Resources:

  • Programs of All-Inclusive Care for the Elderly for States (medicaid.gov)
    Information for state Medicaid agencies and state administering agencies in fulfilling state-level responsibilities for operating PACE programs.
     
  • Programs of All-Inclusive Care for the Elderly Manual (DHHS and CMS) – June 2011
    PACE is a capitated benefit authorized by the Balanced Budget Act of 1997 (BBA) that features a comprehensive service delivery system and integrated Medicare and Medicaid financing. The BBA established PACE as a permanent entity within the Medicare program and enables states to provide PACE services to Medicaid beneficiaries as a state plan option. Operationally, the PACE program is unique as a three-way partnership between the Federal government, the State, and the PACE organization. This is an initial release of Pub. 100-11, PACE Manual. The PACE manual provides further guidance on the PACE program as outlined in 42 CFR Part 460, the regulation implementing PACE statutory requirements.

Other Resources:

  • List of State Medicare PACE Programs (Paying for Senior Care)
    Table provided contains a state-by-state listing of Medicare PACE (Program of All-Inclusive Care for the Elderly) and Medicare LIFE providers. Note that not all states have PACE / LIFE Programs.

  • National PACE Association
    Exists to advance the efforts of Programs of All-inclusive Care for the Elderly (PACE).  PACE programs coordinate and provide all needed preventive, primary, acute and long term care services so that older individuals can continue living in the community.

  • Program of All-Inclusive Care for the Elderly (Michigan Dept. of Community Health)
    PACE is a capitated benefit authorized by the Balanced Budget Act of 1997 that features a comprehensive service delivery system and integrated Medicare and Medicaid financing for frail, elderly individuals that meet Long Term Care level of care criteria. For most PACE participants, the comprehensive service package permits them to continue living at home while receiving services rather than being institutionalized.

Articles and Publications:

  • Community and In-Home Models
    PACE and state-based payment for in-home supportive services.
  • Health Care Delivered as it Should Be (New York Times – 1/8/09)
    Hardly anyone has a good word to say about this country’s fragmented system for delivering and paying for long-term care, with one exception: the PACE program, which many experts laud as long-term care done right.
  • PACE Serves as Example of What Works in Long-term Care (McKnight's – 9/25/12)
    As the nation grapples with the best way to create a more collaborative system that works for patients and is financially sustainable,  long term care is providing effective models and lessons. At the same time, we are working with government to break down  barriers to what we believe can lead to significant growth for those effective, collaborative solutions.  I'm talking specifically about PACE, a managed care program that has served long term care patients for 25 years.  PACE, the Program for the All-Inclusive Care for the Elderly, is a coordinated care model that improves both the patient's health and Medicaid's bottom line. Focused on the most costly and complex individuals to care for – patients eligible for Medicare and Medicaid who are qualified to live in a nursing home, even if they don't — the PACE model brings together nurses, physicians, social workers, therapists and other caregivers to create a coordinated care plan for each patient. The goal is to keep the patient healthy and at home while assisting with the activities of daily life, such as washing, dressing, eating and socializing. Reimbursement is provided under a capitated, managed care model.