Abstract
PACE is the gold standard for community-based integrated care. Over the 25 years as
permanent provider status by Centers for Medicare and Medicaid Services, it has evolved
in design and grown in numbers served. We review the evidence base, history, and future
direction of PACE.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of the American Medical Directors AssociationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
Centers for Medicare and Medicaid Services, HHS. Medicare and Medicaid Programs; Programs of All-Inclusive Care for the Elderly (PACE). Accessed September 6, 2022. https://www.federalregister.gov/documents/2019/06/03/2019-11087/medicare-and-medicaid-programs-programs-of-all-inclusive-care-for-the-elderly
- Complexities of care: Common components of models of care in geriatrics.J Am Geriatr Soc. 2022; 70: 1960-1972
- Across the states 2018: Profiles of long-term services and supports.https://www.aarp.org/ppi/info-2018/state-long-term-services-supportsDate accessed: September 6, 2022
- Preferences for receipt of care among community-dwelling adults.J Aging Social Pol. 2004; 16: 49-65
- Quantifying long-term care preferences.Med Decis Making. 2015; 35: 106-113
- Nursing home statistical yearbook 2016.https://cdc.gov/nchs/data/hus/2017/092.pdfDate accessed: August 15, 2022
- PACE Finder: Find a PACE Program in Your Neighborhood.https://npaonline.org/pace-you/pacefinder-find-pace-program-your-neighborhoodDate accessed: September 6, 2022
- Potential PACE-Eligible Population.https://www.npaonline.org/member-resources/strategic-initiatives/pace2.0/interactive-map-potential-pace-eligible-populationsDate accessed: September 6, 2022
- Program of All-inclusive Care for the Elderly (PACE): an innovative model of integrated geriatric care and financing.J Am Geriatr Soc. 1997; 45: 223-232
- Long-term care for frail elderly people--the On Lok model.N Engl J Med. 1999; 21: 1324-1328
- Program of all-inclusive care (PACE): past, present, and future.J Am Med Dir Assoc. 2009; 10: 155-160
- Comprehensive primary care for older patients with multiple chronic conditions: "Nobody rushes you through".JAMA. 2010; 304: 1936-1943
- Evaluating PACE: a review of the literature. Washington, DC: US Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy 2014.https://aspe.hhs.gov/system/files/pdf/76976/PACELitRev.pdfDate accessed: September 6, 2022
- The underappreciated success of home-based primary care: next steps for CMS’ independence at home.J Am Geriatr Soc. 2021; 11: 1-4
- Effect of PACE on costs, nursing home admissions, and mortality: 2006-2011.https://aspe.hhs.gov/reports/effect-pace-costs-nursing-home-admissions-mortality-2006-2011-0Date accessed: September 6, 2022
- Program characteristics and enrollees' outcomes in the Program of All-Inclusive Care for the Elderly (PACE).Milbank Q. 2007; 85: 499-531
- Hospitalizations in the Program of All-Inclusive Care for the Elderly.J Am Geriatr Soc. 2014; 62: 320-324
- Effects of the Program of All-inclusive Care for the Elderly on hospital use.Gerontologist. 2011; 51: 774-785
- Hospitalization in the Program of All-Inclusive Care for the Elderly (PACE): rates, concomitants, and predictors.J Am Geriatr Soc. 2000; 48: 1373-1380
- Evaluating the effectiveness of PACE.in: McNabney M.K. Community-based Integrated Care for Older Adults: A Practical Guide. Springer, 2022
- Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs.J Am Geriatr Soc. 2006; 54: 339-344
- Massachusetts PACE Evaluation Nursing Home Residency Summary Report.https://www.mass.gov/files/documents/2016/09/tz/ma-pace-evaluation-nursing-home-residency-summary-report-july2014.pdfDate accessed: September 6, 2022
- Does Medicaid pay more to a program of all-inclusive care for the elderly (PACE) than for fee-for-service long-term care?.J Gerontol A Biol Sci Med Sci. 2013; 68: 47-55
- Stakeholder and data-driven fall screen in a Program of All-Inclusive Care for the Elderly: quality improvement initiative.J Geriatr Phys Ther. 2022; 45: 154-159
- Factors associated with the risk for falls in PACE participants.Geriatr Nurs. 2020; 41: 571-578
- Older adults' satisfaction with integrated capitated health and long-term care.Gerontologist. 2004; 44: 348-357
- PACE Reduces Burden of Family Caregivers.npaonline.org/about-npa/press-releases/pace-reduces-burden-family-caregiversDate accessed: September 6, 2022
- Disenrollment from an acute/long-term managed care program (PACE).Med Care. 2006; 44: 31-38
- A Focus on the Program of All-Inclusive Care for the Elderly (PACE).J Aging Soc Pol. 2017; 29: 475-490
- Advancing the science of population-based measures of home-time.Healthc. 2020; 8: 1-6
- Selecting implementation strategies to drive age-friendly health system adoption.J Am Geriatr Soc. 2022; 70: 313-318
- PACE expansion can meet growing needs of frail older adults.Health Progress. 2021; 102 (Winter 2021): 42-45
- New Report from Altarum and National PACE Association Highlights the PACE Model of Care’s Flexibility and Resiliency in Response to COVID-19.https://altarum.org/news/new-report-altarum-and-national-pace-association-highlightsDate: 2020Date accessed: September 6, 2022
- Impact of COVID-19 on Structure and Function of Program of All-Inclusive Care for the Elderly (PACE) sites in North Carolina.J Am Med Dir Assoc. 2022; 23: 1109-1113.e8
- COVID-19 and the need for adult day services.J Am Med Dir Assoc. 2021; 22: 1333-1337
- Medical and mental health care challenges in nursing homes, assisted living, and Programs of All-Inclusive Care for the Elderly (PACE) during COVID-19.J Am Med Dir Assoc. 2022; 23: 754-755
- The right PACE for ALCs and beyond.Geriatr Nurs. 2014; 35: 230-232
- Evaluation of the Rural PACE Provider Grant Program.
- National Fact Sheet: Senate.https://aging.senate.gov/imo/mediaDate accessed: September 6, 2022
- Bipartisan bill introduced in Senate to spur growth of PACE.www.npaonline.org/about-npa/biparisan-bill-introduced-senate-spur-growth-paceDate accessed: September 6, 2022
- H.R. 4941 PACE Part D Choice Act 2021.https://www.congress.gov/bill/117th-congress/house-bill/4941?s=1&r=4Date accessed: August 15, 2022
Article info
Publication history
Published online: October 08, 2022
Identification
Copyright
© 2022 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
