Program of All-Inclusive Care for the Elderly (PACE)

Multistate

PACE provides comprehensive medical and long-term services and supports (LTSS) to certain frail, community-dwelling individuals, most of whom are dually eligible for Medicare and Medicaid benefits. An interdisciplinary care team provides PACE participants with coordinated care—including preventative care, home care, specialty services, nutritional counseling, meals, physical therapy, social counseling and transportation. For most participants, the comprehensive service package enables them to remain in the community rather than receive care in a nursing home.

Partner Organizations

• VA Medical Centers

Target Population

Medicaid enrollees, Medicare beneficiaries and Dual-eligibles who are: age 55+, eligible for home nursing care and can safely live in the community with help from PACE

Care Team

Primary care physician, registered nurse, social worker, physical therapist, occupational therapist, recreational therapist or activity coordinator, dietitian, PACE Center manager, home care coordinator, personal care attendant and driver

Timeframe

1990 - present

Results/ Studies

National PACE Association Key Research Findings

Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community (The Commonwealth Fund, 2016)

Office of the Assistant Secretary for Planning and Evaluation PACE Literature Review (2014) 

PACE Medicaid Cost-Benefit Study - Kansas (2013)

Funding

Medicare and Medicaid capitated payments and monthly premiums paid by Medicare-only participants

Resources

CMS PACE program website

National PACE Association

• Framework for At-Risk Medically Complex PACE Pilot

Altarum Center for Elder Care and Advanced Illness

• PACE Expansion: Building Effective Community Care for Frail Elders
• Huron Valley PACE: Building Out PACE for Medicare-Only Beneficiaries
• Current Barriers & Possible Solutions: PACE Flexibility Provisions that Would Help Medicare-Only Enrollees