Are you on PACE to prevent unnecessary admissions?

Shay Pratt

Shay Pratt, Marketing and Planning Leadership Council

During a recent webconference on geriatric services strategy, members asked us for more information about how particular specialized care models for the elderly can improve outcomes; manage patients in the right care settings; and provide a more holistic, continuum-based and less episodic care experience. In response, we took a closer look at the PACE model, which currently consists of 75 programs in 29 states, serving approximately 20,000 patients.

What is PACE?

The Program for All-Inclusive Care for the Elderly (PACE) is the only federally sanctioned, integrated provider of complete medical services for elderly patients eligible for both Medicare and Medicaid. The program receives a global capitated budget from Medicare and Medicaid to provide all acute and long-term care services, including primary care, prescription drugs, hospitalizations, and nursing home treatment when necessary.

PACE also encompasses social services, transportation, meals, nutritional counseling, and other aspects of personal care that can impact a patient’s health. According to CMS, this care is provided by a multidisciplinary team that includes “at a minimum… a primary care physician, nurse, social worker, physical therapist, occupational therapist, recreational therapist or activity coordinator, dietitian, PACE center supervisor, home care liaison, health workers/aids, or their representatives, and drivers or their representatives.”

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