Welfare Reform on the Web (August 2004): Care of the Elderly - Overseas

THE GROWING PAINS OF INTEGRATED HEALTH CARE FOR THE ELDERLY: LESSONS FROM THE EXPANSION OF PACE

D.L. Gross and others

Milbank Quarterly, vol.82, 2004, p.257-282

PACE, the Program of All Inclusive Care for the Elderly, is a managed care programme designed to enable frail older people to remain in the community. Eligibility is restricted to Medicare beneficiaries who qualify for nursing home care. PACE programmes are designed to meet all healthcare needs of participants, with the goal of enabling them to remain at home. The programme's core service is adult day care, as well as home care and meals at home. The article discusses barriers to more rapid development of PACE programmes and identifies levers for change at federal and state levels.