• Industry: Healthcare
  • Type: Survey report
  • Date: 5/21/2013

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

The PACE model was initially developed in San Francisco, US in 1973 and is a publicly funded system of integrated care for eligible frail and disabled older adults living in the community. The program aims to enhance quality of life and autonomy, maximize dignity and respect for older adults, preserve and support older adults’ family units, and enable recipients to remain in their homes as long as possible.

PACE enrollees attend an adult day health center, where they receive most services from a multidisciplinary care team. The program covers almost all services provided by nursing homes, including primary care, periodic examinations by doctors and nurses, occupational and recreational therapy, home healthcare and hospital care. Through care coordination and capitated financing it reduces costs by delaying nursing home care and shortening hospital stays.1

In 2012 the US state of Wisconsin began pilots of Virtual PACE2,3 for eligible individuals wishing to receive their services in community settings. The program will serve approximately 20,000 frail elders and adults with physical or developmental disabilities who require nursing home care.

This initiative hopes to fully integrate the two major US public systems, improving delivery and financing of primary, acute, mental health and long term care services. It aims to reform the current fragmented system of care by eliminating artificial barriers and treatment patterns resulting from differing and sometimes competing regulatory and financing arrangements. Outcomes should be improved through incentivizing better primary care, stronger management of care transitions and more flexible service delivery.

1Program of All-Inclusive Care for the Elderly, Survey No. 13, Health Policy Monitor, 2009
Accessed 1 December 2012.

2Long-Term Care Pilot Program – Virtual PACE, 2011-2013 Medicaid Efficiencies (PDF 67 KB), Department of Health Services- State of Wisconsin, 2011
Accessed 21 October 2012.

3Wisconsin’s Demonstration to Integrate Care for Individuals Dually Eligible for Medicare and Medicaid, (PDF 7.6 MB), Department of Health Services Division of Long Term Care, Draft proposal for public comment, March 2012
Accessed 30 October 2012.


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