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Community-Based Integrated Care for Older Adults pp 35–51Cite as

History and Policy Evolution of the PACE Model of Care

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Abstract

The Program of All-Inclusive Care for the Elderly (PACE) is a time-tested service model that began in the 1970s. The primary purpose was to serve frail, nursing-home eligible older adults in the community to allow them to age in place. The original PACE site, On Lok in San Francisco, underwent intense scrutiny, followed by waves of demonstrations and, ultimately, broad acceptance as a CMS-recognized permanent provider of services. PACE has expanded to many states in the United States and is a premier example of community-based integrated care.

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Suggested Reading

  1. Abt Associates, Inc. Evaluation of the program of all-inclusive care for the elderly (PACE) demonstration, 1998.

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  2. Eng E, Pedulla J, Eleazer GP, et al. Program of all-inclusive care for the elderly (PACE): an innovative model of integrated geriatric care and financing. J Am Geriatr Soc. 1997;45:223–32.

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  3. Ghosh A, Schmitz R, Brown R. Effects of PACE on costs, nursing home admissions, and mortality: 2006-2011. Mathematica Policy Research Report, 2014.

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  4. Gross DL, Temkin-Greener H, Kunitz S, et al. The growing pains of integrated health care for the elderly: lesson from the expansion of PACE. Millibank Q. 2004;82:257–82.

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Author information

Authors and Affiliations

  1. National PACE Association, Alexandria, VA, USA

    Shawn Bloom

Authors
  1. Shawn Bloom
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Correspondence to Shawn Bloom .

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Editors and Affiliations

  1. Hopkins ElderPlus, Johns Hopkins University, Baltimore, MD, USA

    Matthew K. McNabney

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© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Bloom, S. (2022). History and Policy Evolution of the PACE Model of Care. In: McNabney, M.K. (eds) Community-Based Integrated Care for Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-031-05137-1_3

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  • DOI: https://doi.org/10.1007/978-3-031-05137-1_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-05136-4

  • Online ISBN: 978-3-031-05137-1

  • eBook Packages: MedicineMedicine (R0)

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