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

The Program of All-Inclusive Care for the Elderly (PACE) is a provider-led model that provides fully integrated care to adults ages 55 and older with nursing-facility level of care needs while allowing them to remain in the community. During this session, staff provided the Commission with an overview of the draft chapter for the June report to Congress on the PACE model. The chapter begins with background on PACE, which is currently available in 33 states and the District of Columbia, before describing the Commission’s analytic work interviewing key stakeholders at the state and federal levels. Next, it highlights findings on the model’s design and administration across six elements: eligibility and enrollment, provider application and procurement, service delivery, grievances and disenrollment, federal and state oversight, and financing. The chapter concludes with plans for the Commission to further examine the design and administration of the PACE model.