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Evaluating the Effectiveness of PACE

Community-Based Integrated Care for Older Adults: A Practical Guide, Page: 53-67
2022
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Book Chapter Description

PACE has a long history of providing care to community-based older adults with complex care needs. There has been a strong interest in determining the effectiveness of this model as compared to other alternatives to nursing homes. The blended financing (Medicaid and Medicare) and capitated structure of payment has created many stakeholders with an interest in its effectiveness. This chapter reviews interesting questions about study design, appropriate comparison groups, as well as the issues of variability of performance among PACE programs. Several key studies are also reviewed, including those that demonstrate lower rates of hospitalization among PACE enrollees compared to non-PACE controls. Implications of the findings of several studies are discussed.

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