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Updated: Jun 30, 2026

Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
11:21

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Community and in-home models.

Jennie Chin Hansen1

  • 1Center for Health Professions, University of California, San Francisco, USA. jchansen@thecenter.ucsf.edu

The American Journal of Nursing
|September 23, 2008
PubMed
Summary
This summary is machine-generated.

This study examines Program of All-Inclusive Care for the Elderly (PACE) and state-based payment models for in-home supportive services. Findings inform optimal reimbursement strategies for home care services.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Public Policy

Background:

  • In-home supportive services are crucial for aging in place.
  • Current payment models for these services vary significantly across states.
  • The Program of All-Inclusive Care for the Elderly (PACE) offers a unique integrated care model.

Purpose of the Study:

  • To analyze the impact of state-based payment policies on the delivery of in-home supportive services.
  • To compare the effectiveness and financial sustainability of different payment mechanisms.
  • To evaluate the role of PACE in providing comprehensive home-based care.

Main Methods:

  • Comparative analysis of state Medicaid payment rates for home care.
  • Longitudinal study of service utilization and costs within PACE programs.
  • Qualitative assessment of stakeholder perspectives on payment reform.

Main Results:

  • State payment rates significantly influence service availability and caregiver compensation.
  • PACE programs demonstrate cost-effectiveness through integrated service delivery.
  • Variability in state policies creates disparities in access to in-home support.

Conclusions:

  • Policy alignment between state-based payments and federal programs like PACE is essential.
  • Reimbursement reform is needed to ensure equitable access to in-home supportive services.
  • Integrated care models like PACE offer a scalable solution for elder care.