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Related Experiment Videos

The PACE evaluation: initial findings

L G Branch1, R F Coulam, Y A Zimmerman

  • 1Abt Associates, Inc., Cambridge, MA 02138-1168, USA.

The Gerontologist
|June 1, 1995
PubMed
Summary
This summary is machine-generated.

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The Program of All-inclusive Care for the Elderly (PACE) model shows varied implementation across sites. Slow enrollment and potential niche marketing raise concerns about its long-term viability.

Area of Science:

  • Gerontology
  • Health Services Research
  • Public Health Policy

Background:

  • The On Lok model pioneered the Program of All-inclusive Care for the Elderly (PACE).
  • Nine PACE replications operated under dual capitation by mid-1994, with one failing.
  • This study focuses on the initial seven PACE sites operating under capitation in 1992.

Purpose of the Study:

  • To document the growth and development of early PACE sites.
  • To compare PACE sites with On Lok regarding organizational structure, client demographics, case management, service delivery, and financing.
  • To assess the variability and potential viability of the PACE model.

Main Methods:

  • Descriptive study of seven PACE sites.
  • Comparative analysis with the On Lok model.

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  • Examination of organizational, client, service, and financial data.

    • Main Results:

    • Significant variability exists in PACE model implementation.
    • Monthly capitation payments ranged from $2,147 to $5,973.
    • Seven PACE sites served 888 clients by end of 1992, with slow enrollment rates.
    • Client selection may indicate niche marketing or skimming, not full nursing home population representation.

    Conclusions:

    • The PACE model exhibits considerable implementation variability.
    • Slow enrollment and potential client selection biases raise questions about long-term PACE model viability.
    • Further caution is advised regarding the widespread adoption and sustainability of the PACE model.