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Summary

The Program of All-Inclusive Care for the Elderly (PACE) provides integrated acute medical care and long-term care services to frail seniors. PACE provides a community-based alternative to nursing home care when nursing home placement seems necessary, using blended Medicare and Medicaid financing to provide care for clients. This report assesses mortality, functional status, and cost outcomes for clients enrolled in the Providence ElderPlace PACE site in Seattle, compared to outcomes for comparable clients who receive other long-term care services funded by the DSHS Aging and Disability Services Administration.

The mortality and functional status analyses indicate that PACE clients experience highly favorable health outcomes compared to clients served through other home- and community-based service (HCBS) modalities. PACE clients experience greater stability in physical functioning and have a significantly lower risk of dying, relative to comparable clients receiving HCBS services. However, these favorable outcomes are achieved at considerable cost. Although HCBS comparison clients experienced deterioration in functional status to levels of need comparable to clients entering skilled nursing facilities, most HCBS clients continued to be served in the community at substantially lower cost than PACE enrollees.

 

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Click on the PDF symbol to the left and download the report: "Pace, An Evaluation." Publication Date: 6/2005. Report Number 8.26. (287 KB) To view this Portable Document Format (PDF) you may experience errors or unexpected behavior while opening or reading the file you downloaded. Therefore, we suggest that you always use the latest version of the Adobe Acrobat Reader. Persons with disabilities may call to request a paper copy.

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Modified: Wednesday December 28 2005

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