The Effects of PACE on Medicare and Medicaid Expenditures

Publisher: Princeton, NJ: Mathematica Policy Research
Aug 29, 2007
Leslie Foster, Robert Schmitz, Peter Kemper, Amy Zambrowski, Mei-Ling Mason, Matthew Jacobus, Jill Gurvey, and Jeffrey Holt
The Centers for Medicare & Medicaid Services and state governments are increasingly interested in moving states’ long-term care systems away from reliance on institutional care and toward the development of more community-based services. Such a shift could allow more seniors and people with disabilities to live in the settings they prefer as they age, and reduce per-capita public expenditures.
The Program of All-Inclusive Care for the Elderly (PACE) attempts to help nursing-home-eligible seniors avoid institutional care by providing them with a rich mix of acute and long-term care services—including adult day care to alleviate caregiver burden—that can be tailored to individual needs and modified as those needs change.