Determinants of enrollment among applicants to PACE.
Irvin, Carol V
Date of Pub
Dorsey, Turahn; Massey, Susan
During the 1970s and 1980s, a new approach to the integration of acute and long-term care (LTC) services was conceived and
refined at On Lok, an organization in the Chinese community of San Francisco. Since then, On Lok and 10 Federal demonstration
sites have tested this model which is today called the Program of All-Inclusive Care for the Elderly (PACE). This program
has gained considerable political support and as a result, the 1997 Balanced Budget Agreement establishes PACE as a permanent
provider under Medicare. The Federal demonstration of PACE was designed as a voluntary program. By exploiting its voluntary
enrollment design, this study analyzes the determinants of program participation within a group of screened applicants. Findings
of this study support the theory that the capitated payment structure of PACE creates incentives for program staff to avoid
costly individuals. However, home ownership and provider attachment also act as important and significant barriers to enrollment.
Aged : Aged, 80 and over : Comprehensive Health Care/organization & administration/utilization : Data Collection : Decision
Making : Demography : Female : Health Services for the Aged/organization & administration/utilization : Human : Insurance,
Health, Reimbursement : Male : Medicare/organization & administration : Models, Organizational : Patient Acceptance of Health
Care/statistics & numerical data : Program Evaluation : Support, U.S. Gov't, Non-P.H.S. : United States