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Title
Determinants of enrollment among applicants to PACE.
First Author
Irvin, Carol V
Date of Pub
1997 Winter
Pages
135-153
Volume
19
Issue
2
Other Authors
Dorsey, Turahn; Massey, Susan
Abstract
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.
Abstract Continued
N/A
MeSH
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
NTIS Number
PB99-109639