Stability of disability among PACE enrollees: financial and programmatic implications.
Mukamel, Dana B
Date of Pub
Clark, Marleen L; Temkin-Greener, Helena
This article examines the experience of the first 11 Program of All-inclusive Care for the Elderly (PACE) programs. It investigates
changes in functional status of participants in relation to length of enrollment in the program and individual risk characteristics.
Our findings indicate that mature programs experience stable disability mix over time, supporting the rationale for the current
PACE payment method. However, significant differences exist between programs, suggesting that payment rates could be more
program specific. Analysis of the effect of patient characteristics at admission on the likelihood of improvement in functional
status identified areas for quality improvement. The implications of this study have increasing importance in light of the
expected expansion of PACE to approximately 100 sites by the year 2000.
Capitation Fee : Disabled Persons : Activities of Daily Living : Aged : Comprehensive Health Care/economics/organization &
administration : Diagnosis-Related Groups : Health Maintenance Organizations/economics : Health Services for the Aged/economics/organization
& administration : Human : Long-Term Care/economics/organization & administration : Medicaid/economics : Medicare/economics
: Pilot Projects : Program Evaluation : Quality of Health Care : Recovery of Function : Risk Factors : Support, Non-U.S. Gov't
: United States