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Expanding the PACE model of care to high-need, high-cost populations
Expanding the PACE model of care to high-need, high-cost populations
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (Commonwealth Fund)
- Author(s):
- Karon, Sara, author
Knowles, Molly, author
Kordomenos, Cleo, author
Segelman, Micah, author - Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, N.Y.] : The Commonwealth Fund, October 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Services for the Aged
Health Services Needs and Demand
Multiple Chronic Conditions
Delivery of Health Care, Integrated
United States - Genre(s):
- Technical Report
- Abstract:
- ISSUE. High-need populations benefit from integrated care such as that offered by the Program of All-Inclusive Care for the Elderly (PACE) model. Understanding the diversity of high-need populations and where they are located can guide optimal expansion of this model. GOALS. Identify high-need, high-cost (HNHC) populations that may benefit from an expansion of the PACE model and determine the size and geographic distribution of these populations. METHODS. Conduct a literature review and form an expert advisory panel to identify key HNHC populations. Analyze Medicare and Medicaid claims data to capture the size and distribution of these populations, and the extent to which they are particularly high cost. KEY FINDINGS AND CONCLUSIONS. The greatest opportunity for expansion is to the population currently eligible for PACE programs. Significant opportunities exist to serve other high-need populations, some of which are particularly high-cost, and some of which may require changing how PACE is structured. Other high-need populations also could benefit from PACE if its scope were expanded and if reimbursement rates were appropriately structured to recognize variation in costs.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (9 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101773105 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101773105