A case exemplar for national policy leadership: Expanding Program of All-Inclusive Care for the Elderly (PACE)

Research output: Contribution to journalArticle

Abstract

In November 2015, President Obama signed the Program of All-Inclusive Care for the Elderly (PACE) Innovation Act, which expands a proven model of care to serve high-cost and high-need populations. Specifically, the law provides the Centers for Medicare & Medicaid Services with the authority to waive Medicaid requirements that could not be waived without additional statutory authority. Those requirements include the age of the beneficiary to be served and nursing home eligibility as a condition for PACE enrollment. The law also allows providers and other entities who are not current PACE providers the opportunity to become PACE providers and serve a predominately dually eligible population that has high needs and high cost through a coordinated, integrated model. The current article describes the impact of nursing on the legislation and policy that has shaped the evolution of the PACE program for more than 40 years.

Original languageEnglish (US)
Pages (from-to)9-14
Number of pages6
JournalJournal of Gerontological Nursing
Volume42
Issue number3
StatePublished - 2016

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Medicaid
Nursing Legislation
Costs and Cost Analysis
Medicare
Nursing Homes
Population

ASJC Scopus subject areas

  • Gerontology

Cite this

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title = "A case exemplar for national policy leadership: Expanding Program of All-Inclusive Care for the Elderly (PACE)",
abstract = "In November 2015, President Obama signed the Program of All-Inclusive Care for the Elderly (PACE) Innovation Act, which expands a proven model of care to serve high-cost and high-need populations. Specifically, the law provides the Centers for Medicare & Medicaid Services with the authority to waive Medicaid requirements that could not be waived without additional statutory authority. Those requirements include the age of the beneficiary to be served and nursing home eligibility as a condition for PACE enrollment. The law also allows providers and other entities who are not current PACE providers the opportunity to become PACE providers and serve a predominately dually eligible population that has high needs and high cost through a coordinated, integrated model. The current article describes the impact of nursing on the legislation and policy that has shaped the evolution of the PACE program for more than 40 years.",
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