PACE: Program of today or tommorrow?

            INTRODUCTION
             In 1997 former President Bill Clinton signed Public Law 105-33 which created the greatest change in Medicare and Medicaid since its creation in 1965. This created PACE to be a permanent provider type under Medicare, and states were granted the option of paying a capitation rate for PACE services under Medicaid. The incentive to this program is that it provides less cost than the traditional Medicaid and Medicare programs and it allows people that might have to go into a nursing home an additional option. This program even allows care to be given in the house for the patients. This program is one of the better offers for long-term care that the elderly can choose.
             1. Provide a basic description of PACE. How did it get started? What is its goal? Whom does it serve? How is a typical PACE program organized? What types of services does it offer? ETC.
             In the Balanced Budget Act of 1997, PACE became a permanent provider type under Medicare, and states were granted the option of paying a capitation rate for PACE services under Medicaid. PACE or Program of All-inclusive Care for the Elderly is a program that has been developed as a alternative to long-term services offered by Medicare and Medicaid. The PACE program was first invented in 1971 by On Lok Senior Health Services in San Francisco's Chinatown. They invented the care because of the continuity of care and quality of care was not very good in San Francisco's Chinatown. On Lok became the first place that was an adult-day center and they stressed the care of the whole individual. On Lok documented to HCFA that the cost of care for their members was 15% less than that for fee for service Medicare enrollees (HCFA).
             To participate in PACE, there are several requirements. To qualify as a PACE participant, you must be age 55 or older, meet a Nursing Facility level of care, and live in the PACE service area. The goal of a PACE program is to provide more services ...

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