Headline

MACPAC report on the Program of All-Inclusive Care for the Elderly (PACE) details implementation and policy considerations for this provider-level model that integrates Medicare and Medicaid.

Background

PACE is a provider-led model that integrates all services covered by Medicare and Medicaid for participants who require a nursing facility level of care, but can live in community settings. PACE is an optional model that states can cover under Medicaid, and many policymakers are interested in how this model may support improved care for dually eligible people. This chapter of a MACPAC report provides an overview of PACE and details findings from key informant interviews.

Findings

The report details policy considerations related to PACE financing, oversight, eligibility, and provider procurement, among other topics. Interviewees — including federal and state Medicaid officials as well as consumer advocates — generally agreed that PACE is the most integrated model for dually eligible individuals.

Policy/Program Takeaways

Policymakers interested in expanding integrated care for dually eligible individuals may apply these findings to inform the design and implementation of PACE.