The Center for Elder Care and Advanced Illness (CECAI) is working with Huron Valley PACE of Ypsilanti, Michigan to establish a pilot MediCaring Community through expansion of the PACE model. This two-year project aims to pilot expansion beyond the dual-eligible population typically enrolled in PACE to include older adults who are not yet eligible for Medicaid and those not at a nursing home level of care.
This project aims to build on the most successful model for efficient and comprehensive care for the frail and disabled elderly population, which is the Program of All-Inclusive Care of the Elderly, or PACE. PACE programs serve persons older than 55 years who are disabled enough for Medicaid to cover nursing home care, but who are living in community settings. PACE programs have strong interdisciplinary teams, develop elder-centered care plans, provide services and activities at a physical site called the PACE Day Center, and have a strong track record of creativity and reliability. However, PACE serves a very small proportion of the population in need, in part because of regulatory and financial constraints.
This expansion of PACE could improve the quality and reliability of services for frail and disabled persons of various ages and with a variety of insurance coverages and financial assets. Since most Americans will become eligible for Medicaid if they live long enough with advanced illnesses and disabilities, having more prudent spending throughout their life course will slow spend-down to Medicaid and save the participants, their families, and the state money that would otherwise be spent on often uncoordinated, wasteful, and undesired services.
The grant is part of $13 million dollars in grant awards from the Michigan Health Endowment Fund (MHEF) to benefit the health of Michigan’s children and seniors.