Evaluating the Program of All-Inclusive Care for the Elderly (PACE)

Our rigorous evaluation of PACE’s Covid-19 response provides an opportunity to improve long-term services and supports and document demonstrable benefits of the PACE model of care.

Card image cap

Overview

Since its inception in the 1970s, the Program for All Inclusive-Care for the Elderly (PACE) has offered a promising model to deliver community-based person-centered care for older adults with complex health issues. While preliminary reports indicate that the program was adept at keeping its participants safe and well cared for during the Covid-19 pandemic, there is little prior empirical work investigating its overall efficacy. Altarum is currently conducting a first-of-its-kind evaluation of PACE to advance evidence-based health care solutions for individuals requiring both medical services and long-term services and supports (LTSS).

Our Approach

With funding from the Agency on Healthcare Research and Quality (AHRQ) and endorsement from the National PACE Association (NPA), Altarum has systematically cataloged innovations and adaptations made at PACE sites across the country throughout 2020 and 2021 using a mixed-methods approach combining quantitative and qualitative surveys with in-depth interviewing. The next phase of the project will use claims data from PACE participants to build a closely matched cohort of fee-for-service beneficiaries to compare health outcomes across the two groups during pre-pandemic, pandemic, and post-vaccine time periods.

Results

We have captured how the flexibility and autonomy afforded to PACE directors resulted in innovative solutions to keep their participants healthy and safe while avoiding some of the impacts of social isolation during the national health emergency. The second phase of the evaluation will validate whether the PACE model might be expanded to support a growing population of older Americans.  

Evaluating the Program of All-Inclusive Care for the Elderly (PACE) Contact

Contact Us

Christine Stanik

Christine Stanik  - PhD

Program Director, Delivery System Transformation

Areas of Expertise
  • Mixed-Methods Research 
  • Care of Older Adults
  • Evaluation of Systems Level Interventions

As a psychologist, Christine brings a research and evaluation perspective to improving care services for elders and the disabled at a systems level. Through the design and execution of unique research protocols and tools, she works to build an evidence base for best practices around quality-of-life improvement and the person-centered care model. Using insights gained through empirical methods, she advocates for PACE expansion and comprehensive culture change in nursing homes. 

Morgan Perry

Morgan Perry  - MPH

Analyst, Delivery Systems Transformation

Areas of Expertise
  • Person-Centered Care
  • Mixed-Methods Research
  • Program Evaluation

Morgan brings an equity lens to health services research and program evaluation. She aims to understand different barriers and facilitators of healthcare access, program development and implementation, and person-centered care for older adults and people living with disabilities. Teasing apart broader context to program and service success, like policies, resource availability, and sub-populations served, she aims to make better services and healthier lives more accessible for all. Morgan has Master of Public Health from the University of Michigan, Flint and is currently a PhD candidate in the Health Services Organization and Policy program at the University of Michigan School of Public Health