Document Detail

Stability of disability among PACE enrollees: financial and programmatic implications.
MedLine Citation:
PMID:  10345415     Owner:  NLM     Status:  MEDLINE    
This article examines the experience of the first 11 Program of All-inclusive Care for the Elderly (PACE) programs. It investigates changes in functional status of participants in relation to length of enrollment in the program and individual risk characteristics. Our findings indicate that mature programs experience stable disability mix over time, supporting the rationale for the current PACE payment method. However, significant differences exist between programs, suggesting that payment rates could be more program specific. Analysis of the effect of patient characteristics at admission on the likelihood of improvement in functional status identified areas for quality improvement. The implications of this study have increasing importance in light of the expected expansion of PACE to approximately 100 sites by the year 2000.
D B Mukamel; H Temkin-Greener; M L Clark
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health care financing review     Volume:  19     ISSN:  0195-8631     ISO Abbreviation:  Health Care Financ Rev     Publication Date:  1998  
Date Detail:
Created Date:  1999-03-16     Completed Date:  1999-03-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7909994     Medline TA:  Health Care Financ Rev     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  83-100     Citation Subset:  H    
Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, USA.
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MeSH Terms
Activities of Daily Living
Capitation Fee*
Comprehensive Health Care / economics*,  organization & administration
Diagnosis-Related Groups
Disabled Persons*
Health Maintenance Organizations / economics*
Health Services for the Aged / economics*,  organization & administration
Long-Term Care / economics,  organization & administration
Medicaid / economics
Medicare / economics
Pilot Projects
Program Evaluation
Quality of Health Care
Recovery of Function
Risk Factors
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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