| Stability of disability among PACE enrollees: financial and programmatic implications. | |
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MedLine Citation:
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PMID: 10345415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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D B Mukamel; H Temkin-Greener; M L Clark |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Health care financing review Volume: 19 ISSN: 0195-8631 ISO Abbreviation: Health Care Financ Rev Publication Date: 1998 |
Date Detail:
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Created Date: 1999-03-16 Completed Date: 1999-03-16 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7909994 Medline TA: Health Care Financ Rev Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 83-100 Citation Subset: H |
Affiliation:
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Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Aged 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 Humans 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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