CELEBRATING THIRTY YEARS OF AGING
AND HEALTH 2012 ANNUAL REPORT
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INNOVATIVE MODELS OF CARE

1983

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

1983-2008 Many frail older adults prefer living independently in their own homes and communities, rather than being institutionalized in a nursing home. One solution is a model of care that brings the full spectrum of medical and supportive services together in one community-based setting, with integrated Medicare and Medicaid funding. This model, called Program of All-Inclusive Care for the Elderly (PACE), has its roots in San Francisco with a program called On Lok (Chinese for good health).

The Foundation provided $4.7 million across several grants to help On Lok demonstrate its effectiveness, support replication of the model, and promote its adoption at 93 centers in 30 states via the National PACE Association.

The Hartford Foundation funded PACE in its early development stage to prove its effectiveness. Based on the evidence, the PACE model of care was established as a provider in the Medicare program and within states as an option for Medicaid beneficiaries. PACE now serves as a model for high-quality, integrated, community-based care for frail older adults.

In 2007, the National PACE Association applied for federal grants to disseminate PACE in rural areas of the country. In a final phase of funding, the Hartford Foundation stepped in with $335,000 to provide the technical assistance that allowed 14 rural providers to receive $7.5 million in federal funds to develop local PACE sites.

(Top and below) Funding for PACE, which provides comprehensive medical and supportive services to older adults, began under Health Care Cost and Quality and was continued under Aging and Health. The Hartford Foundation funded the innovation stage of the PACE program, which ultimately resulted in statutory changes in the way Medicare and Medicaid operate.” Jennie Chin Hansen, RN, MS
CEO
American Geriatrics Society
The Program of All-Inclusive Care for the Elderly (PACE) began as an experiment in health care financing at On Lok Senior Health Services in the Chinatown section of San Francisco.

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