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Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications

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 p...

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Autores principales: Mukamel, Dana B., Temkin-Greener, Helena, Clark, Marleen L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1998
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194541/
https://www.ncbi.nlm.nih.gov/pubmed/25372491
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author Mukamel, Dana B.
Temkin-Greener, Helena
Clark, Marleen L.
author_facet Mukamel, Dana B.
Temkin-Greener, Helena
Clark, Marleen L.
author_sort Mukamel, Dana B.
collection PubMed
description 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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spelling pubmed-41945412014-11-04 Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications Mukamel, Dana B. Temkin-Greener, Helena Clark, Marleen L. Health Care Financ Rev Research Article 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. CENTERS for MEDICARE & MEDICAID SERVICES 1998 /pmc/articles/PMC4194541/ /pubmed/25372491 Text en
spellingShingle Research Article
Mukamel, Dana B.
Temkin-Greener, Helena
Clark, Marleen L.
Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications
title Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications
title_full Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications
title_fullStr Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications
title_full_unstemmed Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications
title_short Stability of Disability Among PACE Enrollees: Financial and Programmatic Implications
title_sort stability of disability among pace enrollees: financial and programmatic implications
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194541/
https://www.ncbi.nlm.nih.gov/pubmed/25372491
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