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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
CENTERS for MEDICARE & MEDICAID SERVICES
1998
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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. |
format | Online Article Text |
id | pubmed-4194541 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 1998 |
publisher | CENTERS for MEDICARE & MEDICAID SERVICES |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT mukameldanab stabilityofdisabilityamongpaceenrolleesfinancialandprogrammaticimplications AT temkingreenerhelena stabilityofdisabilityamongpaceenrolleesfinancialandprogrammaticimplications AT clarkmarleenl stabilityofdisabilityamongpaceenrolleesfinancialandprogrammaticimplications |