As of the end of February, Programs of All-Inclusive Care for the Elderly (PACE) are serving approximately 100,000 older adults and individuals with disabilities across the United States in 200 PACE centers in 33 states and the District of Columbia. Through continued growth, PACE provides comprehensive medical and social services to more than 90,000 older adults, enabling them to live safely in their homes and communities rather than transitioning to facility-based care, such as nursing homes.
PACE is a community-based model of care designed to serve older adults with complex health care needs who qualify for a nursing home-level of care but prefer to age in place. Introduced 55 years ago in San Francisco by On Lok, PACE offers older people, their families and caregivers an integrated, person-centered alternative to institutional care.
The PACE model of care utilizes interdisciplinary teams that include primary care providers, registered nurses, home care coordinators, personal care attendants, dietitians, social workers, transportation staff, PACE center managers, and physical, occupational and recreational therapists. Services range from primary and specialty medical care and prescription drugs to transportation, meals and social engagement. The services are coordinated to support the physical, emotional and mental health of participants.
PACE has tripled its rate of growth in recent years, coinciding with a pivotal moment for the nation’s health care system. Adults over 65 years of age will outnumber children for the first time in U.S. history by 2034. This historic demographic shift brings opportunities and challenges for our nation, including access to affordable housing, caregiver support, workforce shortages, long-term care financing, and the integration of technology to improve safety and independence.
The New Jersey PACE Association continues to work with federal and state policy-makers to expand PACE and streamline the PACE enrollment process. Eligible people with a need for daily support should be able to start PACE any day of the month. PACE addresses these challenges by offering a sustainable, outcomes-driven model of care for older adults with complex needs who deserve programs that prioritize independence, dignity and quality of life. PACE is uniquely positioned to do so while strengthening families, caregivers and communities.