Key Dates in PACE History

• The first PACE program began in the early 1970 at On Lok Senior Health Services in San Francisco, California. During the following decade, the model evolved significantly, extending services and developing the model’s finances.
  

• In 1987, the Robert Wood Johnson Foundation, the John A. Hartford Foundation and the Retirement Research Foundation provided funding to On Lok and the first replication sites to support their efforts.

• The Balanced Budget Act of 1997 established the PACE model as a permanently recognized provider type under both the Medicare and Medicaid programs.

• In 2001, Alexian Brothers Community Services in St. Louis became the first PACE provider to become a full, permanently recognized part of the Medicare and Medicaid programs.

Today, there are more than 72 PACE programs in 32 states across the country.

For more information about the PACE model and successful sites operating in other parts of the country, please feel free to browse websites operated by:

• National PACE Association
• Centers for Medicare and Medicaid Services

Health Outcomes

An evaluation report¹ of the PACE demonstration project that was conducted for the Health Care Financing Administration (HCFA) by Abt Associates found PACE participants had the following, when compared to older adults with similar disability levels:

• less than one half the rate of in-patient hospital utilization;
• higher utilization of ambulatory services;
• lower rates of nursing home utilization
• improved health status and quality of life;
• lower mortality rates, holding other factors constant; and
• increased benefits for those with the highest levels of impairment

It is reasonable to expect the same outcomes for participants of Piedmont Health SeniorCare.

1. "Evaluation of the Program of All-Inclusive Care for the Elderly (PACE) Demonstration: The Impact of PACE on Participant Outcomes," Chatterji, Pinka, et al, Report to the Health Care Financing Administration, July 1998

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