The Program of All-Inclusive Care for the Elderly provides integrated acute medical care and long-term care services to frail seniors and serves as a community-based alternative to nursing home care when nursing home placement seems necessary. This report assesses mortality, functional status, and cost outcomes for clients enrolled in the Providence Elder Place PACE site in Seattle, compared to outcomes for comparable clients who receive other long-term care services funded by the DSHS Aging and Disability Services Administration. The analyses indicates that PACE clients experience highly favorable health outcomes compared to clients served through other home- and community-based services. PACE clients experience greater stability in physical functioning and have a significantly lower risk of dying. However, these favorable outcomes are achieved at considerable cost. Although home- and community-based comparison clients experienced deterioration in functional status to levels of need comparable to clients entering skilled nursing facilities, most continued to be served in the community at substantially lower cost than PACE enrollees.
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