NPA Applauds MACPAC for Advancing PACE Recommendations

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Posted on: May 8, 2026
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ALEXANDRIA, VA – May 8, 2026 – The National PACE Association (NPA) applauds the Medicaid and CHIP Payment and Access Commission (MACPAC) for advancing a set of recommendations to strengthen oversight and improve quality measurement in the Program of All-Inclusive Care for the Elderly (PACE). The recommendations, developed with input from stakeholders, will be included in the MACPAC report to Congress next month.

PACE is a model of care known for supporting older adults with long-term care needs in the community. The interdisciplinary team approach in PACE allows for the comprehensive delivery of care and services individualized for each enrollee and their family. Currently, over 200 PACE organizations in 33 states and the District of Columbia provide care to more than 93,600 enrollees, and those numbers are growing rapidly.

PACE is a unique, three-way partnership among PACE organizations, states and the federal government. NPA values the thoughtful consideration of policy options by MACPAC and their implications for all three partners in supporting high-quality, community-based care for older adults with complex needs. 

The recommendations focus on three key areas:

  • improving federal-state coordination by advancing more aligned and efficient audit processes between CMS and state administering agencies,
  • enhancing transparency through public reporting of existing PACE program performance data in a meaningful and accessible format, and
  • advancing quality measurement by developing a standardized, national PACE quality measure set grounded in stakeholder engagement, reduced reporting burden and comparable metrics.

“NPA and the PACE community appreciate MACPAC’s thoughtful recommendations to improve state and federal oversight coordination, reduce duplicative regulatory burden, and develop a standardized, PACE-specific measurement that reflects the complexity of the PACE population,” said Shawn Bloom, president and CEO of NPA. “We look forward to continuing to collaborate with MACPAC, CMS and states to strengthen the PACE model and ensure high-quality, person-centered care for the growing population it serves.”

The National PACE Association (NPA) works to advance the efforts of PACE programs, which coordinate and provide preventive, primary, acute and long-term care services so older individuals can continue living in the community. The PACE model of care is centered on the belief that it is better for the well-being of older adults with chronic care needs and their families to be served in the community whenever possible. Follow us on social media.