Access PACE 2.0 Resources and Tools

Webinar: Driving Growth by Setting Clear Aims and Creating a Context for Change

What are the first steps for setting your PACE organization on the pathway for exponential growth? Mary Naber, president and CEO of PACE Southeast Michigan, will discuss key strategies and tactics for creating a culture of growth in a webinar titled "PACE 2.0: Driving Growth by Setting Clear Aims and Creating a Context for Change" on Tuesday, Sept. 24, at 3-4 p.m. ET.

Please register online.

'PACE Setters' Lead the Way to Accelerated Growth and Access

The first two quarters of 2019 saw PACE organizations nationally serve an additional 1,834 participants, bringing the total estimated number of participants to 50,955 in June. For these new participants, PACE growth means a higher quality of life and care, with fewer hospitalizations, emergency room visits and nursing home stays.

The PACE 2.0 project of the National PACE Association (NPA) is working with PACE organizations that are setting the pace for growth to learn how they are achieving faster growth and broader reach in their communities. These “PACE Setters” are setting new standards for monthly net enrollments, growth rates and market penetration in the communities they serve.

PACE Setters for First Two Quarters of 2019

Nationally, an average PACE organization grows at the rate of three participants a month. However, in the first two quarters of this year, 28 NPA member PACE organizations (20.7 percent of all programs) added a net enrollment of 10 or more in at least one month. Of these, 12 averaged this level of enrollment over an entire quarter, with five maintaining that average over the entire first six months of the year.

Another way of measuring growth is the percent increase in enrollment over a period of time. Though the national average quarterly growth rate is 2.1 percent, 10 PACE programs achieved 9 percent or better in one of the first two quarters.

In addition to growth, PACE organizations are seeing new levels of service to their communities as measured by market penetration. Market penetration is the percent of dual Medicare and Medicaid and Medicaid-only eligible people needing long-term services and supports (LTSS) in the service area of a PACE organization who are enrolled in PACE. While market penetration averages 9 percent nationally, 10 NPA member PACE organizations are serving 20 percent or more of estimated eligible people in their communities who need LTSS.

NPA recognizes the PACE Setters for leading the way in PACE growth and access in the following categories:

  • “Supernovas” achieved an estimated average net enrollment of 10 or more over one or both of the first two quarters of 2019.
  • “Emerging Lights” achieved an estimated average net enrollment of 10 or more in at least one month of the first two quarters of 2019.
  • “Shooting Stars” have had an estimated growth rate of 9 percent or more during the first or second quarter.
  • “North Stars” serve an estimated 20 percent or more of people age 55 or over in their community who need LTSS and are dually eligible or eligible for Medicaid.

NPA is proud to recognize the PACE organizations that demonstrate the potential for PACE growth across the country. We will update these lists each quarter to recognize high achievers in the areas of growth and community service. By working to ensure that people needing LTSS in their communities are aware of PACE and have the opportunity to receive the comprehensive, coordinated care provided, these programs are reaching new levels of impact on the lives of the participants and communities they serve.


PACE programs that achieved Supernova status in both first quarters of 2019 are Fresno PACE, San Diego PACE and St. Paul's PACE, in California; McGregor PACE, in Ohio; and PACE Southeast Michigan. Supernovas in one of the quarters are AltaMed Health Services Corporation and Stockton PACE, in California; ArchCare Senior Life, in New York; LIFE Northwestern Pennsylvania; Providence ElderPlace, Oregon and Washington; and Rocky Mountain PACE in Colorado.

Emerging Lights

Emerging Lights are Center for Elders' Independence and On Lok Lifeways, in California; CenterLight and Independent Living Services of Central NY, in New York; Community LIFE and LIFE Geisinger, in Pennsylvania; Florida PACE Centers, Inc., Hope PACE and Palm Beach PACE, in Florida; Harbor Health Services, Inc., Summit ElderCare/Fallon Health and Uphams Corner Health Committee, Inc., in Massachusetts; Huron Valley PACE, in Michigan; and PACE Central Michigan, PACE of Southwest Michigan, and Senior Care Partners PACE in Michigan.

Shooting Stars

Shooting Stars are AtlantiCare LIFE Connection, in New Jersey; Bluestem PACE, in Kansas; Genesys PACE of Genesee County, Huron Valley PACE, PACE Southeast Michigan and Thome PACE, in Michigan; LIFE Northwestern Pennsylvania; Prisma Health SeniorCare PACE-Upstate, in South Carolina; San Diego PACE, in California; and TRU PACE in Colorado.

North Stars

North Stars are Complete Senior Care, ElderONE, and Independent Living Services of Central NY, in New York; LIFE Northwestern Pennsylvania; Northland PACE Senior Care Services, in North Dakota; Redwood Coast PACE, in California; Rocky Mountain PACE and Senior CommUnity Care of Colorado, in Colorado; Siouxland PACE, in Iowa; and Wyoming PACE in Wyoming.


Census and net enrollment numbers were estimated based on CMS monthly Medicare enrollment data adjusted to include Medicaid-only enrollment. The Medicaid-only enrollment is estimated based on Medicaid-only census ratios reported to NPA by PACE organizations annually.

Market penetration rates are based on estimated enrollment, divided by the estimated number of people who are clinically eligible for PACE with Medicare and Medicaid coverage in the PACE organization’s service area using Census data. Service areas are defined based on ZIP codes provided to NPA by PACE organizations.

Help Keep the Momentum Going

PACE growth continues to be strong. The net enrollment for April exceeded the enrollment growth for the same month of each of the past three years to help the program grow to serve more than 50,000 participants.

Estimated net enrollment growth in April was 362, compared to growths of 336, 189 and 272 during the same month in the past three years.

Share Your Growth Aim

To date, 20 PACE organizations have shared their PACE 2.0 growth aims, with a collective aim of serving 10,542 participants by the end of 2021.

If you haven’t already shared your December 2021 growth aim with NPA, please email Anita Gibson with your targeted December 2021 census and the average net monthly enrollment that would be needed to achieve your aim.

Why set a growth aim? To guide your work, to plan ahead, and to motivate and engage. Setting an aim has been shown to increase the likelihood of achieving that goal by 65% or more. To learn more about setting a growth aim, you can view the recording of the webinar on Using Your PACE 2.0 Growth Aim Toolkit to Accelerate Growth: What’s in an Aim? You also can view the PowerPoint presentation. The webinar reviewed the market-specific demographics, growth benchmarks, and tools for growth provided to PACE organizations in the Growth Aim Toolkit. The presenters discussed how to use this information to set an ambitious and achievable goal for accelerating the growth of PACE organizations.

NPA is grateful to the following organizations that have shared their December 2021 PACE 2.0 Growth Aims as of May 1:

  • AllCARE for Seniors (VA)
  • AtlantiCare LIFE Connection (NJ)
  • CalOptima (CA)
  • CarePartners PACE (NC)
  • Centra PACE (VA)
  • Florida PACE Centers, Inc. (FL)
  • Franciscan Senior Health & Wellness (IN)
  • Midland Care PACE (KS)
  • PACE of Southwest Michigan (MI)
  • PACE Organization of Rhode Island (RI)
  • Palm Beach PACE (FL)
  • Providence ElderPlace (WA)
  • Rocky Mountain PACE (CO)
  • Senior Care Partners (MI)
  • Sentara PACE (VA)
  • Siouxland PACE (IA)
  • SpiriTrust Lutheran LIFE (PA)
  • Sutter SeniorCare (CA)
  • Total Life Healthcare (AR)
  • Wyoming PACE (WY)

Video Series: Before I Found PACE

"Before I Found PACE" is a video series that illustrates the need for expanding Programs of All-Inclusive Care for the Elderly (PACE®) through the stories and words of PACE participants and caregivers. The video series is part of the PACE 2.0 initiative, which is supported by The John A. Hartford Foundation and West Health.

The ninth video in the series features Alfonzer Brooks, a veteran from Detroit whose health issues threatened his independence. He enrolled in PACE Southeast Michigan, which provides the care and assistance he needs to be more independent.

View other videos in the series.

PACE 2.0: NPA Update

PACE 2.0 is looking at ways to exponentially increase the number of people served by PACE organizations across the country. In this April 20, 2018, NPA Update, Peter Fitzgerald, executive vice president of Policy and Strategy at NPA, describes the approach of the project and its early results.

Webinar to Review Initiative Approach and Progress

A webinar was held on April 20 regarding the PACE 2.0 initiative, which is identifying strategies for achieving exponential PACE growth, with the goal of 200,000 PACE participants by 2028. The webinar reviewed the approach of the initiative and the progress to date in identifying the essential elements of the PACE model, evidence-based growth strategies and state policy factors. The webinar also presented opportunities for PACE organizations to get involved in upcoming activities.

For more information, contact Peter Fitzgerald.

PACE 2.0: Charting a Course for Exponential PACE Growth

NPA has launched the PACE 2.0 project with support from The John A. Hartford Foundation and the West Health Policy Center. The initiative will expand access to PACE for many complex high-need, high-cost populations across the country. The organizations recently approved $795,585 in funding over two years, with the goal of innovating the PACE model to serve more seniors and other individuals with high-care needs.

“NPA is deeply grateful to The John A. Hartford Foundation for its longstanding support of PACE and is thrilled to be working with West Health as a new partner in our ongoing efforts to expand access to the provider-based, fully integrated health care delivery model of PACE,” said Shawn Bloom, president and CEO of NPA.

The PACE 2.0 initiative will build upon the PACE Innovation Act, legislation passed by Congress that allows for PACE pilots to develop innovations supporting the ability of PACE to serve a larger number and wider range of adults with high health care needs. The project will identify underserved subpopulations currently eligible to enroll in PACE, as well as new unserved populations, such as younger adults with physical or mental challenges, that could benefit from the PACE model. To meet the needs of these individuals, the project will support the development of strategies to scale PACE operations and spread the model to more communities. The goal is to achieve a five-fold increase in those served by PACE and promote implementation of the strategies developed.

“This project charts a course for bringing the transformative care model of PACE to many more communities and people who will benefit from its integrated, person-centered approach,” said Peter Fitzgerald, executive vice president for Policy and Strategy at NPA and the principal investigator for the project. “Through scale and spread strategies developed by the project, we look forward to achieving exponential growth in access to PACE for older Americans and those with complex health care needs.”

PACE uses an interdisciplinary team approach to provide care to older individuals who qualify for nursing home care. PACE is a Medicare benefit nationally and a Medicaid benefit in 31 states. PACE is the most successful model for keeping individuals out of nursing homes and in the community, where they enjoy a higher quality of life, remain connected to the community, and receive care in the most cost-effective way. PACE has proven its ability to reduce costs associated with emergency room visits, unnecessary hospital admissions and long-term nursing home placements. PACE data show that more than 95 percent of PACE enrollees live in the community.

The John A. Hartford Foundation, based in New York City, is a private, nonpartisan philanthropy dedicated to improving the care of older adults. Established in 1929, the foundation has three priority areas: creating age-friendly health systems, supporting family caregiving, and improving serious illness and end-of-life care.

Solely funded by philanthropists Gary and Mary West, West Health includes the nonprofit and nonpartisan Gary and Mary West Health Institute and Gary and Mary West Foundation in San Diego and the Gary and Mary West Health Policy Center in Washington, DC. These organizations are working together toward a shared mission dedicated to enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence.

For more information, contact Peter Fitzgerald.

Resource Library


Kick-Off Meeting Presentations

Essential Elements

Targeting High-Need, High-Cost Subpopulations

Growth Factors

Spread and Scale Plan

There are more than 240 PACE centers in 31 states. Find your local PACE program.

Stay up to date on news and events by following NPA on Facebook, LinkedIn, Twitter and YouTube.

Back to Top