NPA has developed a library of advocacy resources for our members.
The Commonwealth Fund Examines PACE Model of Care: As part of an ongoing series on programs that aim to improve outcomes and reduce care costs for patients with complex needs, The Commonwealth Fund conducts a case study of the PACE Model of Care.
Core Differences Between PACE and MA Plans: PACE and Medicare Advantage (MA) plans are both alternatives to the traditional fee-for-service Medicare benefit. While these plans have some similarities, there are also fundamental differences. Understanding these differences is important for policy-makers and others so that changes intended for MA plans are not routinely applied to PACE, especially those that may be detrimental to the operational or financial viability of PACE. This document identifies the key distinctions between PACE and MA.
Core Differences Between PACE and SNPs: PACE and Special Needs Plans (SNPs) share many common attributes. Both serve high-risk, high-need individuals who require significant care coordination. While PACE and SNPs both receive a capitated payment for program enrollees, there are important differences between these two models.
Dual-Eligibles: Understanding This Vulnerable Population and How to Improve Their Care: Shawn Bloom, president and CEO of NPA, testified at a hearing of the House Energy and Commerce Committee, Subcommittee on Health, on June 21, 2011. He provided an overview of PACE, listed the regulatory barriers to PACE growth, and offered ideas for PACE demonstrations that would expand the program to new populations.
Medicare and Medicaid Payment to PACE Organizations: PACE organizations receive monthly capitated payments from Medicare and Medicaid for each of their dual-eligible enrollees. This document explains the rate-setting methodology for PACE by Medicaid and Medicare, including differences between Part A and B payment methodology for PACE organizations and MAOs.
NPA Response to MPR Study: NPA responds to the Mathematica Policy Research (MPR) study, "The Effect of PACE on Costs, Nursing Home Admissions and Mortality: 2006-2011."
PACE and the ACA: This article identifies opportunities for PACE in the ACA ("Picking up the PACE: The Affordable Care Act Can Grow and Expand a Proven Model of Care," Journal of the American Society on Aging, Spring 2011).
PACE FAQs: Answers to frequently asked questions about who PACE serves, the benefits PACE offers, and what makes the PACE model unique, as well as financing, quality care, cost-effectiveness, regulation and sponsorship.
PACE Organizations: This document provides a list of currently operating PACE organizations organized by state.
Raising Expectations: This document provides a state scorecard on long-term services and supports for older adults, people with physical disabilities, and family caregivers.
Research Findings: This chart summarizes key research findings demonstrating PACE effectiveness in delivering gold-standard care for older adults, and ways its approach can be a model for others looking to improve the health care system.