Race and Ethnicity – 2016

On an aggregate level, the most represented race among PACE programs is white (59.5 percent). The percentage of whites in PACE is only a few percentage points below that of the national census, where non-Hispanic whites make up about 61 percent of the population.1  Blacks are more represented in PACE (approximately 22 percent) than in the nation as a whole (13.3 percent). Asians and Hispanics are less represented in PACE (3.67 percent and 11.77 percent, respectively) relative to the national population (5.7 percent and 17.8 percent, respectively). PACE rates are not significantly different from national levels for American Indians. Note: PACE has an “Unknown/Other Origin” category that does not have a direct comparison with U.S. Census data.

A PDF version of the chart is available.


 

PACE States 2007 – 2017

Over the last 40 years, PACE has expanded across the country, beginning in California and going on to be implemented in 30 other states by the end of 2017. This map shows the change in PACE states over time.

As of December 2017, there is at least one PACE program in 31 states. In addition to the growth in states, NPA is working to facilitate the development of State PACE Associations. These associations work to support, promote, educate, and advocate on behalf of PACE organizations on a state level. Currently, nine associations represent California, Florida, Massachusetts, Michigan, New Jersey, North Carolina, Pennsylvania, Texas and Virginia.

A PDF version of the map is available.


 

Age of PACE Participants, 2010 – 2016

Generally, PACE participants can be classified into two age brackets: younger (ages 55-64) and older (age 65 and over). Between 2010 and 2016, the proportion of younger PACE participants has increased nationally. As indicated in the graph, 14 percent of PACE participants were ages 55-64 in the first quarter of 2010. By 2016, the percentage of younger participants increased to 15.48 percent. The average PACE participant is 77 years old.

A PDF version of the chart is available.


 

Percentage of PACE Participants Living in the Community – 2016

Despite the requirement that a person be nursing home-eligible to enroll in PACE, the program is able to keep more than 90 percent of its enrollees in the community. When a PACE participant does enter a nursing home, the PACE organization pays for that care and continues to work with the nursing home staff to provide care to the participant.

A PDF version of the graph is available.


 

Average Number of Part D Scripts Per PACE Participant

The PACE Model of Care is all-inclusive. Accordingly, PACE organizations ensure that participants receive all the necessary medical and long-term services and supports they need, as well as the prescriptions they require. Typically, the number of prescriptions a PACE participant receives does not change significantly from year to year, as seen in the chart above.

A PDF version of the chart is available.


 

Dementia Prevalence Among PACE Participants

The term dementia describes "a group of symptoms affecting memory, thinking and social activities severely enough to interfere with daily functioning," according to the Mayo Clinic.2  Between 2015 and 2017, the percentage of PACE participants who have dementia has remained fairly steady at 45 percent.

A PDF version of the graph is available.


 

Hierarchical Condition Categories (HCCs) – 2017

The Centers for Medicare & Medicaid Services (CMS) developed the Hierarchical Condition Category (HCC) Model to capture the risk profiles of individuals enrolled in plans receiving capitated payments, such as PACE and Medicare Advantage plans. Using health status, the federal government adjusts payments by factoring the costs associated with participants’ diagnoses as well as other factors. In 2017 the top HCCs in PACE were vascular disease; diabetes with chronic complications; major depressive, bipolar and paranoid disorders; polyneuropathy; and congestive heart failure. PACE participants typically have five HCCs on average.

A PDF version of the chart is available.

The NPA Data Team is collecting Medicaid Capitation Rate data for 2018. Please submit your data via the link under the Pay Rate Survey heading on the PACE Benchmarking page.

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