全球智库信息集成服务系统(G2TT): Evaluating PACE: A Review of the Literature

G2TT

来源类型	Publication
	Evaluating PACE: A Review of the Literature
	Arkadipta Ghosh; Cara Orfield; and Robert Schmitz
发表日期	2014
出版者	U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Tern Care Policy
出版年	2014
语种	英语
概述	This study examined the effects of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. ",
摘要	Significant challenges exist in evaluating PACE, with most quasi-experimental studies of PACE failing to meet the standards of a rigorous evaluation. The evidence from studies with the strongest design show that PACE has no significant effect on Medicare costs; however, it is associated with significantly higher Medicaid costs, with the Medicaid spending gap between PACE and matched comparison enrollees decreasing over time. Although PACE enrollees have fewer inpatient hospitalizations than their fee-for-service counterparts, they appear to have higher rates of nursing home admission. PACE improves certain aspects of care quality, and PACE enrollees have a lower mortality rate. Based on a comprehensive review of existing evaluations of PACE, this report brings together available evidence on the effect of PACE on several key outcomes of interest: Medicare and Medicaid costs, hospital and nursing home utilization, quality of care, satisfaction and quality of life, and mortality. We summarize findings from past studies and assess their methodological approach. We improve on these earlier evaluations by conducting a more detailed review of the studies, as well as a more rigorous assessment of the quality of evidence presented in each.
URL	https://www.mathematica.org/our-publications-and-findings/publications/evaluating-pace-a-review-of-the-literature
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/487611
推荐引用方式 GB/T 7714	Arkadipta Ghosh,Cara Orfield,and Robert Schmitz. Evaluating PACE: A Review of the Literature. 2014.

条目包含的文件
文件名称/大小	资源类型	版本类型	开放类型	使用许可
PACELitRev.pdf（48KB）	智库出版物		限制开放	CC BY-NC-SA	浏览