全球智库信息集成服务系统(G2TT): Effect of PACE on Costs, Nursing Home Admissions, and Mortality: 2006-2011

G2TT

来源类型	Publication
	Effect of PACE on Costs, Nursing Home Admissions, and Mortality: 2006-2011
	Arkadipta Ghosh; Robert Schmitz; and Randall Brown
发表日期	2014
出版者	Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy
出版年	2014
语种	英语
概述	This study—examining 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—was conducted as part of the Center of Excellence on Disability Research project. ",
摘要	Using the matched comparison group comprising both HCBS waiver enrollees and NH entrants, actual monthly capitated Medicare expenditures for PACE enrollees during successive six-month intervals were mostly similar to the predicted expenditures they would have incurred had they been in fee-for-service Medicare, with significant differences in only a few intervals. However, actual capitated Medicaid expenditures on PACE enrollees significantly exceeded predicted expenditures in all intervals, with the magnitude of the difference remaining stable over time. Results were broadly similar using a matched comparison group composed of HCBS waiver enrollees alone, but the estimated gap in expenditures—with higher actual payments under PACE—was larger, especially for Medicaid payments. State-specific findings uncovered several differences in the Medicaid expenditure results. PACE enrollees experienced significantly better outcomes than the comparison group, as measured by mortality and long-term NH stays. We examined the effects of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home (NH) services, and mortality. Using a matched comparison group design based on propensity score estimation, we matched new PACE enrollees during 2006–2008 in eight states to two comparison groups composed of: (1) Medicare beneficiaries who were either new recipients of HCBS waiver services or new NH entrants in the same year the new PACE enrollee entered that program and (2) Medicare beneficiaries who were new recipients of HCBS waiver services alone.
URL	https://www.mathematica.org/our-publications-and-findings/publications/effect-of-pace-on-costs-nursing-home-admissions-and-mortality-2006-2011
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/487612
推荐引用方式 GB/T 7714	Arkadipta Ghosh,Robert Schmitz,and Randall Brown. Effect of PACE on Costs, Nursing Home Admissions, and Mortality: 2006-2011. 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
PACEeffect.pdf（48KB）	智库出版物		限制开放	CC BY-NC-SA	浏览