Aging in PACE: The Case for California Expansion

The PACE program for frail elders, despite beginning in San Francisco and thriving in many states, is growing slowly in California. This report examines the issues and looks to the future of PACE in the state.

July 2010

The Program of All-inclusive Care for the Elderly, known as PACE, is a model of care that enables frail elders to live independently in their communities. Designed as an alternative to nursing homes, PACE has received many accolades for meeting the complex needs of this population while reducing the need for hospitalization.

Although PACE originated in San Francisco almost 40 years ago and spread nationwide, its growth in California has been more sluggish than in many other states. Today, there are 79 PACE organizations in 31 states. This report examines:

  • PACE's history in California
  • Unique factors that affect its growth in California
  • The potential to attract new sponsors
  • How other states are successfully growing their PACE programs
  • Ideas for promoting expansion in California

The report draws on research and interviews with a wide group of experts: PACE program executives, state leadership, PACE national leaders, and consumer advocates.

The complete report, as well as the PACE application required by the California Department of Health Care Services's Long-Term Care Division, is available under Document Downloads.