Restructuring Rural Health Care: Expanding the PACE for Rural Elders

The Balanced Budget Act (BBA) of 1997 created an opportunity for improving long-term care for the rural frail elderly by granting permanent provider status to the Program of All-Inclusive Care for Elders (PACE) under Medicare.  PACE is a unique managed care model that provides comprehensive, integra...

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Main Authors: Jeanette VanderMeer, Grant Savage, Jullet Davis
Format: Article
Language:English
Published: Rural Nurse Organization; Binghamton University 2001-06-01
Series:Online Journal of Rural Nursing and Health Care
Online Access:https://rnojournal.binghamton.edu/index.php/RNO/article/view/476
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author Jeanette VanderMeer
Grant Savage
Jullet Davis
author_facet Jeanette VanderMeer
Grant Savage
Jullet Davis
author_sort Jeanette VanderMeer
collection DOAJ
description The Balanced Budget Act (BBA) of 1997 created an opportunity for improving long-term care for the rural frail elderly by granting permanent provider status to the Program of All-Inclusive Care for Elders (PACE) under Medicare.  PACE is a unique managed care model that provides comprehensive, integrated acute and long-term services for frail elders and program providers assume full financial risk.  However, all existing PACE sites are currently located in urban settings.  This article reviews the PACE provisions in the BBA legislation and describes the current PACE model.  Two possible adaptations of the model are discussed for expanding PACE into rural areas. Keywords: Balanced Budget Act of 1997, long-term care, rural, frail elders, family caregivers, Program of All-Inclusive Care (PACE), Medicare restructuring http://dx.doi.org/10.14574/ojrnhc.v2i1.476
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spelling doaj.art-ece35161180c42d8a0f5edfd93dd730f2023-11-08T20:10:40ZengRural Nurse Organization; Binghamton UniversityOnline Journal of Rural Nursing and Health Care1539-33992001-06-0121243910.14574/ojrnhc.v2i1.476412Restructuring Rural Health Care: Expanding the PACE for Rural EldersJeanette VanderMeer0Grant Savage1Jullet Davis2Capstone College of Nursing, University of AlabamaCollege of Commerce and Business Administration, University of AlabamaCollege of Commerce and Business Administration, University of AlabamaThe Balanced Budget Act (BBA) of 1997 created an opportunity for improving long-term care for the rural frail elderly by granting permanent provider status to the Program of All-Inclusive Care for Elders (PACE) under Medicare.  PACE is a unique managed care model that provides comprehensive, integrated acute and long-term services for frail elders and program providers assume full financial risk.  However, all existing PACE sites are currently located in urban settings.  This article reviews the PACE provisions in the BBA legislation and describes the current PACE model.  Two possible adaptations of the model are discussed for expanding PACE into rural areas. Keywords: Balanced Budget Act of 1997, long-term care, rural, frail elders, family caregivers, Program of All-Inclusive Care (PACE), Medicare restructuring http://dx.doi.org/10.14574/ojrnhc.v2i1.476https://rnojournal.binghamton.edu/index.php/RNO/article/view/476
spellingShingle Jeanette VanderMeer
Grant Savage
Jullet Davis
Restructuring Rural Health Care: Expanding the PACE for Rural Elders
Online Journal of Rural Nursing and Health Care
title Restructuring Rural Health Care: Expanding the PACE for Rural Elders
title_full Restructuring Rural Health Care: Expanding the PACE for Rural Elders
title_fullStr Restructuring Rural Health Care: Expanding the PACE for Rural Elders
title_full_unstemmed Restructuring Rural Health Care: Expanding the PACE for Rural Elders
title_short Restructuring Rural Health Care: Expanding the PACE for Rural Elders
title_sort restructuring rural health care expanding the pace for rural elders
url https://rnojournal.binghamton.edu/index.php/RNO/article/view/476
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