Abstract
What characterizes the program PACE (Program of All-Inclusive Care for the Elderly) is IDT
(Interdisciplinary Team), its collaboratively integrated team care, and a financial model that includes an
incentive for home and preventive care by virtue of a capitation payment from Medicare and Medicaid.
This paper discusses the factors that contribute to the effective functioning of PACE and its
organizational management, using case analyses of two PACE providers in the San Francisco Bay Area.
For avoiding the high-cost operation of providing all-inclusive care where funds are limited, it
is important to place greater emphasis on home and preventive care. However, since it is difficult for
non-profit organizations (NPOs) to independently provide every service for the diverse needs of the
community, it is important to develop a service network based on community resources for giving
integrated care. Such a network will help in bringing about a broader awareness about the PACE model
and its providers in the local community and will help to enroll users. Additionally, utilizing the network
will help meet the diverse needs of a multicultural community.
The findings show that the unique care model originally started by NPOs to balance satisfaction of
the needs of the elderly and economic efficiency cannot function without a service network based on a
local community.
