These centers offer specialized care for aging adults that allows them to live at home instead of in nursing homes

PACE centers offer multiple types of care under one
roof. (National PACE Association photo)

As people age, most don't want to live in nursing homes. But when faced with extensive medical needs, many older adults end up in institutionalized care. While some older adults may need that degree of attention, a lesser-known option known as PACE (Program of All-Inclusive Care for the Elderly) is gaining popularity as a cheaper, healthier alternative to nursing homes. "PACE has long flown under the national radar as an elder care option," reports Anna Claire Vollers of Stateline. "PACE centers provide government-funded medical care and social services to people older than 55 whose complex medical needs qualify them for nursing home care, but who can live at home with the right sort of help."

Given the preference of most individuals and their families to avoid nursing homes, considering a PACE center is a logical step. Vollers writes, "By 2030, one in five Americans will be over age 65, and most older adults say they would prefer to remain living in their homes for as long as possible. . . . . [The program has] recently attracted significant interest from lawmakers because it can keep people at home and may cost less than nursing home care."

The PACE model offers companies and health care systems a way to meet clients' health needs without lengthy inpatient stays. Each center provides a range of medical treatments, including physical therapy, vision and dental care, counseling and lab work. Centers also offer opportunities to get out of the house and socialize by providing a dining hall for meals and gathering areas for puzzles and games. Vollers reports, "Center social workers can help clients obtain needed items such as walkers and at-home wheelchair ramps."

Robert Greenwood, senior vice president for communications and member engagement at the National PACE Association, told Vollers, "It's definitely gaining momentum. In the last couple of years, we've had maybe six or seven new PACE programs open a year. In the last couple of months, we've had about four PACE programs open each month. There are 50 organizations in the pipeline for the next two years."

So far, PACE centers have had bipartisan support. Vollers reports, "Tennessee state Rep. Caleb Hemmer, a Democrat representing Nashville, and state Sen. Bo Watson, a Republican representing Hamilton County (which includes Chattanooga), are cosponsoring legislation that would expand PACE across the state." Hemmer told Stateline, "Even I was amazed when I visited. You walk in, and it’s nice and clean, it smells good, and there are activities for people. It’s a place I would want to send a loved one.”

For examples of PACE care in rural communities, click here and here.  To discover more about PACE, click here.