LTSS

Program of All-Inclusive Care for the Elderly (PACE) is a capitated health plan that provides comprehensive Medicare and Medicaid covered services to frail, older adults in the community who are eligible for nursing home care. New research from ATI explores the latest enrollment trends and highlights latest opportunities for PACE growth.

Our primer on the Program of All-Inclusive Care for the Elderly (PACE) – a capitated health plan that provides comprehensive Medicare and Medicaid covered services to frail, older adults in the community who are eligible for nursing home care – explores the latest enrollment trends and highlights latest opportunities for PACE growth.

ATI Advisory, in collaboration with the LeadingAge LTSS Center at UMass Boston and The SCAN Foundation, has developed resources to inform policy discussions on financing and delivering long-term services and supports. These materials provide a consolidated reference for policymakers and stakeholders exploring sustainable approaches to LTSS.

Recent policy changes, particularly the passage of H.R. 1, are shifting Medicaid’s role away from coverage expansion toward a narrowly defined safety net. This change brings significant implications for aging, disabled, and dual-eligible populations who rely on Medicaid for long term services and supports (LTSS) and as a source of secondary insurance. Health systems are simultaneously confronting mounting discharge delays, a rapidly aging population, and shrinking margins. The convergence of these forces makes rethinking care and payment models a strategic imperative. During a recent ATI webinar, experts Brianna Ensslin Janoski and Cleo Kordomenos sat down with Shauna O'Neil and Daniel Dietz of the Oregon Legislative Policy and Research Office to discuss Oregon’s comprehensive, collaborative approach to addressing the hospital discharge crisis.

In the wake of the COVID-19 pandemic, the healthcare system is grappling with intersecting challenges including widespread clinical workforce shortages, increasing patient acuity, and a growing national mental health crisis. This convergence has significantly prolonged hospital stays, leaving patients who are medically ready for discharge without timely connections to critical post-hospital services and supports. These delays are further compounded by longstanding systemic gaps in housing and limited access to appropriate post-acute care, particularly for individuals with behavioral health conditions and other complex care needs.  During a recent ATI webinar, experts Brianna Ensslin Janoski and Cleo Kordomenos sat down with Shauna O'Neil and Daniel Dietz of the Oregon Legislative Policy and Research Office to discuss Oregon’s comprehensive, collaborative approach to addressing the hospital discharge crisis.

Explore how the One Big Beautiful Bill Act (OBBBA / H.R. 1) impacts the Program of All-Inclusive Care for the Elderly (PACE), from administrative slowdowns to expansion opportunities in rural health and HCBS.