Enrollment in the Program of All-inclusive Care for the Elderly (PACE) has accelerated in recent years, driven by renewed state interest, increased investment, and competitive procurement activity. At the same time, the 2025 Budget Reconciliation Act is creating new Medicaid eligibility complexity and budget pressure that will shape the operating environment for PACE organizations across the country. Succeeding in this environment requires deep, program-specific expertise across policy, finance, operations, and care delivery.
ATI Advisory is a National PACE Association Technical Assistance Center, and one of the nation's leading advisors to existing and prospective PACE organizations.
Building and scaling a PACE organization is complex, capital-intensive, and unforgiving of missteps. ATI brings unmatched PACE-specific experience to support organizations from early market assessment and growth strategy through regulatory approval, program design, and ongoing operations. We help clients launch durable, high-performing PACE programs positioned for long-term success.
Market sizing and opportunity assessment:
Robust data assets and methods to size the eligible PACE
population, assess geographic and demographic opportunity, and inform entry, expansion, and growth
strategy
including ZIP-code level analysis, service area identification, and competitive market assessments.
Procurement and application strategy:
End-to-end support for PACE procurements,
including application
strategy, content development, financial and operational assumptions, and readiness reviews grounded in
state expectations. ATI helps organizations prepare early and position for success in competitive RFP
environments.
Program design and operational readiness:
Hands-on guidance informed by real PACE operating experience,
supporting care model design, staffing and workflows, compliance readiness, and launch planning.
Provider strategy and performance optimization:
Data and operational insights to refine provider
relationships, align incentives, and strengthen network performance over time.
Enrollment growth and sustainability:
Ongoing advisory support to identify
enrollment growth
opportunities, improve sales team functioning, monitor performance trends, and support sustainable
program
expansion including census development, referral strategy, and intake process improvement. For
organizations
looking to diversify beyond PACE, ATI also supports strategic evaluation of non-PACE platforms such as
Accountable Care Organizations (ACOs) and Medicare Advantage Special Needs Plans (SNPs), including
market
assessment, feasibility analysis, and partner identification.
Tina Hansen Pickett is a Managing Director in ATI's Provider Strategy and Care Transformation Practice. Tina leads ATI’s PACE service line, supporting PACE feasibility assessments, preparing state RFP responses and PACE applications, advising policymakers on PACE feasibility and policy options, and supporting PACE and PACE-adjacent growth opportunities.
She has deep expertise in federal policy as well as on-the-ground experience in healthcare delivery system transformation through her prior experience at Maimonides Medical Center and at the White House Office of Management and Budget.
Josh McGilliard is a Director in ATI’s Provider Strategy and Care Transformation Practice. Josh is a distinguished leader in PACE, bringing more than a decade of experience in PACE leadership, strategic growth, and operations.
He has extensive expertise in PACE growth, operations, provider network management, financial claims management, population health, regulatory navigation, and legislative policy to drive innovation and impact.
Tyler Overstreet Cromer leads ATI's Provider Strategy and Care Transformation Practice. Tyler is an industry leader developing innovative financing mechanisms to support older adults with LTSS need, including conducting research related to Medicare-only pathways for entering PACE. Prior to joining ATI, she worked for more than a decade in federal health policy at the White House Office of Management and Budget.
Learn MoreJade Gong advises organizations on advancing innovative models of senior care. With more than 30 years of experience in strategy, management, and policy, Jade is one of the nation’s leading experts in the growth and management of PACE programs. She brings strategic insight into integrated models of senior care along with strong operational knowledge of post-acute and long-term care programs.
Learn MoreConner Esworthy advises on ATI’s diligence and partnership agreements. Her career in the financial services industry spans a decade, most recently as a Vice President at Welsh, Carson, Anderson, and Stowe (WCAS), a prominent healthcare investor with 40 years of expertise. She evaluated investment opportunities in the healthcare services space and helped launch a post-acute care (PAC) coordination company, naviHealth, and managed the diligence and acquisition process for InnovAge, the second largest Program for All-Inclusive Care for the Elderly (PACE) operator in the US.
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