The 130th Annual Meeting of APHA

3242.0: Monday, November 11, 2002 - 3:30 PM

Abstract #42714

End-of-Life in PACE: A Commentary by Dr. Joanne Lynn

Joanne Lynn, MD, RAND Center to Improve Care of the Dying, 1200 S. Hayes Street, Arlington, VA 22202-5050, 703-413-1100 ext. 5451, jlynn@medicaring.org

Two features make PACE an interesting model within which to examine end-of-life practices. First, PACE provides for a greater coordination of patient care and an opportunity for closer patient-provider relationships. Second, PACE operates under a capitated payment model, which allows flexibility in the use of resources and a closer alignment of program incentives and patients’ preferences. In this context, Dr. Lynn will discuss the end-of-life studies in PACE, both previously published and those presented in this session.

PACE may well be an important innovation that can teach us not only how dual capitation can be made to work but also what compromises and language are acceptable in forging an affordable plan of care. Most of what PACE is doing could be replicated in other settings, and it will be a fertile area of innovation to try those out.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Caring for a frail elderly population in a managed care environment - lessons from the PACE program

The 130th Annual Meeting of APHA