THE EFFECT OF THE PACE PROGRAM ON HEALTH OUTCOMES OF THE ELDERLY IN THE U.S.

Nicole Crilley, Susan Averett, Economics, Lafayette College 730 High St, Easton, PA 18042

This study addresses the question of whether a government program to keep the elderly out of nursing homes improves their health outcomes. The elderly are living longer than ever before and keeping them healthy and out of nursing homes is a priority for health care professionals and policymakers. The Program of All-Inclusive Care for the Elderly (PACE) was established as part of the 1997 Balanced Budget Act as a permanent part of the Medicare program and an option under state Medicaid programs. In those states that have adopted PACE programs, these programs employ a comprehensive range of health care professionals, and are responsible for providing all health services for the elderly. Perhaps most importantly, PACE programs allow the elderly to live at home, which has been shown to keep them healthier. Thus, I anticipate that elderly living in PACE states will have better health outcomes than those who do not have access to a PACE program. Using survey data from the Behavioral Risk Factor Surveillance System (BRFSS) for 1998-2015, I estimate the effect of PACE on health outcomes of elderly adults. Specifically, I use a difference-in-differences estimator to compare those who live in a that has adopted a PACE program to those who live in a state that has not. Using the elderly who live in non-PACE states as a control group, I assess the effect of living in a PACE state on a variety of health outcomes, including self-assessed health, indicators of physical and mental health and activities of daily living. I control for age, height, weight, education, income, sex, and race. This research provides valuable evidence to determine if home care through PACE programs is better than nursing homes in terms of health.


Additional Abstract Information

Presenter: Nicole Crilley

Institution: Lafayette College

Type: Poster

Subject: Economics

Status: Approved


Time and Location

Session: Poster 2
Date/Time: Thu 12:20pm-1:20pm
Location: University Center Ballroom - Tripod 1 Side B