PACE and its future in the new landscape.

he roots of PACE (the Program of All-inclusive Care for the Elderly) stretch back several decades. In the early 1970s, clinicians and administrators at On Lok, a community organization deeply rooted in San Francisco’s ChineseAmerican community, recognized the limitations of a system of senior care built around Medicare’s and Medicaid’s traditional approach of reimbursing providers for an approved set of care and services. The goal of On Lok was not to just provide effective medical care. It was seeking a way to keep the community’s elders at the center of their families and their neighborhoods, something the traditional approach of nursing-home care could not accomplish. T