Numerous provider and payer teams are starting to build the infrastructure for an era of accountable care. But some providers already are old hands at coordinating care and bundled payments due to their participation in the Program for All-Inclusive Care for the Elderly (PACE).

The federal program requires providers to manage the medical, social and rehabilitative services for “dual-eligible” patients who qualify for both Medicare and Medicaid benefits, and meet the standards for nursing home care. The goal of the program is to keep those patients living at home and out of institutional care settings. An estimated 9 million U.S. citizens are dual-eligible, and the numbers are swelling as the population ages.

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