Program of All-Inclusive Care for the Elderly

A program for people who are eligible for Medicaid or Medicare, or both; age 55 or older; live in a PACE organization service area; are eligible for nursing home care, and are able to live safely in the community. It allows eligible persons to meet health care needs...

prospective payment system

A method used by Medicare to pay for many services, including inpatient and outpatient hospital services as well as services provided at skilled nursing and rehabilitation facilities. Payment rates are linked to diagnosis and determined before services are rendered,...


Any health care professional or institution that renders a health service or provides a health care product. Major providers are hospitals, nursing homes, physicians and nurses.

provider network

Those providers who agree by contract with a health insurance plan to be available for services and products to the plan’s members for agreed upon fees.