The fourth brief in our “Care That Works” series reports on “Elder Partnership for All-Inclusive Care (ElderPAC), a home-based primary care program that was developed and implemented in Philadelphia more than 20 years ago by the University of Pennsylvania Health System in partnership with the Philadelphia Corporation for Aging.

Its purpose is to deliver a comprehensive blend of medical care and home and community-based services (HCBS) to frail older adults with multiple complex chronic conditions and functional impairments in their homes. Participants are either Medicare-Medicaid enrollees or those in the Pennsylvania Options program (a non-Medicaid HCBS program funded through the Aging Block Grant). All participants have been evaluated to be eligible for nursing facility level of care.

This brief describes the program and summarizes some of its very promising results and also shares the story of Ms. Emma Gray, an ElderPAC participant.