The Program of All-Inclusive Care for the Elderly (PACE) was designed to serve individuals with complex medical, functional, and social needs. As dementia prevalence continues to rise, PACE programs are increasingly caring for participants whose cognitive impairment impacts nearly every aspect of care delivery. 
 
As we approach 2026, PACE organizations face a convergence of challenges: 

As CMS prepares the field for the Hospice Outcomes & Patient Evaluation (HOPE) Model, hospice organizations nationwide are re-examining how they deliver, document, and demonstrate quality. The HOPE Model — a comprehensive assessment and quality framework designed to replace the Hospice Item Set (HIS) — elevates key domains of care that lie at the heart of hospice philosophy. These include pain management, symptom (and behavioral) management, and psychosocial and spiritual needs. 
 
Learn more from CMS here.