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Total Solutions is a technical assistance and management consultant group that specializes in helping organizations evaluate and implement integrated care models such as PACE (Program of All-inclusive Care for the Elderly).

Created by the staff of Total Longterm Care in Denver, Colorado, which operates one of the nation’s largest and most successful PACE sites, Total Solutions has more than 15 years experience working with all aspects of the PACE model of care: such as state legislation required to bring PACE to individual states, demographic and economic analyses, strategic planning, program implementation, CMS approval processes, community outreach and marketing, and staff training.

Shaping the future of healthcare for frail adults through education, consultation, and innovation.
PACE Program Eligibility

Participants must be:
  • Able to live in the community safely as assessed by the PACE care team
  • Live in a specific defined service area
  • At least age 55
  • Meet the state nursing home level of care requirements


PACE is a model program of care for the frail elderly population who are at risk for nursing home placement. By providing a full range of health, social services and in-home assistance to this population, PACE helps elderly individuals age in-place and benefit from the quality, integrated care that defines PACE.

PACE, with its unique capitated funding model saves money in state and federal Medicaid and Medicare expenditures. Most importantly, PACE addresses the growing population of aging with a care model that lets individuals stay in their own homes and communities and maximizes quality of life.

The traditional PACE model uses an adult day/health center as the focal point for providing services. In addition to housing the supportive services an individual requires to maintain health and social function, this day/health center also houses an extensive interdisciplinary team including primary care physicians, therapists, and nurses. All acute and long-term care services are directly provided by or coordinated through this interdisciplinary team. Because of the capitated payments to the provider, incentives exist for the PACE provider to create a care plan based on the client’s existing needs and not based on Medicare and Medicaid fee-for service reimbursement schedules.

CMS and individual states are currently working on approving Rural PACE programs. In these models there is less emphasis on the Day Center model of care and more emphasis on meeting the needs of the rural participant through services provided by existing systems and care programs.

Total Solutions Services Include:
  • Feasibility studies
  • Demographic analysis
  • Market analysis
  • Financial analysis
  • Strategic planning
  • Organizational readiness
  • Legislative promotion
  • CMS and state compliance
  • Educational support and training
  • Marketing and enrollment materials
  • PACE implementation
  • Contracted management


Total Solutions will help the potential PACE provider understand this model and determine how to implement it.

For more information contact:

Ann Olson
Total Solutions
200 East Ninth Avenue
Denver, CO 80203
303.869.4739
1.877.277.6163

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