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Invited Commentary
June 10, 2013

ACE, MACE, and GRACE: Time to Put the Pieces TogetherComment on “Effects of an Acute Care for Elders Unit on Costs and 30-Day Readmissions”

Author Affiliations

Author Affiliations: Division of Geriatrics, Department of Internal Medicine (Drs Walke and Tinetti), Yale University School of Medicine, and Department of Chronic Disease Epidemiology, Yale University School of Epidemiology and Public Health (Dr Tinetti), New Haven, Connecticut.

JAMA Intern Med. 2013;173(11):987-989. doi:10.1001/jamainternmed.2013.493

Berwick et al1 challenged the US health care system to achieve the Triple Aim of higher-quality care for individuals, improved health of populations, and lower health care costs. Accomplishing the 3-part aim is a formidable task, perhaps for no group more so than for older adults with complex health problems who are the major users of health care. However, several innovative geriatric health care programs have had modest success.

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