Maybe Dr. Nickerson can chime in here. Why do you need PACE? Why couldn't you just have doctors in the community playing the same role, supervising somebody doing a practice-ready assessment?
I think the answer, and maybe Dr. Nickerson can address it, is that it's hard to find a number of people who are willing to do the assessment for PRAs. Is part of why you exist due to the difficulty in getting people to do PRAs in the community?