In New Jersey, groundbreaking legislation is enabling communities to test the viability of accountable care organizations (ACOs) to improve care and curb spending for Medicaid beneficiaries, particularly those with chronic needs. Through the three-year Medicaid Accountable Care Organization Demonstration Project, the state is supporting community-based efforts to coordinate care across health settings, including hospitals, provider's offices, clinics, and home care.
Even prior to this legislation, New Jersey was at the forefront of the national ACO movement, with two promising urban-based models. The Camden Coalition of Health Care Providers has received national attention for its success in identifying "super-utilizers" and deploying innovative care teams to coordinate their care. The Trenton Health Team is expanding access to primary care and developing community-wide care coordination in the state's capital.
To guide New Jersey communities in designing ACO demonstration projects, the Center for Health Care Strategies (CHCS) developed The New Jersey Medicaid Accountable Care Organization Business Planning Toolkit. The toolkit, made possible through The Nicholson Foundation, provides step-by-step guidance and templates to facilitate ACO planning. Content is organized within three sections:
While the toolkit is geared toward New Jersey, the guidance and practical templates can help Medicaid stakeholders across the country in developing ACO models aimed at improving care and controlling costs for beneficiaries with complex needs.
ACO Planning Templates
The toolkit appendices include the following three templates to help guide ACO planning: