CHCS BlogWelcome to the CHCS Blog, where you’ll find an ongoing conversation about innovative solutions to improve the delivery of health and social services for low-income Americans.


The Medicare Shared Savings Program Final Rule: Implications for Medicaid Accountable Care Organizations

With the publication of the Medicare Shared Savings Program (MSSP) Final Rule on December 21, the Centers for Medicare & Medicaid Services (CMS) clearly signaled that the Trump administr... more

January 8 2019
We Need More Data on Medicaid ACOs to Determine Drivers of Success

“Provider Payment Reform: Right Course, Wrong Students?,” a recent blog post authored by Chris Koller, President of the Milbank Memorial Fund, argues that while delivering high-value... more

December 3 2018
Prioritizing Social Determinants of Health in Medicaid ACO Programs: A Conversation with Two Pioneering States

There is increasing recognition that medical care is only one of several factors affecting health outcomes. In February, a national CHCS webinar, made possible by The Commonwealth Fund, expl... more

May 2 2018
Addressing Social Determinants of Health through Medicaid Accountable Care Organizations

Medicaid accountable care organizations (ACOs) are designed to improve health care quality while delivering more efficient care. But, medical care is only one of several factors affecting he... more

April 18 2018
Medicaid Accountable Care Organizations Version 2.0 Underway in Minnesota and Colorado

In several states across the country, Medicaid accountable care organization (ACO) programs have been operating for more than five years now. Lessons from those early adopters are being used... more

January 19 2018
The Evolution of Shared Savings Payment Methodologies for Medicaid Accountable Care Organizations

Just a few years ago, the accountable care organization (ACO) concept was compared to a mythical unicorn. Now, with burgeoning Medicare and commercial models to build upon, Medicaid ACO prog... more

July 28 2017
Reviewing Medicaid ACO Progress in Leading-Edge States

Accountable care organizations (ACOs) have become increasingly prevalent in state Medicaid programs as a mechanism to improve health care quality and control costs. To date, 10 states have l... more

February 16 2017
Massachusetts’ Medicaid ACO Makes a Unique Commitment to Addressing Social Determinants of Health

Over the last month, national Medicaid policy experts focused on the election may well have missed MassHealth’s notable new foray into delivery system and payment reform. The Commonwealth ... more

December 19 2016
State Conundrum: Addressing Long-Term Care Needs within Medicaid Accountable Care Organizations

A subset of state Medicaid agencies leading the charge in developing accountable care organizations (ACOs) are now encountering a conundrum that they knew was coming: how to align their visi... more

September 13 2016