post 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 launched Medicaid ACOs, 11 more states are developing Medicaid ACO models, and some states are beginning to report compelling results. In January, a national CHCS webinar, made… Read more »

February 2017
post 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 of Massachusetts’ new accountable care organization (ACO) program — a central part of its $52.4 billion Section 1115 waiver — goes well beyond traditional Medicaid ACO models… Read more »

December 2016
post 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 vision for accountability across all Medicaid-financed services with the realities of the long-term services and supports (LTSS) delivery system. That fragmented system is going through its… Read more »

September 2016
post Vermont’s Next Generation ACO Program Breaks New Ground in Medicaid

In April, Vermont released an RFP for its Next Generation Accountable Care Organization (Vermont Next Gen ACO) program. Under this program, Vermont plans to build on the state’s existing Medicaid ACO model, the Vermont Medicaid Shared Savings Program (VMSSP), which saved $14.6M in its first year and delivered high-quality health care to more than 60,000… Read more »

May 2016
post Mapping Medicaid Accountable Care Organization Progress

For the past several years, a number of states interested in simultaneously improving health outcomes for Medicaid enrollees and reducing Medicaid program costs have turned to accountable care organizations (ACOs). As Medicaid ACOs rapidly evolve, our team at the Center for Health Care Strategies (CHCS) regularly updates a Medicaid ACO Fact Sheet to report on the latest state… Read more »

March 2016
post Five Emerging Medicaid Accountable Care Organization Priorities

State Medicaid agencies are increasingly looking to accountable care organizations (ACOs) as a way to improve health care quality and reduce costs. As additional states pursue Medicaid ACOs, both existing and newly designed models are becoming more sophisticated by expanding their scope of services, focusing on specific patient populations with complex needs, and weaving ACOs more fully… Read more »

February 2016
post Aligning Quality Metrics Can Help Ease the Burden on ACO Providers

Health care quality has been a concern for policymakers since the Institute of Medicine published two landmark reports nearly two decades ago: To Err is Human, on patient safety, and Crossing the Quality Chasm, on gaps in quality in the United States health care system. Since then, quality measurement has become a must-have foundational element… Read more »

December 2015
post How Can States Help ACO Providers Avoid Data Overload?

With rapid advances in health information technology, electronic health records, and the use of “big data,” there has never been more information available to providers about their patient panels. Innovative providers such as the Camden Coalition of Health Care Providers in New Jersey and Hennepin Health in Minneapolis, Minnesota are successfully using health data to create… Read more »

August 2015
post Approaching the Tipping Point? Medicaid ACO Momentum Continues to Build

Accountable care organizations (ACOs) are making headlines these days for moving the needle on more efficient health care delivery. Reports of ACO successes have surged — from the promising results of the Pioneer ACO and Medicare Shared Savings Programs and the announcement of the Next Generation ACO model in Medicare to health plans and health… Read more »

July 2015