Advancing Accountable Care Organizations in Medicaid, Phase 4

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Accountable care organizations (ACOs) have the potential to improve health outcomes and reduce costs for Medicaid beneficiaries by improving coordination of their often complex health and social needs. Currently, ACOs serve 2 million Medicaid enrollees. With Commonwealth Fund support, the Center for Health Care Strategies (CHCS) has formed a learning collaborative to help states establish Medicaid ACOs. To date, the collaborative has worked with 13 states as they establish the building blocks of ACOs and resolve key design issues. For example, the CHCS team is helping participants develop payment methodologies, identify strategies to integrate ACOs into a managed care environment, provide behavioral health and social services, and incorporate safety-net providers. Over the past three years, six states have launched Medicaid ACO programs and five have expanded their programs to include behavioral health services. Several states have used tools the collaborative’s tools to select design features and quality metrics for their programs.

Grant Details

Grantee Organization:
Center for Health Care Strategies, Inc.
Principal Investigator:
Patricia McGinnis, M.P.P., M.P.H.
Award Amount:
$559,087.00
Approval Date:
November 10, 2015

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