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The Milbank quarterly · Jun 2019
Medicaid Accountable Care Organizations in Four States: Implementation and Early Impacts.
- Regina I Rutledge, Melissa A Romaire, Catherine L Hersey, William J Parish, Stephanie M Kissam, and Jennifer T Lloyd.
- RTI International.
- Milbank Q. 2019 Jun 1; 97 (2): 583-619.
AbstractPolicy Points Maine, Massachusetts, Minnesota, and Vermont leveraged State Innovation Model awards to implement Medicaid accountable care organizations (ACOs). Flexibility in model design, ability to build on existing reforms, provision of technical assistance to providers, and access to feedback data all facilitated ACO development. Challenges included sustainability of transformation efforts and the integration of health care and social service providers. Early estimates showed promising improvements in hospital-related utilization and Vermont was able to reduce or slow the growth of Medicaid costs. These states are sustaining Medicaid ACOs owing in part to provider support and early successes in generating shared savings. The states are modifying their ACOs to include greater accountability and financial risk.© 2019 Milbank Memorial Fund.
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