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Accountable care organizations were originally developed as a Medicare construct as part of the Patient Protection and Affordable Care Act (PPACA) to improve care coordination and lower the cost of care. State Medicaid programs have taken the Medicare ACO model and adapted it for their own purposes pushing the boundaries on gainsharing models, included provider organizations, and quality metrics. Currently, there are at least 15 states that have opted to develop Medicaid accountable care organizations (ACOs) — nine of which have their model up and running, and six with a model in development. This report includes information on the key features . . .
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