Accountable care organizations (ACOs) are groups of health care professionals and/or provider organizations, such as physicians and hospital systems, that form an agreement to coordinate care for a set group of consumers. If the ACO delivers high quality care, measured through performance metrics, and lowers the cost of providing care against a baseline, then the organization receives a portion of the savings generated.
Building off the Medicare accountable care organization (ACO) model, state Medicaid programs have developed their own unique Medicaid ACO programs. Generally, these programs fall under two models—a traditional shared savings approach and a risk-based . . .