The singular premise behind the accountable care organization (ACO) model is to lower the cost of care for a population while improving (or at least maintaining) quality of care. An ACO may use a range of payment models (capitation, gainsharing, fee-for-service) asymmetric or symmetric shared savings, etc. ACOs can exist alongside all payment structures (fee-for-service and managed care delivery systems) and payers (Medicare, Medicaid, commercial). This report explores the differences be Medicare ACOs and Medicaid ACO models – as well the differences among the Medicaid ACO models from state to state . . .
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