Maryland Medicaid To Launch ACO-Like Model For Dual Eligibles

The Maryland Department of Health and Mental Hygiene (DHMH) is planning to launch a pilot Accountable Care Organization-like model (ACO) for individuals dually-enrolled in Medicaid and Medicare who live in Baltimore City.  The Dual Eligible ACO will operate on a shared savings model with savings targets and quality of care benchmarks focused on coordination of primary, acute, and long-term care. The goal is to scale the model statewide after the pilot outcomes are analyzed.

In a March 23, 2015, presentation to the Medicaid Advisory Committee, DHMH provided the following details about the background and plans for the . . .