The passage of the Patient Protection and Affordable Care Act (PPACA) of 2010 has resulted in an increase in the number of state Medicaid programs implementing care coordination and value-based payment initiatives – with the goal of improving the quality of consumer care and bending the health care cost curve. While some of these initiatives, such as health homes, were created by, or because of, the PPACA, others have risen organically out of the need to lower costs and improve care, such as state Medicaid managed care contracts that require the use of alternative payment models for provider organizations. This . . .