15 States Opt To Develop Medicaid ACOs — 9 Currently Up & Running With 6 More In Development
Recent report provides in depth analysis on recent Medicaid ACO trends & key features of state ACO models
Gettysburg, Pa. (February 12, 2016) — Accountable care organizations (ACOs) 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 ACOs — nine of which have their model up and running, and six with a model in development. To provide readers with further details and insights on Medicaid ACO trends, OPEN MINDS Market Intelligence Team released the market intelligence report, The 2016 OPEN MINDS Medicaid ACO Trend Update.
At this point in time, Medicaid ACOs serve a relatively small number of Medicaid beneficiaries at 2.6 million. That accounts for 28% of the total Medicaid population in Medicaid ACO states and 3.5% of the total U.S. Medicaid population. But as states add more downside risk arrangements, capitation, or single-payer ACOs, this number will likely increase adding more competition with managed care organizations. In this report, the OPEN MINDS team reviewed key features of state ACO models to provide organizations with the strategic insights necessary for provider organizations to develop future strategy.
The OPEN MINDS Market Intelligence Report, The 2016 OPEN MINDS Medicaid ACO Trend Update” provides a detailed analysis of the current Medicaid ACO landscape, including attributed beneficiaries in each state, total savings generated by the program, and a look at future ACO programs. The report specifically outlines:
- Populations and services included in ACO model
- Gainsharing model for each ACO model
- Number of attributed beneficiaries
- Savings generated by each ACO model
- Quality measures included in each ACO model
“Organizations in one of the states with current or pending Medicaid ACOs must ensure they have accurate information on the ACOs in their state too develop future strategy. This includes information on the Medicaid ACOs and where they operate, the benefits covered and populations enrolled, the payment model, and the performance measures tied to reimbursement,” said Athena Mandros, Market Intelligence Manager of OPEN MINDS. “To provide executives in these organizations with all the information necessary, our team has developed and released the 2016 Medicaid ACO trend update. This report ensures executives and their organizations have the details and insights required to develop a strategy for future success.”
For a detailed summary of the report, check out the article, Strategy In The Era Of Medicaid ACOs, which is available at no cost to the public.
The full report is available free to OPEN MINDS Premium and Elite members in The OPEN MINDS Circle Library: The 2016 OPEN MINDS Medicaid ACO Trend Update
The full report can also be purchased in The OPEN MINDS e-store at: https://www.openminds.com/downloads/2016-open-minds-medicaid-aco-trend-update/
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OPEN MINDS is a national strategic advisory firm specializing in the sectors of the health and human service industry serving individuals with complex support needs: mental health; addiction treatment; children and family services; intellectual and developmental disabilities; chronic disease management; long term care; social services; correctional health care; and juvenile justice.
Founded in 1987 and based in Gettysburg, Pennsylvania, the 75+ associates believe by providing the latest market intelligence and management best practices to organizations serving the health and social support needs of the most vulnerable consumers, those organizations will be better able to provide efficient and effective services. Learn more at www.openminds.com.
For additional questions and inquiries, please contact Sarah Threnhauser, Executive Vice President, OPEN MINDS at 717-334-1329 or openminds@openminds.com.