Tag Archives: ACOs

  • Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment

    In 2016, only 3.8 million of the 21 million Americans with substance use disorder (SUD) received treatment. As the opioid crisis persists, states have been working to identify new SUD treatment approaches, but the Medicaid Institutions for Mental Diseases (IMD) exclusion has historically put certain residential health care facilities out of reach for many Medicaid […]

    October 23, 2018 | Filed under: Front Page, Massachusetts, Medicaid, State Health Policy Blog
  • Public-private multi-payer pilots are unique opportunities to support high-performing delivery systems by creating alignment around payment, reporting, and infrastructure investments. Multi-payer projects benefit both payers and providers: Multi-payer projects spread transformation costs among all payers seeking to improve both quality and costs, creating a shared incentive to build essential infrastructure for delivery system improvement. In […]

    March 29, 2013 | Filed under: Payment Reform, Primary Care and Medical Homes, Toolkits
  • By Mike Stanek January 2013 States are at the forefront of efforts to design and implement innovative payment and delivery mechanisms that encourage accountability for costs and quality in health care delivery. Bolstered by state legislative mandates, as well as provisions in the Affordable Care Act to re-orient federal health spending to promote accountable care, […]

    January 25, 2013 | Filed under: Uncategorized
  • Support for infrastructure refers to a range of supports offered to accountable care projects by the state, including information technology, staff support, data feedback loops, and the convening of learning collaboratives.   Alabama Regional Care Organizations (RCOs) and Alabama’s Patient Care Networks would be required to leverage the health information exchange (HIE) infrastructure under development […]

    August 21, 2012 | Filed under: Uncategorized
  • Criteria for participation in the accountable care activity include specific requirements set forth by the state in regulations, requests for proposals, managed care contracts, and other official policy statements. This includes patient protection requirements around notification and grievance resolution.   Alabama Act 2013-261 requires the Medicaid agency to establish by rule the criteria for certification […]

    August 21, 2012 | Filed under: Uncategorized
  • Governance refers to the structures by which policy decisions around the accountable care model are made, and the specific stakeholders (including patients and community stakeholders) who assume responsibility for the project.   Alabama The Alabama Medicaid Agency is responsible for the development and oversight of the Regional Care Organization (RCO) program. RCOs would be largely […]

    August 21, 2012 | Filed under: Uncategorized
  • Authority refers to the specific source (e.g. legislation, executive office, cabinet or Medicaid agency) of the model’s authorization. This category also includes regulatory adjustments (e.g. changes to licensure requirements or data confidentiality rules) made by states to facilitate accountable care models.   Alabama Act 2013-261 became law in June 2013. This legislation calls for Alabama […]

    August 21, 2012 | Filed under: Uncategorized
  • States are keenly aware of the need to create more coherent and value-driven systems of care through improved payment and delivery systems. The accountable care organization (ACO) model has received increased attention as a mechanism to promote better value in health care spending. This report examines the development of the ACO model in seven states, […]

    February 4, 2011 | Filed under: Publications