New Jersey Bill Would Create Medicaid ACOs

A bill in the New Jersey legislature would authorize accountable care organizations for Medicaid patients in pilot projects, according to a report by NJ Spotlight.

The bill would license several three-year demonstration projects, each with at least 5,000 Medicaid patients and a hospital that treats a large number of uninsured patients. It also authorizes the state to approve gainsharing plans to distribute savings from ACOs.

A model for the program is the Camden Coalition, a nine-year-old partnership of primary care physicians, hospitals, insurers, nurses, mental health caregivers and patient advocates. The Trenton Health Team, a coalition of doctors, nurses and specialists, was also cited.

The ACOs would focus on treatment of chronic conditions such as diabetes and high blood pressure, reducing emergency room visits and hospitalizations and coordinating patient care among all providers in a geographic region.

According to NJ Spotlight, some specialists are concerned they would not be included in the ACO model and others worry there are not enough primary care physicians to participate.

Read the NJ Spotlight report on ACOs.

Read more coverage of ACO pilots.

-Worries About ACOs Arise in Meeting of Health Insurers

-Private Payors' Plans for ACOs Causing Anxiety Among Hospitals, Physicians

-Kevin E. Lofton of Catholic Health Initiatives Discusses Key Issues for the Health System


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