Medicaid ACOs: Understanding Different State Approaches

Medicaid accountable care organizations (ACOs) differ from state to state. To understand these differences, Leavitt Partners developed a framework that explains four approaches states take to establish ACO programs. The framework considers the level of state engagement with the ACO based on whether a Medicaid managed care organization (MCO) exists in the state and the MCO’s degree of involvement. The framework can assist a variety of stakeholders, including states considering a Medicaid ACO approach, policymakers seeking to encourage the growth of accountable care, and researchers evaluating different ACOs’ performance.