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New Jersey Case Study - The NJ Medicaid ACO Demonstration
New Jersey Case Study - The NJ Medicaid ACO Demonstration
Medicaid coverage faces uncertainties nationally as Congress and the Trump administration continue to pursue repeal and replacement of the Affordable Care Act. States and their respective stakeholders will face increasing pressure to deliver value within tightened budget limitations for the Medicaid population that continues to be covered.  At the same time, increased opportunities may exist for new value based solutions in serving the Medicaid population.

The New Jersey Medicaid ACO Demonstration received legislative authorization in August 2011, with the three year demonstration project beginning July 1, 2015. The demonstration included various specific requirements for ACO certification, and three of seven applicants were certified to participate. The demonstration applies to all Medicaid recipients within defined geographic areas, with the three ACOs accountable for all Medicaid spending, quality and recipient outcomes within those areas. Under the demonstration, shared savings arrangements are required for the Medicaid fee for service population served by the ACOs, and voluntary for Medicaid MCO populations served by the ACOs.

Medicaid stakeholders across the country can benefit from examining a case study to date of the New Jersey Accountable Care Organization demonstration. Please join us Friday, June 2, 2017 as Rutger's Derek DeLia, Ph.D. provides important takeaways from early New Jersey ACO demonstration experience, that follow several major themes resulting from early operations assessment of the demonstration. Click here for detailed information and to register or call 209.577.4888.
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