The Maryland Department of Health and Mental Hygiene plans to launch a pilot accountable care organization-like initiative for Baltimore residents enrolled in both Medicare and Medicaid to better address their medical needs and integrate incentives for providers serving dual-eligible patients.
The state designed "Dual Eligible ACO" pilot as part of its State Innovation Model design proposal, which it received a $2.5 million award for from CMS. The ACO-like program will be a Medicaid Integrated Delivery Network structured as a shared savings model with cost savings targets and quality benchmarks.
The Dual Eligible ACO is meant to fit in with Maryland's plans to establish a statewide all-payer model, which will shift all hospital revenue to global payment models with third party payers paying the same rates to hospitals.
DHMH is in the process of selecting a contractor to develop and manage the program. The state hopes to apply the program for dual eligibles across the state after outcomes are analyzed.
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