5 Chicago Health Systems Get Initial OK for Medicaid ACO Contracts

Five healthcare organizations in the Chicago area have received preliminary approval to launch Medicaid accountable care entities by July 1, according to a Crain's Chicago Business report.

The five systems that made the first "cut" include:
• Advocate Health Care (Downers Grove, Ill.)
• Loyola University Health System (Maywood, Ill.)
• Presence Health (Chicago)
• Access Community Health Network (Chicago)
• Accountable Care Chicago (a joint effort by Chicago's Swedish Covenant Hospital, Norwegian American Hospital and Mercy Hospital & Medical Center)

The state signed the ACE model into law in July 2013. The model will be Illinois' latest coordinated care effort, in which providers manage the care of a group of Medicaid patients and eventually assume financial responsibility for all treatment within a fixed amount of money per patient, according to the report.

Late last month, ACEs were notified if they received preliminary approval or fell into a second tier that would lead them on a path toward approval. Illinois' state healthcare and family services department wants more information from the groups, such as demonstrating that they have enough providers to treat patients, before they sign ACE contracts with the state, according to the report.

ACE agreements span three years: shared savings within first 18 months, partial risk after 18 months and full risk after 3 years. ACEs must have at least 40,000 enrollees in Cook County, 20,000 in Chicagoland's collar counties and 10,000 downstate.

More Articles on Medicaid ACOs:
7 States Establishing Medicaid ACOs
North Carolina Officials Roll Out Plan for Medicaid ACOs
10 Health Centers in Minnesota Form Safety-Net Medicaid ACO


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