Utah Proposes ACO Arrangements for Medicaid

Utah officials plan to submit a proposal to transition the state’s Medicaid program into ACO-like arrangements with managed care providers, according to a Salt Lake Tribune report.

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Two public hearings on the plan will be held this week.

Under the proposal, Medicaid beneficiaries could choose between two or more privately managed ACOs. The Medicaid program would pay the managed care providers a lump monthly sum based on the health status of the enrollees assigned to
each ACO, and providers could share in any cost savings achieved.

Related Articles on ACOs:
AHA Issues Response to Proposed ACO Antitrust Policy, Urges IRS to Offer Guidance
CMS Shares Specific Provisions for Rural Providers and ACOs
Berwick: New ACO Initiatives Not Due to Concerns Over Proposed Rules

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