Health Affairs September 2, 2015
Accountable care strategies are spreading from Medicare and commercial insurance arenas to Medicaid programs, thus extending the benefits of payment and delivery reform to the safety net. Medicaid Accountable Care Organizations (ACOs) are now emerging in 18 states and a quarter of all ACOs nationally have contracts with Medicaid. The Centers for Medicare and Medicaid Services (CMS) and many state Medicaid programs have committed to accelerate this movement toward accountable care.
Community health centers are well suited to pursue accountable care strategies and serve as the integrators of care on a community basis for a variety of reasons. Health centers are a key provider of primary care to large segments of the Medicaid and uninsured populations, and a strong primary...