Medicaid Accountable Care Organization Programs: State Profiles

To date, nine states have launched Accountable Care Organization (ACO) programs for all or part of their Medicaid population, and 10 more are actively pursuing ACOs. While state ACO models differ widely, all share the following core components: payment model, quality measurement approach, and data strategy. This brief summarizes these core ACO characteristics and profiles how nine states – CO, IL, IA, ME, MN, NJ, OR, UT, and VT – have incorporated these elements into their Medicaid ACOs. For each state, it outlines key ACO infrastructure; details unique payment, quality, and data approaches; and spotlights one of the state’s Medicaid ACOs.