Innovative Approaches to Accountable Care

In 2018, it was estimated that 10 percent of the population was receiving care under an Accountable Care Organization (ACO) approach to health care delivery. Recent enrollment data from 2019 indicated that ACO enrollment is composed of 55% commercial ACO models, 7% Medicaid and 38% Medicare, which indicates a diverse approach to ACO integration across insurance markets. With many states moving toward value-based care, and a quality over quantity approach emerging in health reforms across the country, Health Policy News has created an informative overview of ACO programs for states considering changes to their care delivery systems in the commercial and/or public insurance spheres.

Our report, “Innovative Approaches to Accountable Care,” and accompanying ACO Tracking Tool are designed for state policy leaders looking for insights into the program design approaches and implementation of accountable care delivery in other states. The report includes brief narratives of a few specific states, including Vermont, Colorado and Oregon, that have robust ACO programs in place; the tracking tool contains details about 10 unique state approaches to ACOs.

ACOthumbnailAdditionally, while states are increasingly on the leading edge of ACOs, there is an existing structure for ACO delivery systems at the federal level that may provide states with a model for implementation, as well as opportunities for alignment. Our report also includes federal ACO models, federal and state standards for regulation, and national models for ACO accreditation.

To read the full report and view the ACO tracking tool, please click on the thumbnail to the right.

ACO Webinar and Discussion


HPN hosted a webinar and discussion of the report on November 14th and have posted the presentation for those unable to attend the webinar. We hope that those who were able to attend found the topic timely, and the insights applicable to the ever changing care delivery landscape. To view the presentation, click the image on the left. 

As always, please contact us at with any questions for our subject matter experts.

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