During hearings this week, the Missouri House of Representatives’ Interim Committee on Medicaid Transformation will discuss cost sharing and managed care, such as Accountable Care Organizations. State health experts say ACOs have been successful with Medicare and could be viable options for Missouri’s Medicaid system.
According to the American Hospital Association, ACOs are partnerships between hospitals and physicians to coordinate and deliver efficient care. Providers show accountability for improving health care quality and reducing costs. Some Medicare ACOs in Missouri include BJC HealthCare and Heartland Regional Medical Center. Both hospital systems act as ACOs within the Centers for Medicare and Medicaid Services’ (CMS) Medicare Shared Savings Program.