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Accountable Care Organizations are gaining in popularity as a result of the ACA. BHM Healthcare Solutions, a healthcare management consulting firm, provides assistance to organizations as they transition to ACOs.

() Accountable Care Organizations began forming in the last quarter of 2010. Growth has been steadily increasing by about 30-40 most quarters, with huge upswings occurring towards the end of 2012 and the end of 2013. After 3 years, a total of 606 ACOs have been formed, including both Medicare and Medicaid. Leading the pack by number of ACOs per state is California with 58, followed closely by Florida with 55. Additionally, as of the most recently created ACOs in December 2013, ACOs are now in all states including the District of Columbia.

There are many different ACO models, demonstrations, and innovations. ACOs can take on different names in different states such as Coordinated Care Organizations (CCOs) or Care Coordination Entities (CCEs). Some states take more of a regional approach to capitation. Some states merely updated their current managed care contracts. Some are converting their Medicaid and/or Medicare contracts to ACOs. Some states provide choices such as per-member per-month or shared savings. Some states are piloting 3 year demonstrations. Some states are reimbursing based on quality measures while other states are reimbursing based on cost reduction, while others are using a combination approach.

The….

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