The Medicaid Accountable Care Organization Update: The 2023 OPEN MINDS Market Intelligence Report

As of February 2023, there are 13 states with Medicaid accountable care organization (ACO) models: Colorado, Delaware, Idaho, Iowa, Maine, Massachusetts, Minnesota, New Jersey, New York, Oregon, Rhode Island, Utah, and Vermont.

Since 2016, three states have added Medicaid ACOs—Delaware, Idaho, and Ohio. These ACOs fall into two main models, shared savings ACOs and risk-based ACOs. Eight states adopted the traditional shared savings model: Connecticut, Delaware, Idaho, Maine, Massachusetts, Minnesota, New Jersey, New York, and Rhode Island; and six states have adopted the risk-based ACO model: Colorado, Idaho, Massachusetts, Oregon, Utah, and Vermont. It is notable that . . .