It was five years ago that my colleague, Monica E. Oss wrote about the "totally accountable care organization" or "TACO" described in a Health Affairs blog (see TACOs, Anyone?). Health Affairs wrote: Within state-run Medicaid programs, [there are now] ACOs tailored to the care needs of Medicaid's beneficiaries, many of whom have multiple chronic health and social challenges … [TACOs] offer the potential to push accountability for Medicaid populations, including those with complex needs, to a new level … beyond just medical care (for example, mental health, substance abuse treatment and other social supports). Roll forward five years, and there…
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