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There are nine states with accountable care organizations (ACOs) – Colorado, Iowa, Illinois, Maine, Minnesota, New Jersey, Oregon, Utah, and Vermont. But as is true with state Medicaid programs, each state's ACO model has wide differences. As I wrote about last week in Understanding The Two Medicaid ACO Models, there are two basic models – the traditional shared savings model and the risk-based model. The traditional shared savings model modifies the Medicare Shared Savings Program and the risk-based model is an ACO-managed care hybrid.

But the differences in ACOs don’t end there. There are a number of . . .

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