Evaluation of Medicaid ACO Operations and Care Management Strategies

This project is a detailed qualitative evaluation of the operations and care management strategies pursued by the three certified Accountable Care Organizations (ACOs) participating in the NJ Medicaid ACO Demonstration Project and one “look-alike ACO” in Paterson. The approach involves semi-structured interviews of ACO clinical and administrative leaders and observations of care management strategies. Performance metrics for each ACO based on analysis of Medicaid claims data will be shared during interviews in order to elicit leaders’ assessments of the implications for current and future care management efforts.