Medicaid states delivery system reform activity 2019-2020

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This statistic displays the activity of Medicaid delivery system reforms in the United States in fiscal years 2019 and 2020. In fiscal year 2019, there were 14 states with ACO initiatives already in place. Improvements in the delivery systems can help provide access, increase quality, and create budget certainty.

Number of U.S. states with delivery system reform activity for Medicaid in FY 2019 and FY 2020

Characteristic	In place in FY 2019	New/expanded in FY 2020***
PCMH*	30	4
ACA health homes	22	6
ACO initiative**	14	8
Episode of care	6	2
DSRIP	10	0
Any delivery system initiatives	44	14

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Release date

October 2019

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Region

United States

Survey time period

as of October 2019

Supplementary notes

Expansions of existing initiatives include rollouts of existing initiatives to new areas or groups and significant increases in enrollment or providers.
* PCMH = Patient-Centered Medicaid Homes.
** ACO = Accountable Care Organizations.
*** Projected.

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