The Policy and Practice Legacy of the New Jersey Medicaid ACO Demonstration Project

J Ambul Care Manage. Jan/Mar 2020;43(1):2-10. doi: 10.1097/JAC.0000000000000308.


The New Jersey Medicaid Accountable Care Organization (ACO) Demonstration was created with a unique combination of features regarding ACO geography, involvement of managed care organizations (MCOs), and shared savings parameters. Ultimately, the Demonstration did not lead to a sustainable accountable care financing model and shared savings were deemphasized. Instead, the ACOs evolved into community health coalitions focused on coordinating and enhancing a wide range of activities in partnership with state government, private health systems, community leaders, and MCOs. Currently, the state is developing policy parameters to reposition the ACOs as regional partners to implement state-directed population health initiatives.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accountable Care Organizations / economics*
  • Health Care Reform
  • Health Policy
  • Humans
  • Medicaid / economics*
  • New Jersey
  • Organizational Policy
  • Quality of Health Care
  • United States