Role of state law in linking public health, primary care, and accountable care
This session will begin with an introduction to accountable care organizations and their scope, functions, and structures. The presentation will include a comparative analysis of state laws on Medicaid accountable and coordinated care, covering provisions related to legal authority, coverage, delivery system, data management, financing, compliance and accountability, and enforcement. The presenter will provide case studies of two local jurisdictions that have taken part in Medicaid accountable care and introduce data that describe the strengths and weaknesses of their programs based on the legal provisions that created them. The session will conclude with a discussion of the impact state laws can have in 1) linking public health and primary care and 2) requiring consideration of health outcomes in reimbursement mechanisms.
Learning Areas:Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Describe the role of state law in supporting accountable care organizations (ACOs). Identify the scope, functions, and structure of ACOs. Compare the state laws authorizing the creation and implementation of ACOs in two US jurisdictions. Discuss the role of public health in the ACOs created at the local level. Assess the strengths and weaknesses of two local ACOs.
Keyword(s): Law, Health Care Reform
Qualified on the content I am responsible for because: I have been the primary analyst on state laws related to accountable care at the Public Health Law Program at CDC for the last two years and have worked with federal, state, and local government officials to inform the research on this topic.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.