Sincerest form of flattery.

As the CMS pushes for accountable care organizations, a number of states are adding ACO-like features to their Medicaid programs. Many see those changes as likely to boost quality while saving money. "The ability to appropriately manage and provide the services that those low-income patients need in a way that is cost-effective is the most important way to maintain access to care for all," says Kate Walsh, of Boston Medical Center.