Jefferson School of Population Health, Philadelphia, Pennsylvania.
Popul Health Manag. 2013;16 Suppl 1:S12-6. doi: 10.1089/pop.2013.1681.
New Jersey's 3-year Medicaid Accountable Care Organization (ACO) Demonstration Project was the result of a bipartisan effort to address the quality and cost issues regarding the State's safety net population. The legislation sets forth a framework that allows communities to customize ACOs to meet the unique needs of their population. Camden, Trenton, and Newark are currently experimenting with implementation at various levels. This article documents the context, journey, challenges, and future direction of the legislation through the accounts of 7 stakeholders whose roles were integral in the process of its creation, marketing, and eventual implementation. Their individual perspectives serve not only as an historical record of events but also as a guide for states seeking reference for implementing their own ACO framework.
新泽西州为期三年的医疗补助（Medicaid）责任制医疗组织（ACO）试点项目是两党合作的成果，旨在解决该州医疗保障人群的质量和成本问题。该立法规定了一个框架，允许社区根据其人口的独特需求定制 ACO。卡姆登、特伦顿和纽瓦克目前正在不同层面上试行实施。本文通过 7 位利益相关者的叙述，记录了该立法的背景、历程、挑战和未来方向，他们的角色对于立法的制定、推广和最终实施至关重要。他们的个人观点不仅是事件的历史记录，也为寻求参考以实施自己的 ACO 框架的各州提供了指导。
