Maine: Accountable Care Communities

Population Focus: Medicaid beneficiaries
Intervention Type: Service redesign
Type of Literature: Grey
link: https://www.maine.gov/dhhs/oms/vbp/accountable.html
Abstract

MaineCare’s AC program contracts with groups of providers who volunteer to participate in the shared savings model. If an AC succeeds in reducing costs while meeting quality benchmarks, the AC shares in the savings it achieves for the MaineCare program in the form of a shared savings payment, which is tied to the amount of the AC’s savings and its quality performance.

Insights Results

Results

  • Year 1 results: $5.4 million in savings to MaineCare and $961K in shared savings (32,070 members so $2.50 per member per month (PMPM) in shared savings (Avalere analysis))
  • Year 2 results: $9.7 million in savings to MaineCare and $2.6 million in shared savings (45,781 members so $2.91PMPM in shared savings (Avalere analysis))
  • Year 3 results: $9.0 million in savings to MaineCare and $1.5 million in shared savings (52,067 members so $2.32PMPM in shared savings (Avalere analysis))
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