Spending and Utilization Indicators in the New Jersey Medicaid ACO Demonstration Project
This report provides a first assessment of spending and utilization indicators related to the New Jersey Medicaid Accountable Care Organization Demonstration Project. It documents quarterly trends in total cost of care, emergency department visits, total inpatient admissions, preventable admissions, readmissions, and post-discharge follow up visits during the pre-Demonstration period and the first year of the Demonstration. As descried below and in other reports, Demonstration Year 1 was predominantly a transitional year, as the ACOs were just beginning to receive data feeds from the state and were contending with an uncertain funding landscape. Thus, the information in this report reflects mostly baseline conditions that the ACOs did not expect to alter in a significant way in Year 1. Moreover, this report is part of a sequence of evaluation documents and should not be viewed in isolation from the rest of the sequence.
encourage and negotiate such participation