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Discuss the current status of Medicaid Managed Care in Colorado. What are the benefits and challenges?...

Discuss the current status of Medicaid Managed Care in Colorado. What are the benefits and challenges? How is it capitalizing on the benefits and how are they mitigating or responding to challenges?

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Colorado's Medicaid ACO model incorporates with social determinants of health for a patient care plan to improve care coordination. Colorado implement ACC(Accountable care collaboration) in 2011 over 7 regional care collaborative organizations in the state. Providers incentive payments for performance reach more than 75% of the state's Medicaid beneficiaries with ACC program. ACC program covers health care provider visits, Emergency service, dental care and transportation, newborn care and maternity care, pharmacy, lab services, occupational and physical therapy, family planning and preventive care. These services under Medicaid benefits behavioral health services. It addresses the social determinants of health that can impact health on patient medical issues. 19 states need a Medicaid managed care plan in 2017 to focus on social needs. The low socioeconomic population suffers from poor health outcomes. Medicaid beneficiaries should correct with poor housing, education, economic instability, and food insecurity. In Colorado establishing community communication and provide resources like food, job, housing can address social determinants.
Hospital readmission rates increase due to the risk of malnutrition. RCCO(Regional care collaboration organization) promotes the initiative to address the social determinants of health in hospitals, local public health agency for community health assessment to implement a collaborative strategy to reduce health inequity and disparity among the community. It increases the Medicaid population health improvement in the Colorado community.

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