Citation: Journal of Ambulatory Care Management. 43(1):2-10, 2020 Jan/Mar.; .Journal: The Journal of ambulatory care management.Published: 2020; ; ISSN: 0148-9917.Full author list: DeLia D; Yedidia MJ.UI/PMID: 31770180.Subject(s): *Accountable Care Organizations/ec [Economics] | *Medicaid/ec [Economics] | Health Care Reform | Health Policy | Humans | New Jersey | Organizational Policy | Quality of Health Care | United StatesInstitution(s): MedStar Health Research InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access onlineDigital Object Identifier: https://dx.doi.org/10.1097/JAC.0000000000000308 (Click here)Abbreviated citation: J Ambulatory Care Manage. 43(1):2-10, 2020 Jan/Mar; .Local Holdings: Available online from MWHC library: 1999 - present.Abstract: The New Jersey Medicaid Accountable Care Organization (ACO) Demonstration was created with a unique combination of features regarding ACO geography, involvement of managed care organizations (MCOs), and shared savings parameters. Ultimately, the Demonstration did not lead to a sustainable accountable care financing model and shared savings were deemphasized. Instead, the ACOs evolved into community health coalitions focused on coordinating and enhancing a wide range of activities in partnership with state government, private health systems, community leaders, and MCOs. Currently, the state is developing policy parameters to reposition the ACOs as regional partners to implement state-directed population health initiatives.