ACE Kids Act improves care and saves money

  • It improves care, by allowing states to opt in and be active participants in delivery system reform for children with medical complexity. It will create a network and system of care designed for and around children with medical complexity and their unique health care needs.
  • It saves money, by allowing states to tap into a proven model that will assure budget certainty and savings with a population in which Medicaid costs are shown to be increasing. Any money saved at the state level will also save the federal government money. States will retain control over the dollars appropriated for Medicaid in this manner.
  • This proposal can deliver an estimated $13 billion in total savings to Medicaid through increased efficiencies, including reducing hospitalizations and emergency room visits, while providing the array of outpatient and community services and support needed by these children.

 ACE Kids Act fulfills unmet needs

  • The model ensures that children have access to high quality services, and also avoids duplication of services. The current Medicaid model relies on each state having to create services they may not have—the ACE Kids model avoids duplication of services and ensures children access care in a smart way for this small population.
  • Greater consistent national data and quality standards is key to improving care for these children, and can’t be gathered under the current state-by-state Medicaid system. Due to the rare conditions these children face, consistent data across the country is key to improving the care, which will drive savings for the entire Medicaid program.
  • Federal legislation is needed because there is no national framework in place for this kind of model for children with medical complexity who have to cross state lines for their care. Data shows that children with medical complexity must cross lines to a very significant degree to receive care, due to the limited number of experts able to serve unique conditions.

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