KY SCR9

Legislative Research Commission directed to procure a vendor to conduct a feasibility study for an Accountable Communities for Health (ACH) Medicaid delivery model pilot project, with results due by November 1, 2026

Study will assess potential pilot regions including the Lincoln Trail, Barren River, and Green River Area Development Districts, and evaluate options for creating a nonprofit mutual insurance company as an alternative to for-profit managed care organizations

Kentucky Medicaid costs have increased from approximately $5.9 billion annually in 2010 to a projected $20.6 billion in 2026, while enrollment grew roughly 50% from 920,000 to 1.4 million beneficiaries following the 2014 Medicaid expansion

All five current Kentucky Medicaid managed care organizations are publicly traded for-profit corporations required to maintain at least 90% medical loss ratios under state contracts

Resulting pilot project would be named the "20 by 30 Accountable Care Pilot Project," targeting a 20% improvement in patient and provider satisfaction and measurable population health gains by 2030