The 2010 law authorized the creation of pediatric accountable treatment institutions within Medicaid. Such pilot tasks were supposed to start Jan. 1. The planned program would link Medicaid provider pay to patient outcomes and supposedly monitor the higher-profile version of adult ACOs in Medicare. After a rocky initial start, the adult edition of ACOs has gotten under way, however the Medicaid children’s edition seems to have stalled . Related StoriesHealthcare technology social event of the full year opens entriesYale researchers find improvements in mortality, hospitalizations and outcomes among Medicare patientsTissue Regenix strengthens position in post-acute wound care market with Medicare insurance coverage for DermapureMeanwhile, customer advocates are being educated to lobby for the right kind of ACOs.You also should become aware of any of the following issues. Failure to handle issues in nonemergency cases may mean you can pay for your treatment yourself. The issues are as follows:Restrictions your insurance provider or HMO has relating to emergency or urgent careWhat constitutes crisis or urgent care When you are necessary to contact the business or your personal doctorWhich hospitals your insurance coversIf you are ill and you curently have gone to a hospital, contact your insurance provider or HMO as soon as possible.. Admission Process Level of care: You’ll be admitted to a particular degree of care in a healthcare facility.