The Kasich administration claims it will save Ohio millions in healthcare expenses with pediatric ACOs. The problem-poor primary care and care coordintion. Primary care is not the problem. The problem is underfunding of family support services and case management including system navigators for at risk children/families. Funding has been reduced for these services in each budget cycle. The 37,000 plus children and families will not benefit from simply establishing ACOs that are not able to develop an effective network of support services for families. Furthermore, children's health care expenses are not cost drivers by any stretch of the imagination.
The National Academy for State Health Policy describes what should for children and youth with special healthcare needs which include should disabilities.
Summary of Ohio budget cuts that affect children with special needs.