Off-trail in Oregon. Armed with CMS grant, Ore. lawmakers aim to cut Medicaid costs with coordinated ACO.

In an effort to battle soaring Medicaid costs, Oregon is experimenting with coordinated care organizations with the hopes of saving $11 billion over 10 years. Dr. George Brown, president and CEO of Legacy Health, says, "My prediction is that we will be successful. It will be a lot of hard work, but if we're not, it will be much worse."