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Nearly one-third of MSSP ACOs generated shared savings in 2016

Nov 20, 2017

According to the Centers for Medicare and Medicaid Services (CMS), 31 percent of the accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP), or 134 out of 432, generated shared savings in 2016, the program’s fifth performance year and fourth year of reporting results.

For the year, participating ACOs collectively reduced Medicare spending by $652 million. Those that generated shared savings earned performance payments exceeding $700 million, CMS data show.

Palm Beach ACO achieved the highest amount of shared savings, at $30.5 million, followed by Advocate Physician Partners Accountable Care ($28.9 million), Hackensack Alliance ACO ($22.8 million), USMM Accountable Care Partners ($21.2 million) and AMITA Health ACO ($20.5 million).

Palm Beach ACO has been a top 2 performer each of the four years of the program, topping Memorial Hermann ACO for the first time in 2016.

On a per-beneficiary basis—a better measure of improved efficiency—New York-based Balance ACO led all ACOs with $4,666 saved, followed by the Accountable Care Coalition of Maryland Primary Care ($3,211) and USMM Accountable Care Partners ($2,493).

None of the Track 2 ACOs shared losses, whereas four of the Track 3 ACOs did.
Of the ACOs that started with the program in 2012, 42 percent earned shared savings in the fifth performance year, while 18 percent of the ACOs that started with the program last year earned shared savings.

With regard to quality, 330 of the 428 ACOs that were subject to pay-for-performance measures attained an average quality score of 94 percent. ACOs that participated in the program longer showed greater improvement in quality performance, CMS noted.

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