10 ACOs with the most shared savings in 2018

Medicare Shared Savings Program ACOs generated $739.4 million in net savings for the Medicare program across 548 ACOs in 2018, CMS Administrator Seema Verma announced in Health Affairs Sept. 30.

The 2018 data shows quality improvement continued, and many of the previously observed cost trends continued. Top performers on spending tend to be in two-sided risk contracts, physician-led and low-revenue, according to Ms. Verma. These trends informed the agency's new Pathways to Success program, an MSSP overhaul that began in July. 

Here are the top 10 ACOs for total earned shared savings in 2018:

  1. Palm Beach Accountable Care Organization (Palm Springs, Fla.) — $50.1 million
  2. Millennium Accountable Care Organization (Fort Myers, Fla.) — $29 million
  3. Hackensack (N.J.) Alliance ACO — $21.6 million
  4. Privia Quality Network (Arlington, Va.) — $20.1 million
  5. Beaumont ACO (Southfield, Mich.) — $19.9 million
  6. Trinity Health Integrated Care (Livonia, Mich.) — $18.7 million
  7. Baylor Scott & White Quality Alliance (Dallas) — $18.7 million
  8. Physician Organization of Michigan ACO (Ann Arbor) — $18.1 million
  9. Federation ACO (Portage, Mich.) — $17.4 million
  10. Advocate Physician Partners Accountable Care (Rolling Meadows, Ill.) — $15.7 million

Figures are rounded to the nearest hundred thousand. ACOs share in savings by meeting a quality performance standard and saving at a rate equal to or greater than a minimum benchmark. Total earned shared savings are adjusted for quality performance.


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