Special Report: Analyzing 2020 ACO Results and Factors for Success

The Medicare Shared Savings Program (MSSP) is the largest value-based care program from the Center for Medicare & Medicaid Services (CMS) to date. As of 2020, there were 513 ACOs participating in the program, with a total shared savings of $2.28 billion.

MSSP seeks to accomplish the following:

  • Promote accountability among healthcare institutions for the care delivered to a patient population.
  • Coordinate items and services to ensure that patients get the right care at the right time while avoiding unnecessary duplication of services and preventing medical errors.
  • Encourage investment in high quality healthcare and efficient healthcare services.

How do ACOs accomplish these goals, and how do they generate savings in the process?

In our previous blog, we profiled successful ACOs in the 2019 MSSP program and examined how they produced savings. We looked at how those trends changed in 2020. Year over year we saw a cohort of “All Star” ACOs and 2020 is no different.

In 2020, CMS had the fourth consecutive year of net positive savings for the MSSP Program. Additionally, due to the COVID-19 Pandemic, CMS waived all shared losses for at-risk ACOs in 2020.

2020 ACO Success At a Glance

Leveraging CareJourney’s 100% Medicare Fee-for-Service claims dataset, we analyzed available MSSP performance results from 2020 as well as utilization and quality metrics paired with total and per capita generated savings.

Using this data we quantified the savings of each ACO based on their benchmark minus expenditure amount on a per capita basis.

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