Research Paper

State-of-the-Union Report
Medicare Accountable Care Organizations

Healthcare transformation is on the move and value-based care is the new talk of the town. In this new journey, Accountable Care is at the forefront.

Since their inception, the MSSP ACOs saved around $1 billion for US healthcare. This has not just led to the biggest accountability shift witnessed in the healthcare space but has also established ACOs as the ideal models on the foundations of which the future is being planned.

In this series of reports, we have demarcated the quality, performance, utilization, and expenditure data for every region based on the performance of Medicare ACOs in the MSSP P.Y. 2017. The report is divided into 3 segments that cover the ins and outs of the value-based journey of the US.

  • Part 1 discusses the value-based journey of Medicare Accountable Care Organizations in the USA and their current state.
  • Part 2 provides the national and regional level performance analysis of Medicare ACOs across the nation spread across various regions.
  • Part 3 highlights the value-based journey of every Medicare ACO, especially the ones participating in the Medicare Shared Savings Program (MSSP) along with their detailed performance analysis.

Some highlights from the reports include:

  • Out of 472 MSSP ACOs in the PY 2017, 433 were in Track 1, 6 were in Track 2, and 33 were in Track 3.
  • As of May 2019, 60M beneficiaries were enrolled in Medicare with 37.38% of them having a Medicare Advantage plan too.
  • 22 states had their overall risk-adjusted expenditure per capita fall below the national average.
  • Based on the analysis of the Social Determinants of Health affecting the US, it was found that North Dakota was the least vulnerable to SDOH factors, while Hawaii was the most vulnerable.
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