For the second year running, Memorial Hermann led the list of shared savings with $22.7 million earned on $52.9 million in total savings. On a per-beneficiary basis, Memorial Hermann was also the only large ACO to make the list. Parrish, Florida-based Allcare Options topped all MSSPs, with $2,331 in savings per beneficiary. Also of note:    
  • Of 334 reporting ACOs, 92 (27.5%) had shared savings and 86 (25.7%) saved enough to earn savings from CMS. The top 15, listed below, represent 37% of total gross shared savings of $806.2 million. Net shared savings was $291.5 million.

  • About the same percentage of reporting ACOs reported shared savings in year one (27.1%) compared to year 2.

  • While 152 (45.5%) of reporting ACOs reported losses, there are two more important stats behind the numbers. Only 36 (10.8%) exceeded 5% of expenditures vs budget. Seven ACOs were outliers, exceeding 10% of expenditures vs. budget:

           Balance ACO—New York, NY, -10.2%
           Cedars-Sinai Medical Care Foundation—Beverly Hills, CA, -11.4%
           VirtuaCare—Marleton, NJ, -11.7%
           Maryland ACO East—National Harbor, MD, -11.7%
           AtlantiCare Health Solutions—Egg Harbor Township, NJ, -11.9%
           North Bend Medical Center—Coos Bay, OR, -12.2%
           Akira Health of Fresno—Fresno, Calif, -13.4%

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