Under 11 Million in Assigned Beneficiaries in 2021 Number of ACOs declining
CMS reports 10.7 million assigned Medicare beneficiaries to ACOs at the beginning of 2021, or an average of 22,430 per entity. Since 2017, beneficiary assignment remained stagnant. Concurrently, the number of ACOs declined from a high of 561 to 477 in 2021.
Yet, ACOs manage the care of about 28% of all Original* Medicare beneficiaries.
Sixty-three percent of the Medicare eligible population (38.6 million) are in Original Medicare (ACO assignment targets) versus 37% enrolled in Medicare Advantage/other health plans (22.9 million).
ACOs are generating shared savings. An ACO in 2013 generated $660,000 in savings versus $3.6 million in 2019.
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