Healthcare Insights
Top 20 ACOs in Texas
The Medicare Shared Savings Program (MSSP) allows providers, hospitals, and others involved in patient care to create an accountable care organization (ACO) that can earn back a portion of the total amount of savings they generate by coordinating care for Medicare beneficiaries. An ACO takes on all accountability for the cost, quality, and experience of care for an assigned Medicare fee-for-service (FFS) beneficiary population.
Using data from the Definitive Healthcare ConnectedCareView product, this list ranks the top ACOs headquartered in Texas by their gross generated savings.
| Rank | Definitive ID | ACO name | City | ACO start date | Patient population | Earned shared savings payments | (Gross) generated savings | Explore dataset |
|---|---|---|---|---|---|---|---|---|
| 1 | 800687 | Baylor Quality Health Care Alliance LLC | Dallas | 2015 Q1 | 129,866 | $47,128,684 | $96,365,360 | Explore |
| 2 | 846874 | CHRISTUS Health Quality Care Alliance | Irving | 2016 Q1 | 63,512 | $12,218,627 | $31,534,424 | Explore |
| 3 | 552219 | Memorial Hermann Accountable Care Organization | Houston | 2012 Q3 | 43,213 | $11,491,733 | $29,560,729 | Explore |
| 4 | 1010058 | WellMed Texas Medicare ACO LLC | San Antonio | 2020 Q1 | 27,330 | $14,475,006 | $28,950,011 | Explore |
| 5 | 903971 | Houston Methodist Coordinated Care | Houston | 2017 Q1 | 32,677 | $19,439,369 | $26,247,250 | Explore |
| 6 | 583250 | Seton Accountable Care Organization | Austin | 2014 Q1 | 23,810 | $8,818,385 | $18,207,131 | Explore |
| 7 | 800699 | Baylor St Luke's Health Network ACO | Houston | 2015 Q1 | 16,405 | $8,512,151 | $17,574,859 | Explore |
| 8 | 904029 | Premier Care Community | Carrollton | 2017 Q1 | 14,651 | $5,793,826 | $14,927,731 | Explore |
| 9 | 552124 | RGV ACO Health Providers | Donna | 2012 Q2 | 10,354 | $9,456,735 | $12,728,308 | Explore |
| 10 | 963486 | Privia Quality Network Gulf Coast II LLC | Houston | 2018 Q1 | 12,075 | $5,091,075 | $10,426,523 | Explore |
| 11 | 903993 | Mid-Atlantic Collaborative Care LLC | Houston | 2017 Q1 | 9,744 | $4,084,642 | $10,211,605 | Explore |
| 12 | 904032 | Prime Care Managers | Longview | 2017 Q1 | 16,236 | $3,997,055 | $9,992,637 | Explore |
| 13 | 583224 | Premier Patient Healthcare | Carrollton | 2014 Q1 | 11,020 | $4,298,247 | $8,831,068 | Explore |
| 14 | 963628 | Genesis Physicians Group | Dallas | 2018 Q1 | 6,502 | $4,182,206 | $8,634,912 | Explore |
| 15 | 1010055 | WellMed DFW Medicare ACO LLC | San Antonio | 2020 Q1 | 8,136 | $3,425,562 | $8,563,904 | Explore |
| 16 | 552220 | Methodist Patient Centered ACO | Dallas | 2012 Q3 | 12,801 | $6,006,309 | $8,213,756 | Explore |
| 17 | 552122 | Premier ACO Physicians Network | Dallas | 2012 Q2 | 6,730 | $2,607,236 | $6,728,881 | Explore |
| 18 | 1010057 | WellMed Tampa/Orlando Medicare ACO LLC | San Antonio | 2020 Q1 | 7,988 | $2,250,803 | $5,627,007 | Explore |
| 19 | 583259 | Covenant ACO | Lubbock | 2014 Q1 | 15,207 | $2,467,947 | $5,095,517 | Explore |
| 20 | 583258 | St Joseph Regional Health Partners ACO | Bryan | 2014 Q1 | 7,626 | $1,613,185 | $4,163,386 | Explore |
Fig 1. Data from the Definitive Healthcare ConnectedCareView p product. ACO data is sourced from the Centers for Medicare & Medicaid Services and proprietary research. Data accessed September 2022.
Which ACO in Texas has the highest savings?
Baylor Quality Health Care Alliance in Dallas has the highest gross savings among Texas ACOs at more than $96 million. This MSSP is also the top ACO in the nation by gross saving. Its total gross savings is three times more than the next MSSP ACO on the Texas list, CHRISTUS Health Quality Care Alliance, with $31 million in savings.
The top 20 ACOs in Texas on this list had an average gross savings of $18 million. The ACOs have an average patient population of about 24,000 for a savings of about $760 per patient. That is nearly twice the average gross savings nationally of $390 per patient in 2020.
What are ACO gross savings?
ACO gross savings (or losses) is a calculation total benchmark expenditures minus total aligned beneficiary expenditures. It shows the total amount saved or lost by the organization and represents the total savings (or losses) to be split between the ACO and the Centers for Medicare and Medicaid (CMS).
What are ACO shared savings?
ACO shared savings (or losses) is the ACO’s portion of the gross savings generated that is split with CMS.
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