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.

Top ACOs in Texas ranked by gross savings

  Rank   Definitive ID   ACO name   City   ACO start date   Patient population   Earned shared savings payments   (Gross) generated savings
1 800687 Baylor Quality Health Care Alliance LLC Dallas 2015 Q1 129,866 $47,128,684 $96,365,360
2 846874 CHRISTUS Health Quality Care Alliance Irving 2016 Q1 63,512 $12,218,627 $31,534,424
3 552219 Memorial Hermann Accountable Care Organization Houston 2012 Q3 43,213 $11,491,733 $29,560,729
4 1010058 WellMed Texas Medicare ACO LLC San Antonio 2020 Q1 27,330 $14,475,006 $28,950,011
5 903971 Houston Methodist Coordinated Care Houston 2017 Q1 32,677 $19,439,369 $26,247,250
6 583250 Seton Accountable Care Organization Austin 2014 Q1 23,810 $8,818,385 $18,207,131
7 800699 Baylor St Luke's Health Network ACO Houston 2015 Q1 16,405 $8,512,151 $17,574,859
8 904029 Premier Care Community Carrollton 2017 Q1 14,651 $5,793,826 $14,927,731
9 552124 RGV ACO Health Providers Donna 2012 Q2 10,354 $9,456,735 $12,728,308
10 963486 Privia Quality Network Gulf Coast II LLC Houston 2018 Q1 12,075 $5,091,075 $10,426,523
11 903993 Mid-Atlantic Collaborative Care LLC Houston 2017 Q1 9,744 $4,084,642 $10,211,605
12 904032 Prime Care Managers Longview 2017 Q1 16,236 $3,997,055 $9,992,637
13 583224 Premier Patient Healthcare Carrollton 2014 Q1 11,020 $4,298,247 $8,831,068
14 963628 Genesis Physicians Group Dallas 2018 Q1 6,502 $4,182,206 $8,634,912
15 1010055 WellMed DFW Medicare ACO LLC San Antonio 2020 Q1 8,136 $3,425,562 $8,563,904
16 552220 Methodist Patient Centered ACO Dallas 2012 Q3 12,801 $6,006,309 $8,213,756
17 552122 Premier ACO Physicians Network Dallas 2012 Q2 6,730 $2,607,236 $6,728,881
18 1010057 WellMed Tampa/Orlando Medicare ACO LLC San Antonio 2020 Q1 7,988 $2,250,803 $5,627,007
19 583259 Covenant ACO Lubbock 2014 Q1 15,207 $2,467,947 $5,095,517
20 583258 St Joseph Regional Health Partners ACO Bryan 2014 Q1 7,626 $1,613,185 $4,163,386

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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