Accountable care organizations participating in the Medicare Shared Savings Program have only modestly lowered the program’s spending overall. They saved the program about $314 million in 2017, which is a fraction of Medicare’s total spending of nearly $706 billion that year.
But certain ACOs have done better than their peers. These high-performers that have both reduced Medicare spending while still providing high-quality healthcare have a few things in common. They all work with doctors to increase their awareness of what medical services cost, while also encouraging patients — particularly those with costly chronic conditions — to get involved in their own healthcare.