Accountable Care in the U.S.
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. ACOs’ focus on whole-person care, managing cost and quality for the full year, and developing population health infrastructure drives continued success.
Since 2012, ACOs have generated $37.4 billion in savings and returned $13.5 billion in net savings to the Medicare Trust Fund.
In 2024 alone, ACOs generated $9.1 billion in savings and returned $3.4 billion in net savings to the Medicare Trust Fund.
|
State |
ACOs |
ACO |
Savings to Medicare* |
 |
 |
 |
 |
|
Alabama |
28 |
161,894 |
$38.3million |
|
Alaska |
5 |
22,221 |
$9 million |
|
Arizona |
36 |
293,273 |
$53.1 million |
|
Arkansas |
25 |
205,466 |
$36.3 million |
|
California |
64 |
870,641 |
$211.8 million |
|
Colorado |
19 |
223,473 |
$69.1 million |
|
Connecticut |
14 |
121,794 |
$37.8 million |
|
Delaware |
11 |
73,569 |
$16.9 million |
|
Florida |
89 |
926,223 |
$295.9 million |
|
Georgia |
36 |
334,750 |
$82.4 million |
|
Hawaii |
9 |
32,605 |
$9.6 million |
|
Idaho |
14 |
87,916 |
$9.1 million |
|
Illinois |
43 |
623,457 |
$157.6 million |
|
Indiana |
36 |
329,098 |
$94.7 million |
|
Iowa |
23 |
227,178 |
$27.7 million |
|
Kansas |
16 |
154,550 |
$52 million |
|
Kentucky |
22 |
171,925 |
$27.5 million |
|
Louisana |
19 |
176,541 |
$47.7 million |
|
Maine |
6 |
58,830 |
$21.4 million |
|
Maryland |
25 |
159,971 |
$43.6 million |
|
Massachusetts |
28 |
521,799 |
$98.1 million |
|
Michigan |
39 |
391,959 |
$90.8 million |
|
Minnesota |
20 |
212,138 |
$49.1 million |
|
Mississippi |
17 |
157,260 |
$28 million |
|
Missouri |
25 |
249,408 |
$46 million |
|
Montana |
14 |
87,767 |
$17.9 million |
|
Nebraska |
12 |
134,803 |
$25.1 million |
|
Nevada |
11 |
80,523 |
$25.5 million |
|
New Hampshire |
16 |
106,779 |
$26.5 million |
|
New Jersey |
46 |
423,397 |
$148 million |
|
New Mexico |
15 |
59,987 |
$14 million |
|
New York |
62 |
655,443 |
$222.4 million |
|
North Carolina |
39 |
473,102 |
$124.7 million |
|
North Dakota |
5 |
27,713 |
$3 million |
|
Ohio |
38 |
454,563 |
$135.9 million |
|
Oklahoma |
18 |
191,420 |
$45.5 million |
|
Oregon |
21 |
164,395 |
$32.2 million |
|
Pennsylvania |
41 |
592,233 |
$148 million |
|
Rhode Island |
6 |
44,737 |
$9.2 million |
|
South Carolina |
33 |
320,306 |
$63.6 million |
|
South Dakota |
7 |
49,637 |
$2.7 million |
|
Tennessee |
43 |
318,359 |
$75.9 million |
|
Texas |
82 |
878,764 |
$288.1 million |
|
Utah |
8 |
100,828 |
$28 million |
|
Vermont |
4 |
11,658 |
$2.3 million |
|
Virginia |
30 |
453,138 |
$117.6 million |
|
Washington |
27 |
316,274 |
$54 million |
|
West Virgina |
11 |
100,158 |
$19.6 million |
|
Wisconsin |
22 |
258,113 |
$52.4 million |
|
Wyoming |
7 |
19,753 |
$4.2 million |
*Net savings is the total amount of money ACOs saved Medicare.