Medicare accountable care organizations (ACOs) have generated 1% to 2% reductions in Medicare program spending, according to a review of ACO evaluations between 2012 and 2016. The savings estimates were consistent for ACOs participating in the Medicare Shared Savings Program (MSSP) and for those participating in the Next Generation (NextGen) ACO model. The Medicare ACO savings stem from small reductions in hospital inpatient, hospital outpatient, and post-acute care use compared to what would have been spent if the ACO program did not exist. The Medicare savings estimate is before shared savings payments to those ACOs that earned savings. For . . .
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