Healthcare Insights
Top ACOs in California by gross savings
Accountable care organizations (ACOs) are networks of healthcare providers, including physicians, hospitals, and specialists, who collaborate to provide coordinated, high-quality care to specific patient populations. California ACOs focus on improving care for Medicare-eligible individuals, particularly older adults and those with chronic conditions or disabilities. These organizations strive to improve health outcomes, reduce healthcare costs, and offer a seamless experience for patients by prioritizing coordinated and holistic care.
California accountable care organizations generate substantial savings through coordinated care efforts. Using data from our ConnectedCareView, product, a tool that allows us to monitor healthcare data at both the organizational and patient level, we’ve compiled a list of the top ACOs in California ranked by their gross Medicare savings. An ACO’s total savings are determined by subtracting its total beneficiary expenditures from total expenditures. The resulting value represents savings (or, in some cases, losses) shared between the ACO and the Centers for Medicare and Medicaid (CMS).
| Rank | Definitive ID | CA ACO name | City | ACO start date | (Gross) generated savings/losses | Explore dataset |
|---|---|---|---|---|---|---|
| 1 | 1010027 | Dignity Health Care Network LLC | San Francisco | 2020 Q1 | $28,359,743 | Explore |
| 2 | 1002251 | University HealthCare Alliance Accountable Care Organization LLC | Newark | 2019 Q3 | $27,795,783 | Explore |
| 3 | 963612 | Family Choice ACO LLC | Westminster | 2018 Q1 | $14,679,438 | Explore |
| 4 | 1002245 | Achiever Health Care Consultation and Management LLC | Sacramento | 2019 Q3 | $8,130,026 | Explore |
| 5 | 904022 | Pacific Accountable Care | Poway | 2017 Q1 | $7,493,978 | Explore |
| 6 | 583204 | Akira Health of Fresno | San Jose | 2014 Q1 | $5,168,198 | Explore |
| 7 | 800670 | Akira Health of Los Angeles Inc | San Jose | 2015 Q1 | $2,354,518 | Explore |
Fig 1. Data is from the Definitive Healthcare ConnectedCareView product. Data is sourced from Definitive Healthcare’s proprietary research and CMS Physicians Compare. Data accurate as of September 2024.
Which ACOs in California generated the greatest savings in 2024?
Our data reveals that Dignity Health Care Network LLC led all California ACOs in 2024, generating over $28 million in gross Medicare savings. Based in San Francisco, this ACO serves more than 68,000 patients, making it one of the largest organizations in the state.
Following closely behind, University HealthCare Alliance Accountable Care Organization achieved savings of more than $27 million in 2024. With a patient population of over 23,000, this ACO, located in Newark, demonstrates the potential for medium-sized ACOs to drive significant cost reductions. Through its focus on patient-centered care and collaboration across providers, this organization has consistently ranked among the top performers in the state.
In third place is Family Choice ACO LLC, which generated more than $14 million in savings while managing the care of over 11,000 patients in Westminster. Despite its smaller size compared to other top-performing ACOs, Family Choice’s success highlights the impact of efficient coordination, communication, and shared goals in delivering high-quality healthcare.
The top ACOs in California had an average gross savings of $13.4 million, with a patient population averaging 19,446. This results in approximately $690 in savings per patient.
What are the benefits of an ACO?
U.S. ACOs provide numerous advantages to patients and healthcare providers by bringing together a range of services into a single, coordinated network. ACOs in California promote better patient experiences, improve outcomes, and lower costs across the healthcare system. These are some of their key benefits:
- Improved access to care: California accountable care organizations typically offer extended hours and flexible scheduling, ensuring that patients have timely access to the care they need. This reduces the need for emergency room visits and provides patients with better support, even during evenings or weekends.
- Enhanced communication: ACOs emphasize patient involvement in care decisions. Open communication between providers and patients leads to more personalized care, greater satisfaction, and better adherence to treatment plans. This also encourages stronger relationships between patients and their care teams, improving health outcomes.
- Cost efficiency: By avoiding unnecessary tests and procedures, ACOs reduce healthcare costs for patients and providers. A coordinated care approach ensures that services are delivered efficiently, with electronic health records (EHRs) enabling providers to track patient history and avoid duplication of services.
Learn more
Healthcare Insights are developed using the intelligence provided by the Definitive Healthcare platform. For companies seeking more detailed insights into California ACOs, physician groups, CA hospitals, and other healthcare providers, start a free trial today to access the latest commercial healthcare intelligence and uncover opportunities in the California healthcare landscape.
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