Healthcare Insights
Top 5 ACOs in North Carolina by gross savings
Accountable care organizations (ACOs) are collaborative networks of healthcare providers, including physicians, hospitals, and specialists, who voluntarily coordinate care for specific patient populations. These organizations focus on delivering high-quality, cost-effective care to Medicare-eligible patients, particularly older adults and individuals with chronic conditions or disabilities. By improving communication and coordination, North Carolina ACOs aim to reduce healthcare costs while enhancing patient outcomes.
ConnectedCareView tracks Medicare savings for ACOs in each state, including North Carolina. This metric is calculated by subtracting total beneficiary expenditures from an ACO’s total expenditures, revealing the savings (or losses). These savings are then shared between the ACO and the Centers for Medicare and Medicaid Services (CMS). Understanding this data is crucial for companies looking to engage with ACOs in North Carolina.
| Rank | Definitive ID | NC ACO name | City | ACO start date | (Gross) generated savings/losses | Patient population | Explore dataset |
|---|---|---|---|---|---|---|---|
| 1 | 963623 | Carolinas HealthCare System ACO LLC | Charlotte | 2018 Q1 | $30,466,217 | 76,950 | Explore |
| 2 | 904009 | Novant Health Accountable Care Organization I | Charlotte | 2017 Q1 | $15,275,530 | 63,519 | Explore |
| 3 | 800743 | Mission Health Partners LLC | Asheville | 2015 Q1 | $13,678,455 | 39,464 | Explore |
| 4 | 552113 | Coastal Carolina Quality Care | New Bern | 2012 Q2 | $10,487,442 | 11,063 | Explore |
| 5 | 800710 | Coastal Plains Network | Greenville | 2015 Q1 | $8,995,965 | 35,955 | 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 North Carolina generated the greatest savings?
Definitive Healthcare’s data reveals that Carolinas HealthCare System ACO LLC led North Carolina’s accountable care organizations in 2024, generating over $30 million in Medicare savings while serving more than 76,000 patients across the state.
In second place is Novant Health Accountable Care Organization I, which achieved $15.3 million in gross savings. This Charlotte-based ACO, serving more than 63,000 patients, excels at delivering patient-centric care. It leverages electronic health records (EHRs) to ensure that patients receive appropriate, non-duplicative treatments.
Rounding out the top three is Mission Health Partners LLC, which reported gross savings of $13.6 million in 2024. With a patient population of nearly 40,000, this Asheville-based ACO’s integrated care model promotes efficient healthcare delivery while lowering overall costs.
The top 5 ACOs in North Carolina grossed an average of $15.8 million in savings. These ACOs have about 45,390 patients on average, resulting in savings of approximately $348 per patient.
What are the benefits of an ACO?
ACOs provide significant advantages to healthcare providers and patients through coordinated and streamlined care. Below are three key benefits of North Carolina ACOs:
- Improved accessibility: ACOs in North Carolina prioritize patient access by offering flexible hours, including evening and weekend appointments, making it easier for patients to receive care when they need it. This accessibility helps ensure that health issues are addressed promptly, reducing the likelihood of costly emergency room visits.
- Enhanced communication: Providers within an ACO maintain open communication channels with patients, ensuring they are active participants in their healthcare decisions. By working closely with their doctors, patients in ACOs are more likely to receive personalized care, improving satisfaction and long-term health outcomes.
- Better care quality: North Carolina accountable care organizations only provide the necessary tests and treatments, reducing redundant services and unnecessary costs. Through the use of EHRs and care coordination, providers can review a patient’s entire history, ensuring no tests are repeated and that each patient receives the appropriate care.
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