Healthcare Insights
Top 20 ACOs in Texas
The Medicare Shared Savings Program (MSSP) allows providers, hospitals, and others involved in patient care to create an accountable care organization (ACO) that can earn back a portion of the total amount of savings they generate by coordinating care for Medicare beneficiaries. An ACO takes on all accountability for the cost, quality, and experience of care for an assigned Medicare fee-for-service (FFS) beneficiary population.
Using data from the Definitive Healthcare ConnectedCareView product, this list ranks the top ACOs headquartered in Texas by their gross generated savings.
Rank | ACO name | City | (Gross) generated savings/losses | ACO start date | Patient population | MSSP track | Explore dataset |
---|---|---|---|---|---|---|---|
1 | Baylor Quality Health Care Alliance LLC | Dallas | $107,634,710 | 2015 Q1 | 118,167 | ENHANCED | Explore |
2 | Elite Patient Care LLC | Austin | $64,059,095 | 2022 Q1 | 11,585 | ENHANCED | Explore |
3 | Houston Methodist Coordinated Care | Houston | $43,951,902 | 2017 Q1 | 46,666 | ENHANCED | Explore |
4 | CHRISTUS Health Quality Care Alliance | Irving | $37,662,913 | 2016 Q1 | 60,512 | ENHANCED | Explore |
5 | WellMed Texas Medicare ACO LLC | San Antonio | $19,703,971 | 2020 Q1 | 27,212 | Basic Level E | Explore |
6 | Seton Accountable Care Organization | Austin | $19,602,766 | 2014 Q1 | 21,533 | Basic Level E | Explore |
7 | Prime Care Managers | Longview | $16,323,564 | 2017 Q1 | 17,952 | ENHANCED | Explore |
8 | WellMed Greater Texas Medicare ACO LLC | San Antonio | $15,724,233 | 2020 Q1 | 13,679 | Basic Level E | Explore |
9 | Privia Quality Network Gulf Coast II LLC | Houston | $13,075,603 | 2018 Q1 | 12,294 | ENHANCED | Explore |
10 | Covenant ACO | Lubbock | $10,712,586 | 2014 Q1 | 12,545 | Basic Level E | Explore |
11 | WellMed DFW Medicare ACO LLC | San Antonio | $10,146,668 | 2020 Q1 | 8,005 | Basic Level A | Explore |
12 | UT Health San Antonio Regional Physician Network | San Antonio | $8,868,641 | 2019 Q3 | 11,963 | Basic Level A | Explore |
13 | WellMed Tampa/Orlando Medicare ACO LLC | San Antonio | $8,024,245 | 2020 Q1 | 11,547 | Basic Level A | Explore |
14 | Baptist Integrated Physician Partners | San Antonio | $8,008,332 | 2012 Q3 | 21,907 | Basic Level E | Explore |
15 | Del Norte Accountable Care Organization | Gonzales | $7,934,691 | 2016 Q1 | 4,590 | Basic Level B | Explore |
16 | Accountable Care Coalition of Northeast Partners LLC | Houston | $7,245,933 | 2020 Q1 | 7,754 | Basic Level E | Explore |
17 | Memorial Hermann Accountable Care Organization | Houston | $7,198,654 | 2012 Q3 | 27,806 | Basic Level E | Explore |
18 | Methodist Patient Centered ACO | Dallas | $4,978,983 | 2012 Q3 | 7,910 | ENHANCED | Explore |
19 | St Joseph Regional Health Partners ACO | Bryan | $4,678,737 | 2014 Q1 | 6,261 | Basic Level E | Explore |
20 | Zenith Independent Physicians ACO | New Braunfels | $3,596,138 | 2022 Q1 | 7,544 | Basic Level B | Explore |
Which ACOs in Texas have the highest savings?
The ACOs with the highest gross savings in Texas are Baylor Quality Health Care Alliance LLC, Elite Patient Care LLC, and Houston Methodist Coordinated Care. Baylor Quality Health Care Alliance, based in Dallas, Texas, has generated an impressive $107,634,710 in savings, with a large patient population of 118,167. Elite Patient Care has already achieved significant savings of $64,059,095 despite a smaller patient population of 11,585. Lastly, Houston Methodist Coordinated Care, serving 46,666 patients, has generated $43,951,902 in savings. All three organizations have effectively leveraged the Enhanced track of the MSSP, which provides more flexibility and incentives for improving care coordination and reducing costs, resulting in substantial financial and healthcare efficiency outcomes.
What are ACO gross savings?
ACO gross savings (or losses) is a calculation total benchmark expenditures minus total aligned beneficiary expenditures. It shows the total amount saved or lost by the organization and represents the total savings (or losses) to be split between the ACO and the Centers for Medicare and Medicaid (CMS).
What are ACO shared savings?
ACO shared savings (or losses) is the ACO’s portion of the gross savings generated that is split with CMS.
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