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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.

Top ACOs in Texas ranked by gross savings

RankACO nameCity(Gross) generated savings/lossesACO start datePatient populationMSSP trackExplore dataset
1Baylor Quality Health Care Alliance LLCDallas$107,634,710 2015 Q1118,167ENHANCEDExplore
2Elite Patient Care LLCAustin$64,059,095 2022 Q111,585ENHANCEDExplore
3Houston Methodist Coordinated CareHouston$43,951,902 2017 Q146,666ENHANCEDExplore
4CHRISTUS Health Quality Care Alliance Irving$37,662,913 2016 Q160,512ENHANCEDExplore
5WellMed Texas Medicare ACO LLCSan Antonio$19,703,971 2020 Q127,212Basic Level EExplore
6Seton Accountable Care Organization Austin$19,602,766 2014 Q121,533Basic Level EExplore
7Prime Care ManagersLongview$16,323,564 2017 Q117,952ENHANCEDExplore
8WellMed Greater Texas Medicare ACO LLCSan Antonio$15,724,233 2020 Q113,679Basic Level EExplore
9Privia Quality Network Gulf Coast II LLCHouston$13,075,603 2018 Q112,294ENHANCEDExplore
10Covenant ACOLubbock$10,712,586 2014 Q112,545Basic Level EExplore
11WellMed DFW Medicare ACO LLCSan Antonio$10,146,668 2020 Q18,005Basic Level AExplore
12UT Health San Antonio Regional Physician NetworkSan Antonio$8,868,641 2019 Q311,963Basic Level AExplore
13WellMed Tampa/Orlando Medicare ACO LLCSan Antonio$8,024,245 2020 Q111,547Basic Level AExplore
14Baptist Integrated Physician PartnersSan Antonio$8,008,332 2012 Q321,907Basic Level EExplore
15Del Norte Accountable Care OrganizationGonzales$7,934,691 2016 Q14,590Basic Level BExplore
16Accountable Care Coalition of Northeast Partners LLCHouston$7,245,933 2020 Q17,754Basic Level EExplore
17Memorial Hermann Accountable Care OrganizationHouston$7,198,654 2012 Q327,806Basic Level EExplore
18Methodist Patient Centered ACODallas$4,978,983 2012 Q37,910ENHANCEDExplore
19St Joseph Regional Health Partners ACOBryan$4,678,737 2014 Q16,261Basic Level EExplore
20Zenith Independent Physicians ACONew Braunfels$3,596,138 2022 Q17,544Basic Level BExplore

Fig 1. Data from the Definitive Healthcare ConnectedCareView product. ACO data is sourced from the Centers for Medicare & Medicaid Services and proprietary research. Data accessed December 2024.

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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Healthcare Insights are developed with healthcare commercial intelligence from the Definitive Healthcare platform. Want even more insights? Start a free trial today and get access to the latest healthcare commercial intelligence on hospitals, physician groups, ACOs, and other providers.