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The Medicare ACO program covers close to a third of total Medicare Beneficiaries, and in 2018, it was comprised of 548 individual organizations. Out of the total ACO cohort, 66% saved Medicare money using benchmarking methods, and another 37% saved Medicare money but didn’t save enough to achieve shared savings. That means that 2018 has had the best performance to date, which also reinforces a point that has been made by NAACOS (National Association of ACOs), that organizations that stay in the program over the long haul perform incrementally better each year. What was even more notable, is the fact that ACOs that had taken on 2-sided risk (upside and downside) saved even more compared to ACOs with only 1-sided risk.