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Accountable care organizations (ACO) that have switched tracks to take on downside risk tend to be larger, located in urban areas, and more successful on financial metrics, according to a recent report. However, the report did not find any significant relationship between switching to downside risk tracks and improvement on quality or public health metrics. The report, released February 25 by Leavitt Partners, analyzes data from ACOs that switched to downside risk tracks to learn how other ACOs can succeed in those tracks and identify ways that CMS may be able to fine-tune tracks to improve results.
Overall, switching tracks appears to have benefited ACOs. According to the report, ACOs that switched tracks had higher savings rates, higher gross savings per beneficiary, and higher net savings per beneficiary to CMS.