2017 MSSP ACOs By The Numbers

by Clive Riddle

CMS has announced their 2017 new and renewing ACOs, so we took a somewhat deeper dive into what comprises this year’s MSSP ACO roster, along with who dropped out. For starters, though, here’s the 2017 totals including the other active ACO types (there are also 9 remaining ACOs in the non-active Pioneer model):

•          MSSP - 480
•          Next generation - 45
•          Comprehensive ESRD (CEC) – 47
•          Total: 572

52 MSSP ACOs participating in 2016 dropped out of the program for 2017. 8 of these started in 2012, 11 in 2013, 22 in 2014, 8 in 2015, 3 in 2016.

For the 480 MSSP ACOs participating in 2017, with respect their track:

•          Track 1 – 438
•          Track 2 – 6
•          Track 3 – 36

17 of these ACOs remain in the non-active Advance Payment program. 45 of these ACOs are the AIM program, and 25 are in the SNF 3 day waiver program.

With respect to geography, when classifying the MSSP ACOs by the primary state they serve (many ACOs serve markets in more than one state), 16 states comprise over two-thirds (68%) of the total:

•          FL 44 ACOs
•          TX 44 ACOs
•          NY 34 ACOs
•          CA 25 ACOs
•          MI 20 ACOs
•          NJ 19 ACOs
•          NC 18 ACOs
•          IL 17 ACOs
•          GA 15 ACOs
•          IN 15 ACOs
•          MD 14 ACOs
•          OH 14 ACOs
•          KY 13 ACOs
•          VA 13 ACOs
•          PA 12 ACOs
•          MA 11 ACOs

With respect to their initial year joining the program, MSSPs break down as follows:

•          2012: 49 ACOs (14%)
•          2013: 63 ACOs (13%)
•          2014: 79 ACOs (16%)
•          2015: 77 ACOs (16%)
•          2016: 97 ACOs (20%)
•          2017: 99 ACOs (21%)