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  2. Accountable Care
March 01, 2017 11:00 PM

How much risk can an ACO take?

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    It's been five years since Medicare rolled out its first program for accountable care organizations. Although some ACOs are sharing in greater risk, most are sticking to Medicare's safer, upside-only track. Use the interactive below to explore which programs Medicare ACOs are participating in in 2017.

    Search for an ACO to see which program it participates in:

    Shared Savings Track 1
    Track 1 is upside only, so that ACOs share in savings but not in losses.
    Shared Savings Track 2
    Track 2 share savings and losses with Medicare at a rate of up to 60%.
    Shared Savings Track 3
    ACOs in Track 3 share savings and losses with Medicare at a rate of up to 75%.
    Comprehensive ESRD Care Model
    The Comprehensive End-Stage Renal Disease Model (CEC) includes one-sided and two-sided risk tracks. This accountable care model for Medicare beneficiaries with end-stage renal disease brings together dialysis clinics, nephrologists and other providers.
    Next Generation
    Next Generation ACOs can choose from two arrangements for taking on risk. In one, they can share savings and losses of up to 80% in the first three years, then 85% in the following two years. The other arrangement offers them shared savings and losses of up to 100%.
    : ACOs share in savings, not losses.     : ACOs share in savings and losses.
    Source: Centers for Medicare & Medicaid Services
    Note: Displayed are ACOs remaining in Medicare programs in 2017. Pioneer Model is no longer active, so it's excluded from display.

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