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Performance of New York’s Accountable Care Organizations in Year 2 of the Medicare Shared Savings Program

  • By: United Hospital Fund
  • Date: April 2016
  • Priority Area: Advancing Primary Care
  • Type: Resources
  • Category: Report
  • Document: Download


This United Hospital Fund report, supported by NYSHealth, examines how New York’s Accountable Care Organizations (ACOs) performed during the second year of the federal Medicare Shared Savings Program. 

The Medicare Shared Savings Program is encouraging provider groups across the nation to develop high-performing, integrated health care delivery systems. It also coincides with other State plans to move from fee-for-service to value-based payment systems, such as Delivery System Reform Incentive Payment (DSRIP) program. Twenty-one ACOs in New York have been in the Medicare Shared Savings Program long enough to generate results to date.

This report reviews results from New York’s ACOs and seeks to identify characteristics associated with successful programs. Among the findings, the State’s ACOs lag in the national experience on cost savings but outperform it on quality results. Several possible factors that may be contributing to the results are considered, including experience, size, organizational model, and geography.