Forbes August 30, 2023
Once upon a time, Accountable Care Organizations were going to be the knight in shining armor, rescuing U.S. health care by “simultaneously improving health, improving patient experience and reducing per capita costs,” as an NCQA definition put it.
That hope seems like a far-away fairy tale when reading the latest ACO report from the Centers for Medicare & Medicaid Services. While ACOs, designed to give providers control over care, serve 11 million beneficiaries in their most popular form, their ranks have shrunk about 20 percent since their 2018 peak. By comparison, enrollment in health insurer-run Medicare Advantage plans has surged to 31 million members, or over half of all beneficiaries.
But the more important numbers may be that just under...