“All I Do Is Win”: Why Beating Benchmarks Doesn’t Mean That ACOs Are Reducing Costs

Health Affairs April 15, 2025
Andrew M. Ryan, Adam A. Markovitz, Hayden Rooke-Ley

Editor’s Note

This article is the latest in the Health Affairs Forefront featured topic, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care. Additional articles will be published throughout 2025. Readers are encouraged to review the Call for Submissions for this featured topic. We are grateful to Arnold Ventures for their support of this work.

Even as most value-based payment (VBP) models fail to generate savings, public officials and industry leaders tout the ostensible success of Medicare’s accountable care organizations (ACOs). In a recent Health Affairs Forefront article, Biden Administration officials celebrated the $2.1 billion in savings in 2023 in the signature Medicare...

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