HCTTF December 2, 2025
The Medicare Shared Savings Program (MSSP) is the largest federal initiative to promote accountable care and value-based payments. HCTTF and COPE Health Solutions jointly developed an issue brief assessing Accountable Care Organizations (ACOs) in this model, finding that:
- From 2022-2024, 60% of participating ACOs operated in two-sided risk models, with risk increasing with time in the program.
- ACOs taking on downside risk delivered higher...







