HealthLeaders Media January 10, 2020
John Commins

Stakeholders say ‘Pathways to Success’ mandates have dampened ACO enthusiasm for the program.


– The 2020 participation level is one fewer than the 518 ACOs that participated in 2019, and down from the high of 561 ACOs that participated in 2018.

– Only 35 MSSP ACOs are entering their first contract with CMS in 2020, compared with an average of 107 new ACOs annually between 2012 and 2018.

– Nearly 200 ACOs are taking on downside risk in 2020, more than double the number of ACOs taking risk at the start of 2019.

Participation in the Medicare Shared Savings Program held steady for 2020, with 517 accountable care organizations participating in the value-based payment program, the Centers for...