On August 25, 2021, the Centers for Medicare & Medicaid Services (CMS) released the 2020 performance results for accountable care (ACOs) participating in the Medicare Shared Savings Program (MSSP).

Program Participation Statistics

In 2020, 513 ACOs participated in the MSSP, covering 10.6 million beneficiaries across the country – down from 541 ACOs covering 11.2 million beneficiaries by the end of 2019, which included January starters as well as the ACOs who joined the program mid-year as the first official cohort under Pathways to Success.

January 2020 marked the second start date for ACOs joining under the redesigned program. According to former CMS Administrator Seema Verma at the start of the performance year, CMS approved 53 applications for new ACOs to join the program in 2020 (though some industry experts cited a lower number of truly new ACOs) along with 100 renewing ACOs.


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