The Centers for Medicare and Medicaid Services says its Medicare and Pioneer accountable care organization initiatives have saved more than $380 million. However, participants doing well are a distinct minority.

In the first 12 months of the Medicare Shared Savings Program, 54 of 114 ACOs had lower expenditures than anticipated. Twenty-nine of the 54 ACOs generated shared savings of more than $126 million while generating $128 million in net savings to Medicare Trust Funds, based on interim results, with final results expected later in 2014. Interim results are currently within the range projected for the first year, according to CMS.

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