Analysis of the performance of Medicare accountable care organizations in 2014 suggests progress in the Pioneer ACO and Shared Savings Programs during the third performance year, but many organizations still struggle to actually share in the savings. And, quality scores increased modestly.

In 2014, there were 20 Pioneer ACOs and 333 Medicare Shared Savings ACOs. Of these 353 ACOs, 97 qualified for shared savings payments totaling more than $422 million for meeting quality and savings thresholds, representing 27 percent of participants.

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