Accountable care organizations participating in Track 1 of the Medicare Shared Savings Program, which has no financial penalty for missing goals, have struggled to contain costs and, as a group, increased Medicare spending, while those that have taken on downside financial risk reduced federal spending. Many ACOs that failed to reach targets and instead owe money are likely to leave the program and might not have the resources to participate in any value-based care models.
Downside-risk ACO tracks achieve savings
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