Here are the numbers.
1) Kudos to Memorial Hermann for generating almost 10% of the shared savings for the program.
2) Thirty of the ACOs generated 80% of the savings.
3) Of the 203 ACOs reporting results, 150 (73%) received no shared savings payments (but incurred significant infrastructure costs).
4) If one assumes infrastructure cost of $1.5-$3 million per ACO (which is conservative) the 203 ACOs reporting data spent in excess of $300-$600 million on infrastructure and received a collective shared savings payout in the range of $300 million.
Clearly, reality has caught up to the healthcare policy theorists – how long will they perpetuate this failed concept?
We all joked that 'ACO" stands for “Awesome Consulting Opportunity”— The Medicare Shared Savings Program may have been a windfall for consultants, but it does not appear that most of the providers received any material benefit.