MSSP ACO Explorer / All ACOs / Aledade Accountable Care 45, LLC
Aledade Accountable Care 45, LLC
Aledade Accountable Care 45, LLC (A4542) is a Medicare Shared Savings Program ACO based in California, in the ENHANCED track. In PY 2024 it had 54,712 assigned beneficiaries, spent 6.5% below its benchmark, and earned $36.0M in shared savings, with a quality score of 57.3. It appears in 6 performance years of CMS results, from 2019 to 2024.
6.5%savings rate, PY 2024 (median ACO 4.2%)
$36.0Mearned shared savings, PY 2024
57.3quality score, PY 2024 (median 83.1)
54,712assigned beneficiaries, PY 2024
Results by performance year
| Year | Track | Assigned | Savings rate | Benchmark minus spending | Earned savings or losses | Quality |
|---|---|---|---|---|---|---|
| 2024 | ENHANCED | 54,712 | 6.5% | $49.0M | $36.0M | 57.3 |
| 2023 | BASIC E | 41,114 | 5.4% | $26.9M | $13.2M | 77.6 |
| 2022 | BASIC D | 16,743 | 5.1% | $9.6M | $4.7M | 79.6 |
| 2021 | BASIC B | 24,214 | 2.1% | $5.4M | $0 | 80.5 |
| 2020 | BASIC B | 4,856 | 4.1% | $1.9M | $745K | 96.9 |
| 2019 July to December 2019 (6 months) | BASIC B | 5,587 | -4.5% | -$1.3M | $0 | 92.2 |
Savings rate is benchmark minus expenditures over benchmark, as CMS defines it. Quality scores before and after PY 2021 are on different scales.
Where its beneficiaries live
In PY 2024, Aledade Accountable Care 45, LLC had assigned beneficiaries in 297 counties. The ten largest:
| County | Assigned beneficiaries | Share of the ACO |
|---|---|---|
| Humboldt, CA | 8,801 | 16.1% |
| Shasta, CA | 6,729 | 12.3% |
| San Luis Obispo, CA | 6,219 | 11.3% |
| Tulare, CA | 5,467 | 10.0% |
| Santa Barbara, CA | 3,606 | 6.6% |
| Butte, CA | 2,719 | 5.0% |
| Madera, CA | 2,481 | 4.5% |
| Kern, CA | 2,361 | 4.3% |
| San Joaquin, CA | 2,225 | 4.1% |
| Fresno, CA | 2,031 | 3.7% |
CMS suppresses county counts of 1 to 10. Open the full footprint map in the explorer.