MSSP ACO Explorer / States / Puerto Rico

Medicare Shared Savings Program ACOs in Puerto Rico

In PY 2024, 1,063 Medicare beneficiaries in Puerto Rico were assigned to 19 Shared Savings Program ACOs with 11 or more members in the state, 5.3% of the state's assignable fee-for-service beneficiaries. 9 of its 78 counties are fully rural under HRSA's definition and 31 are partly rural.

5.3%ACO penetration, PY 2024

1,063assigned beneficiaries

19ACOs with 11 or more members

9 of 78counties fully rural (HRSA)

Open the County Map All ACOs

Largest ACOs in Puerto Rico, PY 2024

ACO	Assigned in state	Share of state ACO members	ACO savings rate	ACO earned savings
PBACO Holding, LLC	41	3.8%	8.9%	$107.9M
Caravan Health ACO 22 LLC	30	2.8%	4.0%	$127.1M
Treasure Coast Integrated Healthcare, LLC	26	2.4%	4.9%	$9.5M
FACS MEDICARE ACO, LLC	24	2.2%	0.9%	$0
Mass General Brigham ACO, LLC	24	2.2%	2.4%	$39.2M
Cleveland Clinic Medicare ACO, LLC	19	1.8%	4.5%	$33.6M
North Shore-LIJ MSSP ACO, LLC	19	1.8%	3.7%	$18.3M
Collaborative Care of Florida LLC	17	1.6%	2.2%	$3.7M
Mayo Clinic Community ACO, LLC	15	1.4%	5.1%	$32.8M
Privia Quality Network, LLC	15	1.4%	11.0%	$56.9M
Houston Methodist Coordinated Care	15	1.4%	8.8%	$50.4M
Caravan Health ACO 43 LLC	15	1.4%	2.4%	$12.4M
Trinity Integrated Care, LLC	13	1.2%	1.2%	$12.8M
NYP-CU-WC Integrated Services, LLC	13	1.2%	-0.5%	$0
Beth Israel Deaconess Physician Organization, LLC	13	1.2%	0.3%	$0
JFK Population Health Company, LLC	13	1.2%	5.1%	$18.8M
UMASS Memorial Accountable Care Organization, INC.	13	1.2%	4.9%	$11.9M
Accountable Care Organization of Pennsylvania, LLC	13	1.2%	6.4%	$49.4M
WellMed Foundation Medicare ACO, LLC	13	1.2%	3.3%	$2.0M

Assigned beneficiaries are counted where they live. Savings rate and earned savings are each ACO's overall results, not results within the state. CMS suppresses county counts of 1 to 10; totals count each at the calibrated average shown on the Methodology page.