In the short time that accountable care organizations (ACOs) have formally been a part of the health care landscape, they have grown to cover more than 32 million patients across every state in the country. To better understand current trends and predict future developments in the accountable care community, the National Association of ACOs (NAACOS) and Leavitt Partners collaborated to develop the Annual ACO Survey. This article presents an overview of the results from the inaugural 2017 Annual ACO Survey and provides important insights into the current and future state of the ACO industry.Overall, we found that a large number of ACOs are currently considering or have firm plans to participate in future risk-based contracts (47 percent planning for shared savingsshared risk and 38 percent planning for capitation), although care management strategies are largely unchanged. This and the data below suggest that ACOs are slowly becoming willing to accept increased financial risk, but they are largely still learning how to actually manage populations.

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