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What is an ACO?

What is an ACO?

An Accountable Care Organization, or ACO, is a group of doctors, hospitals, and other health care providers that voluntarily coordinates care for a defined patient population. CMS programs can hold an ACO accountable for spending and quality measures. Participation describes a payment and care arrangement, not a judgment about any member provider.

Published
2026-07-20
Retrieved
Not reported
Snapshot
sha256:aba3ff0f1fe1945331b2f6631757d503333caabeee136ed9c9dd9c1b8ce26af7
Data as of
2026-07-20

Source artifact receipts

Each receipt below describes its exact retained artifact or live source. Dates and digests never cross artifact boundaries.

Scope and material limitation

What this answer covers

This is the CMS program definition. Specific ACO models have different contracts, attribution methods, benchmarks, measures, and financial-risk terms.

Dated source facts

What the cited record says

Source-snapshot manifest receipt

Reproducible lineage, explicitly unsigned

This receipt attests the source snapshot manifest, not any individual fact.

The answer-series chain record is unsigned. It does not authenticate a person, organization, eligibility state, or individual fact.

Snapshot manifest SHA-256
caf21806f9a894a48921cf6f3fb87959947c46f764ef34cf6b48218c15991b60
Previous chain SHA-256
031186650b1abc6f6b9c96cf4ff80cc7b3468a301efce7f247754b9b7a262b06
Current chain SHA-256
d50a2a235bf3d929e546f4529f2c427383d1a49b1aa1ac3a280cf7103ce87b7a
signature_linked_facts
0
Answer-series chain status
unsigned

Primary-source chain

Follow the answer to its source

  1. Accountable Care OrganizationsCenters for Medicare & Medicaid Services (CMS)Accessed:

    Limitation: This is a program definition. Participation in an ACO does not by itself establish the performance or quality of any organization or clinician.

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Methodology and limitations

How to interpret this answer

Methodology version: citation-answer/v1

  • No performance conclusion is inferred from participation.
Read the methodology

Frequently asked questions

Questions about this answer

Is an ACO an insurance company?
Not necessarily. An ACO is a provider arrangement accountable under a program model; its legal and contracting structure can vary.

What’s on file, by the numbers

Platform snapshot · 2026-08-30

13.4Mproviders & companiesProviders, organizations, owners, and facilities on file
26.2Msource-linked factsSource-linked field facts in the dated platform snapshot
90sources with dataDistinct snapshot source IDs with at least one positive record count
16fresh sourcesDistinct source IDs whose latest positive-data snapshot falls within the preceding 45 days
111sources integratedActive registry rows; integration does not establish a load
13state Medicaid jurisdictionsDistinct states represented in the state-exclusions serving table

Integrated, with-data, and fresh-observation counts are separate. No platform-wide source-completeness count is published. Completeness is source-specific and must be evaluated against the named source's expected scope. State coverage is a separate jurisdiction measure.

Source authority is record-specific

Use the issuer named on the record.

Fonteum spans federal, state, and global public publishers. A source page or returned record identifies its issuer and dataset where that metadata is available. A platform registry count does not assign every page to one authority or establish loaded, fresh, or complete coverage.

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Reproducible by design

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Source and date

Research pages expose the named public file and observation date where those fields are available. Source-file SHA-256 coverage is separate; facts do not currently link deterministically to signatures.

Available derivation

Studies with a retained release and committed derivation link the SQL or method used. Other studies state the evidence and reproduction limits they actually have.

Daily observations

Dated table row-count observations can detect local drift. They do not imply that an upstream publisher released or Fonteum ingested new data that day.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

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