Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans
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Description
Explores the relationship between Medicare Advantage (MA) enrollment and beneficiary attribution to Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). Describes the growth of ACO assignment and MA enrollment between 2013 and 2023 by county-level rurality. Compares the characteristics of micropolitan and noncore counties with high and low ACO and MA penetration in 2023. Discusses the implications of expanding MA and ACO enrollment in rural areas.
Author(s)
Edmer Lazaro, Fred Ullrich, Dan M. Shane, Keith Mueller
Date
06/2026
Organization
RUPRI Center for Rural Health Policy Analysis
Tagged as
Accountable Care Organizations
· Medicare
· Reimbursement and payment models
· Rural-urban differences
· Statistics and data
