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Top 10 Performing ACOs in Iowa (2024)
This page summarizes MSSP performance for ACOs with notable Iowa presence.
Home / Data Tools / MSSP Results / MSSP State Rankings / Iowa
Published: February 24, 2026. Coverage year: 2024 performance.
Data sources: mssp results and mssp size by county.
Top 10 Table
| Rank | ACO Name | Track | Total Benes | IA Benes | IA Counties | IA % | Earned Savings | Savings Rate | Quality |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Iowa Health Accountable Care, L.C. | EN | 53,282 | 70,122 | 98 | 131.6% | $6.3M | 1.4% | 95.1 |
| 2 | Mercy Health Network ACO, LLC | EN | 21,913 | 30,067 | 92 | 137.2% | $4.6M | 2.5% | 91.8 |
| 3 | Caravan Health ACO 20 LLC | EN | 94,272 | 25,980 | 76 | 27.6% | $50.2M | 5.7% | 85.0 |
| 4 | Caravan Health ACO 43 LLC | A | 93,021 | 23,786 | 91 | 25.6% | $12.4M | 2.4% | 80.4 |
| 5 | Genesis Accountable Care Organization, LLC | EN | 12,657 | 9,779 | 36 | 77.3% | $5.3M | 4.9% | 92.4 |
| 6 | Caravan Health ACO 50 LLC | EN | 126,751 | 9,535 | 67 | 7.5% | $0 | 1.4% | 84.3 |
| 7 | Mercycare Accountable Care Organization, LLC | EN | 9,005 | 9,105 | 45 | 101.1% | $4.1M | 5.2% | 91.8 |
| 8 | Caravan Health ACO 41 LLC | EN | 38,705 | 8,718 | 53 | 22.5% | $0 | -0.3% | 90.0 |
| 9 | MHN ACO, LLC | B | 5,212 | 7,006 | 36 | 134.4% | $1.8M | 6.8% | 82.5 |
| 10 | Nebraska Health Network, LLC | EN | 35,290 | 5,671 | 52 | 16.1% | $7.0M | 2.1% | 90.3 |
Ranking approach: rank by state beneficiary footprint, with MSSP financial and quality fields appended from 2024 performance files.
Method note: County data lags results by 1 year, so the state % column could be over 100%.
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