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Top 10 Performing ACOs in North Carolina (2024)
This page summarizes MSSP performance for ACOs with notable North Carolina presence.
Home / Data Tools / MSSP Results / MSSP State Rankings / North Carolina
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 | NC Benes | NC Counties | NC % | Earned Savings | Savings Rate | Quality |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Novant Health Accountable Care Organization I, LLC | EN | 53,594 | 51,103 | 89 | 95.4% | $24.9M | 5.8% | 94.5 |
| 2 | Aledade Duwamish ACO, LLC | EN | 48,902 | 48,992 | 99 | 100.2% | $38.4M | 9.4% | 92.5 |
| 3 | Duke Connected Care, LLC | EN | 42,353 | 42,531 | 98 | 100.4% | $18.6M | 4.7% | 89.0 |
| 4 | Carolinas HealthCare System ACO, LLC | B | 47,973 | 38,880 | 81 | 81.0% | $7.3M | 3.2% | 81.6 |
| 5 | UNC Senior Alliance, LLC | EN | 37,698 | 33,942 | 96 | 90.0% | $2.2M | 0.6% | 90.6 |
| 6 | Mission Health Partners, LLC | B | 29,213 | 30,015 | 66 | 102.7% | $5.0M | 4.1% | 77.7 |
| 7 | Coastal Plains Network, LLC | B | 18,694 | 19,612 | 70 | 104.9% | $2.7M | 3.0% | 82.4 |
| 8 | The Accountable Care Organization, Ltd. | EN | 74,586 | 18,383 | 84 | 24.6% | $42.6M | 5.9% | 87.5 |
| 9 | Physician Quality Partners, LLC | EN | 18,476 | 18,094 | 61 | 97.9% | $3.0M | 1.9% | 98.7 |
| 10 | Aledade Accountable Care 102, LLC | EN | 12,651 | 14,547 | 91 | 115.0% | $8.1M | 8.2% | 84.5 |
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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