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Top 10 Performing ACOs in North Dakota (2024)
This page summarizes MSSP performance for ACOs with notable North Dakota presence.
Home / Data Tools / MSSP Results / MSSP State Rankings / North Dakota
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 | ND Benes | ND Counties | ND % | Earned Savings | Savings Rate | Quality |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Caravan Health ACO 43 LLC | A | 93,021 | 8,453 | 40 | 9.1% | $12.4M | 2.4% | 80.4 |
| 2 | Caravan Health ACO 50 LLC | EN | 126,751 | 3,478 | 34 | 2.7% | $0 | 1.4% | 84.3 |
| 3 | Essentia Health | EN | 28,317 | 3,211 | 37 | 11.3% | $16.7M | 5.8% | 87.6 |
| 4 | Caravan Health ACO 22 LLC | EN | 328,733 | 1,104 | 19 | 0.3% | $127.1M | 4.0% | 84.3 |
| 5 | Mayo Clinic Community ACO, LLC | EN | 58,614 | 121 | 30 | 0.2% | $32.8M | 5.1% | 96.5 |
| 6 | Caravan Health ACO 41 LLC | EN | 38,705 | 98 | 12 | 0.3% | $0 | -0.3% | 90.0 |
| 7 | Banner Health Network | EN | 53,573 | 71 | 32 | 0.1% | $21.2M | 4.1% | 95.4 |
| 8 | Billings Clinic | B | 11,692 | 25 | 8 | 0.2% | $0 | -0.4% | 71.3 |
| 9 | Carilion Clinic Medicare Shared Savings Company, LLC | EN | 40,526 | — | 1 | — | $16.2M | 4.7% | 65.9 |
| 10 | Bellin Health Partners, Inc. | EN | 10,308 | — | 1 | — | $9.8M | 11.0% | 98.6 |
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%.
Related Links
- Previous state: North Carolina
- Next state: Ohio
- All 51 MSSP state pages
- MSSP Results interactive dashboard
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