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Top 10 Performing ACOs in Sacramento-Roseville-Folsom, CA (2024)
This page summarizes MSSP performance for ACOs with notable presence in this MSA.
Home / Data Tools / MSSP Results / MSSP MSA Rankings / Sacramento-Roseville-Folsom, CA
MSA rank: 28 of top 50 by beneficiary footprint. CBSA: 40900. MSA total beneficiaries: 63,720.
Published: February 24, 2026. Coverage year: 2024 performance.
Data source: mssp results by top 50 MSA.
Top 10 Table
| Rank | ACO Name | Track | Total Benes | MSA Benes | MSA % | MSA Counties | Earned Savings | Savings Rate | Quality |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Sutter Preferred Direct Contracting Entity LLC | E | 125,041 | 19,508 | 15.6% | 4 | -$3.3M | -0.6% | 69.3 |
| 2 | Dignity Health Care Network LLC | B | 66,951 | 13,670 | 20.4% | 4 | $0 | 1.6% | 86.3 |
| 3 | Aledade Arkansas ACO, LLC | EN | 43,818 | 7,625 | 17.4% | 4 | $33.5M | 6.9% | 89.6 |
| 4 | The Accountable Care Organization, Ltd. | EN | 74,586 | 6,448 | 8.6% | 4 | $42.6M | 5.9% | 87.5 |
| 5 | River City Medical Group ACO LLC | EN | 7,727 | 5,917 | 76.6% | 4 | $2.0M | 4.2% | 51.2 |
| 6 | Aledade Accountable Care 147, LLC | E | 21,007 | 4,735 | 22.5% | 4 | $7.8M | 5.1% | 83.1 |
| 7 | ACO Collaborative, LLC | A | 6,299 | 1,966 | 31.2% | 3 | $1.5M | 5.4% | 89.8 |
| 8 | Aledade Accountable Care 91, LLC | E | 30,716 | 1,296 | 4.2% | 4 | -$1.4M | -1.0% | 74.0 |
| 9 | Achiever Health Care Consultation and Management LLC | E | 2,964 | 744 | 25.1% | 4 | $0 | 1.4% | 72.8 |
| 10 | Aledade Accountable Care 60, LLC | EN | 28,831 | 601 | 2.1% | 4 | $46.6M | 12.1% | 83.6 |
Ranking approach: top 50 MSAs by beneficiary footprint, then top 10 ACOs within each MSA by rank.
Method note: County data lags results by 1 year, so the MSA % column could be over 100%.
Related Links
- Previous MSA: Jacksonville, FL
- Next MSA: Los Angeles-Long Beach-Glendale, CA
- All top 50 MSA pages
- MSSP Results interactive dashboard
For more granular data, more recent data, or scientific analysis support, please email us.