Resources
Top 10 Performing ACOs in St. Louis, MO-IL (2024)
This page summarizes MSSP performance for ACOs with notable presence in this MSA.
Home / Data Tools / MSSP Results / MSSP MSA Rankings / St. Louis, MO-IL
MSA rank: 5 of top 50 by beneficiary footprint. CBSA: 41180. MSA total beneficiaries: 147,860.
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 | Mercy Health ACO, LLC | EN | 113,505 | 49,500 | 43.6% | 15 | $75.9M | 7.0% | 88.2 |
| 2 | BJC HealthCare ACO, LLC | EN | 31,836 | 40,309 | 126.6% | 15 | $0 | 0.4% | 92.9 |
| 3 | SSM ACO, LLC | EN | 15,288 | 21,563 | 141.0% | 14 | $8.6M | 5.6% | 75.6 |
| 4 | St. Luke's ACO, LLC | B | 11,613 | 20,475 | 176.3% | 15 | $0 | 0.7% | 82.2 |
| 5 | HSHS ACO, L.L.C. | B | 22,436 | 4,335 | 19.3% | 14 | $3.1M | 2.7% | 86.0 |
| 6 | Illinois Rural Community Care Organization LLC | B | 31,394 | 3,185 | 10.1% | 12 | $6.6M | 5.5% | 72.1 |
| 7 | Aledade Accountable Care 22, LLC | E | 13,737 | 2,398 | 17.5% | 12 | $8.4M | 9.4% | 87.2 |
| 8 | The Rural Advantage LLC | A | 10,760 | 1,539 | 14.3% | 14 | $0 | 2.1% | 71.9 |
| 9 | OSF Healthcare System | EN | 46,924 | 1,407 | 3.0% | 11 | $32.3M | 8.1% | 77.4 |
| 10 | Health Choice Care, LLC | E | 8,555 | 791 | 9.2% | 7 | $6.6M | 13.0% | 80.9 |
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: Washington-Arlington-Alexandria, DC-VA-MD-WV
- Next MSA: Atlanta-Sandy Springs-Alpharetta, GA
- All top 50 MSA pages
- MSSP Results interactive dashboard
For more granular data, more recent data, or scientific analysis support, please email us.