LTC ACO

What LTC ACO does

LTC ACO is a private Accountable Care Organization headquartered in Kennett Square, Pennsylvania, that participates in the Medicare Shared Savings Program (MSSP). Founded in 2012, it is the first and longest-operating ACO in the United States built specifically for long-term care (LTC) and assisted living facility (ALF) providers, as well as primary care practices serving residents of those settings. The organization enrolls providers into the MSSP framework, manages care coordination for attributed Medicare beneficiaries, and shares in cost savings achieved against CMS-set regional benchmarks. LTC ACO reported per-beneficiary savings of $3,593 in 2023 — roughly seven times the average MSSP ACO — and ranked top three nationally in 2024 MSSP savings per beneficiary while advancing quality scores.

The company's product portfolio centers on MSSP participation, which offers participating providers up to 60% of achieved shared savings, and is supported by an integrated suite of ancillary services including primary care practice support, an orientation hub, clinical resources, quality and utilization outcomes reporting, beneficiary-facing materials, and regular newsletters. Underlying these services is an AI-powered predictive analytics platform tailored specifically to LTC and ALF care models, used for best-in-class reporting and actionable data insights. LTC ACO manages approximately $2.4B in Medicare benchmark expenditures and reports $330M+ in cumulative Medicare savings and $240M+ in CMS earned shared savings since inception.

Revenue is generated through outcome-based performance payments from CMS under the MSSP: LTC ACO received $48.7M in earned performance payments tied to 2024 results, against $66.2M in total Medicare savings generated that year. Distribution is direct via partnership agreements with healthcare providers, supplemented by co-marketing through the PALTmed Value-Based Care Joint Alliance in which LTC ACO holds founding membership. Marketing and lead generation run primarily through the company website, LinkedIn, and industry PR; partnership pricing is not publicly disclosed.

Name

LTC ACO

Legal name

LTC ACO

Website

https://ltcaco.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

LTC ACO is a private Medicare Shared Savings Program ACO, founded in 2012, that is the first ACO built specifically for long-term care and assisted living providers. It generates revenue through outcome-based shared savings payments from CMS, earned by coordinating care for attributed Medicare beneficiaries.

Ownership category

akta.pro rank

Product category

Accountable Care Organization / Value-Based Care Services

NAICS

Nursing and Residential Care Facilities (623)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro industry

PRIMARYFSAIAGAI

Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing)

Financial & Insurance/Insurance — Life & Health/Medicare Advantage & Medicare Supplement (Medigap)

SECONDARYFSAIAGAJ

Medicare Quality, Risk Adjustment & Stars Analytics/Services

Financial & Insurance/Insurance — Life & Health/Medicare Advantage & Medicare Supplement (Medigap)

SECONDARYFSAIAGAL

Medicare Member Engagement & Care Management (Utilization, Case/Disease Mgmt)

Financial & Insurance/Insurance — Life & Health/Medicare Advantage & Medicare Supplement (Medigap)

Keywords

• Value-based care services
• Accountable care organization
• Medicare shared savings program
• Long-term care coordination
• Predictive analytics healthcare

Headquarters

HQ city

Kennett Square

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Medicare Shared Savings Program (MSSP) Revenue: LTC ACO generates revenue through the Medicare Shared Savings Program by achieving cost savings for Medicare beneficiaries compared to regional benchmarks. The organization shares savings with CMS, with up to 60% shared savings participation rates. Additional revenue comes from earned performance payments.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

LTC ACO participates in the Medicare Shared Savings Program (MSSP) as an Accountable Care Organization purpose-built for long-term care (LTC) and assisted living facility (ALF) providers. The organization enrolls LTC facilities, assisted living providers, and primary care practices and shares up to 60% of Medicare cost savings with participating providers. It supplements MSSP participation with AI-powered predictive analytics, dedicated clinical/quality/attribution support, coding and compliance expertise, and EHR/telehealth subsidies tailored to the LTC/ALF care environment.

Product overview

LTC ACO operates as a unified Accountable Care Organization (ACO) platform offering a single integrated portfolio of services centered on the Medicare Shared Savings Program (MSSP). The core offering is MSSP participation with up to 60% shared savings for long-term care and assisted living providers. This is supported by interconnected sub-products including Primary Care Practices Support (clinical, quality, and attribution support), Long-Stay Facilities Services, Medicare Beneficiaries Program, Orientation Hub (educational resources), Clinical Resources (practical tools), Quality & Utilization Outcomes Reporting (data analytics), and Newsletters (communications). All components are designed exclusively for the long-term care and assisted living environment, with AI-powered predictive analytics powering the reporting and data insights features.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare Shared Savings Program (MSSP) Participation

Quantifiable outcome

• 35-57% lower unplanned hospitalization rates compared to other long-term care ACOs
• +4 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability1 record

Feature1 record

Partnerships

Two partnerships are on record, tiered core.

• PALTmed Value-Based Care Joint AlliancecoreStrategic or Co-development PartnerLTC ACO holds founding membership in the PALTmed Value-Based Care Joint Alliance. This partnership aims to help assisted living providers engage in value-based care programs. PALTmed is The Foundation for Post-Acute and Long-Term Care Medicine, providing industry advisory support and expertise.
• The Foundation for Post-Acute and Long-Term Care Medicine (PALTmed)coreStrategic or Co-development PartnerLTC ACO is affiliated with PALTmed through founding membership in the Value-Based Care Joint Alliance. PALTmed provides industry advisory and expertise supporting LTC ACO's mission to serve long-term care providers.

Scale indicators9 records

Recent moves4 records

Expansion highlights4 records

Direct peers

• Aledade: Aledade partners with independent primary care physicians to form ACOs participating in MSSP and other value-based care programs. It is directly comparable to LTC ACO as a value-based care enabler helping providers capture shared savings, though Aledade focuses broadly across primary care rather than specializing in LTC.
• Privia Health Group: Privia Health operates a physician enablement platform supporting value-based care arrangements including ACOs. It is comparable to LTC ACO as a technology and services platform that helps providers participate in risk-bearing contracts and MSSP, though it spans broader specialties.
• Agilon Health: Agilon Health partners with primary care physicians to enter value-based care arrangements including MSSP and Medicare Advantage, focused on senior populations. It is a direct peer to LTC ACO in enabling provider participation in shared-savings programs and managing Medicare beneficiaries.

Broad incumbents

• ChenMed: ChenMed is a privately held value-based primary care provider serving low-income seniors with complex chronic conditions. It is comparable to LTC ACO in its senior-focused, risk-bearing care model with measurable cost and quality outcomes, though it operates owned clinics rather than an ACO network.
• Oak Street Health (CVS Health): Oak Street Health, now part of CVS Health, operates value-based primary care clinics for Medicare beneficiaries. It shares LTC ACO's focus on senior Medicare populations and reducing hospitalizations, though Oak Street directly operates clinics rather than supporting an ACO provider network.
• VillageMD: VillageMD is a value-based primary care platform serving Medicare beneficiaries and other risk-bearing populations. Comparable to LTC ACO in enabling senior-focused, outcomes-driven care under risk arrangements, with greater scale and broader geographic reach.

Emerging players

• Evolent Health: Evolent Health provides value-based care services and specialty care management, including support for ACOs and provider risk arrangements. It overlaps with LTC ACO in the value-based care enablement space, particularly around specialty populations and quality performance.
• InnovAge Holding Corp. InnovAge operates the PACE (Program of All-Inclusive Care for the Elderly) program, a value-based care model serving frail elderly populations similar to LTC ACO's beneficiaries. While not an MSSP ACO, InnovAge addresses overlapping patient demographics and value-based care delivery for senior populations.
• Steward Health Care Network (ACO division): Steward Health Care Network operates MSSP ACOs and other value-based care programs for Medicare beneficiaries. It is comparable to LTC ACO as a provider-led ACO serving diverse Medicare populations under shared-savings arrangements.

Regional players

• Heritage Provider Network: Heritage Provider Network operates ACOs and value-based care arrangements across multiple states, with significant California presence. It is comparable to LTC ACO as an ACO operator managing Medicare populations under risk-bearing contracts, though with broader geographic concentration.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/ltc-aco

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about LTC ACO