ACO West Virginia, an affiliate of WVU Medicine and the largest accountable care organization (ACO) in West Virginia, improved care for nearly 40,000 Medicare beneficiaries in West Virginia, Ohio, Maryland, and Pennsylvania, and according to recently released performance data from the federal agency that administers the Medicare Shared Savings Program (MSSP), ACO West Virginia saved Medicare $14.8 million by meeting quality and cost goals in 2021.