Per my April 17th conversation with Kip Sullivan concerning the Medicare Shared Savings Program/MSSP (ACOs), I noted an August 2017 OMB report that concluded the MSSP saved a net $1 billion in its first three years, i.e., gross savings, OMB reported, equaled $3.4 billion, losses (or reimbursements above benchmarks) equaled $2.4 billion, for a net savings of $1 billion. OMB also reported, however, CMS paid out $1.3 billion in earned shared savings thereby implying the program lost $300 million.