The Garage says ACO REACH customers delivered $168.44M in 2024 savings

The Garage said its ACO REACH customers generated $168.44 million in gross savings in Performance Year 2024, with a per-capita rate 15% above the national average. Combined with revised MSSP savings, the platform topped $308.6 million in total PY 2024 gross savings and more than $1.34 billion over eight years.

Why it matters: - The Garage’s PY 2024 results show its value-based care platform is translating data and workflows into measurable financial performance. - The company’s ACOs posted more than $308.6 million in combined gross savings in one year, a figure that signals scale across both ACO REACH and MSSP. - The eight-year cumulative total across MSSP and REACH savings now exceeds $1.34 billion.

What happened: - The Garage said its ACO REACH customers generated $168.44 million in gross savings in Performance Year 2024. - Those REACH customers produced a per-capita savings rate of $1,145, 15% above the national ACO REACH average of $995. - The company said combined PY 2024 gross savings across REACH and MSSP reached more than $308.6 million, up 63% year over year. - The announcement came July 14, 2026, from Orlando, Florida.

The details: - REACH savings represented 54.6% of The Garage’s total PY 2024 gross savings, or $168.44 million of $308.6 million. - The Garage said revised CMS figures put its MSSP savings at $140.16 million. - MSSP per-capita savings came in at $661. - MSSP ACOs posted an aggregate quality score of 83.33%, above the national average of 81.9%. - 68% of MSSP ACOs were classified as high-performing. - The company said the REACH result reflects the growing maturity of REACH entities on the Bridge platform and a larger role for REACH in its business mix. - The Garage said the Bridge platform has generated more than $1.34 billion in combined MSSP and REACH savings over the past eight years.

Between the lines: - The results suggest The Garage is benefiting from a shift in value-based care from analytics to execution. - Founder and CEO Pranam Ben said the company is seeing a “proof era” in healthcare, where outcomes matter more than insights alone. - Ben said the performance reflects investment in technology, workflows, operational discipline and intelligent agents that help turn data into action. - On Belay Health Solutions CEO Andrew Allison said the organization’s REACH results were driven by its tech-enabled care management model and care teams including nurses, social workers and community health workers. - Allison also said the company’s population health technology platform had to deliver actionable data in a form that fit its care model.

What’s next: - The Garage said it expects continued maturation of REACH entities on the Bridge platform. - The company pointed to stronger outcomes, greater efficiency and more sustainable value-based care models as its customers mature. - The platform says it continues to support ACOs, CINs, IPAs, MSOs, FQHCs, RHCs, hospitals, specialty care groups, health systems and health plans across 48 states. - The Garage says its system supports 16M+ patients, 26K+ physicians, 180+ provider organizations and 127+ EHR integrations.

The bottom line: - The Garage’s 2024 numbers show a platform built around population health operations can produce large-scale savings in both ACO REACH and MSSP programs.