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CMS’ January 11 announcement of the new and renewing Medicare ACO participants indicated both an increase in the number of ACOs and ACO covered lives. The now 477 CMS ACOs that are participating in one of four CMS models—the Medicare Shared Savings Program (MSSP), Pioneer, Next Generation ACO (NGACO), and Comprehensive ESRD Care (CEC) —are currently responsible for 8.9 million lives, up from 7.3 million in April 2015.