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The ACO customers existed in geographic areas with greater median earnings ($54400 [IQR $48600-65900] vs $52300 [$45900-61200], P less then .0001). Conformity with four HF-specific quality measures ended up being modestly higher in the ACO group (80% vs 76%, P less then .0001). In adjusted analysis, ACO standing was connected with similar all-cause readmission (HR 1.03; 99% CI 0.99, 1.07) but lower chance of 1-year death (HR 0.85; 99% CI 0.85, 0.9 compared with non-ACO standing. M