The Medicare Shared Savings Program produced the largest savings in the program’s history in 2023, yielding more than $2.1 billion in net savings. Some key data relationships and statistical findings derived from the 2023 Performance Year Financial and Quality Results Public Use File (PUF) released by CMS on October 29, 2024, are as follows: regional adjustment, certain quality metrics, ACO duration, ratio of specialist to primary care providers, and membership.