Medicare Shared Savings Program (MSSP) ACO
Capture the full value of your clinical work.
The Status Quo
- Care management goes unbilled
- Office-visit add-on left on the table
- No ACO double in 2027
- Quality bonus often missed
- MIPS penalty risk stays on you
$0 captured
With the VBCA National ACO
2027 ACO participant lists lock this year.
Office and outpatient visits for Medicare patients. Your best guess is fine.
The Partnership
Built to capture the full value of your clinical work.
Independent practices already deliver excellent care. Our role is to ensure you are fully rewarded for it. We provide the dedicated administrative capacity, specialized software, and regulatory focus required to capture the Medicare revenue your practice earns.
The Landscape
Navigating complex Medicare rules
Medicare's requirements are dense and shift every year. Tracking every eligible program, visit add-on, and quality bonus requires a dedicated focus that takes time away from patients.
What changes
We map the rules to your practice
We identify exactly which Medicare programs fit your workflow. We clarify the requirements and build a clean process to capture the revenue you already earn.
The Landscape
Expanding administrative capacity
Standing up care management and tracking quality metrics takes dedicated staff time. Most independent practices are already operating at maximum capacity.
What changes
We provide the operational lift
We supply the administrative support to get these programs running. The compliance and tracking happen in the background so your team can keep seeing patients.
The Landscape
Accessing enterprise tools and group protection
Independent practices often lack the software to see patient costs across the continuum, and reporting MIPS individually leaves your Part B revenue exposed to penalties.
What changes
We deploy the tools and protect the group
You get the data to see the full patient picture. We handle MIPS as a single group submission to shield your revenue. If we generate shared savings, you get a cut.
FAQ
Do I have to merge my practice or change my tax ID?+
No. You keep your practice exactly as it is. There is no merger and no change to your tax ID.
Do I have to give up clinical control?+
No. You keep complete clinical control. The ACO supplies data and administrative support, but all patient care decisions stay with you.
Am I locked into a long-term contract?+
Participation is voluntary. You can leave if the model doesn't work for you. Our practices stay because the math works.
CMS has proposed doubling the office-visit add-on for ACO participants only.
16% for everyone. 32% for clinicians on an ACO participant list. It applies to every Medicare fee-for-service patient they treat.
Read our analysis of the proposed rule →Proposed add-on for ACO participant-list clinicians. Twice the rate available to everyone else.
The deadline is approaching. Participant lists for 2027 lock before the year begins. Miss the window and you wait a full year.
Proof of Model
PY2025 Preliminary Results
Performance year results for the VBCA National ACO. Dollar savings and savings rate are subject to final CMS reconciliation.
* Top 5% compares first-year ACO performance historically. MIPS penalty avoidance reflects participating practices.
Next Steps
See exactly what the VBCA model means for your practice.
Walk through the math with usEligibility screening applies. Practices whose TINs are already on another ACO's participant list cannot join. Some employed or hospital-owned groups cannot elect independently. Contact us to confirm fit before you invest time in an application.