An ACO is a group of providers Medicare rewards for keeping people healthier.
CMS set up the Medicare Shared Savings Program so medical groups get paid for keeping patients healthier and driving down total cost of care. Since most of that care happens where patients live, ACOs commonly share a portion of their savings with the senior living communities that help coordinate it.
Read an ACO's CCSA like any clinical services agreement: what services it covers, how you get paid, how long it runs. We will send the whole thing over and go through it with your team.
No savings, no payment. Most ACOs do not generate savings every year, so a bigger portion of zero is still zero. Your check comes down to two things: how much the ACO saved, and then what share of it you get.
PCMA Collective, Curana's MSSP ACO, sits in the top 1% nationally and generated upwards of $110M in Medicare savings last year.
So ask about track record before you ask about percentage, because performance is what actually generates a paycheck.
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