ACO Enablers and Primary Care Aggregators
Enablers and aggregators in this category work with physicians and provider practices to transition to value-based care, supporting end-to-end from contracting through operations. These entities aggregate practices through structures like ACOs (Accountable Care Organizations), CINs (Clinically Integrated Networks), IPAs (Independent Physician Associations), and/or MSOs (Management Services Organizations). They help practices access financial benefits from value-based contracts including Medicare's value-based care programs, MSSP (the Medicare Shared Savings Program) and ACO Reach (Realizing Equity, Access, and Community Health) Model. They may also contract directly with other payers, such as commercial health insurance plans or managed Medicaid plans, on behalf of providers in their networks. They generally provide robust technology, tools, and services to enable practices to succeed in VBC.
Criteria:
• Practice aggregation through ACOs, CINs, MSOs, and IPAs
• Risk-bearing capabilities to take risk on behalf of practices
• Typically Medicare-focused, oriented around Medicare's VBC programs. Some contract directly with private health insurers to cover Medicare Advantage, Medicaid and Commercial populations
• Physician enablement capabilities such as data, analytics and services.
24 Results
agilon
agilon
agilon partners with primary care physicians to transition to VBC, primarily focused on Medicare Advantage populations, and provides technology and administrative services to support VBC performance.
Aledade
Aledade
Aledade partners with primary care practices to transition to VBC, primarily focused on the Medicare Shared Savings Program (MSSP), and provides technology and administrative support to support VBC outcomes.
Astrana Health
Astrana Health
ApolloMed partners with primary care physicians to transition to VBC, primarily focused on Medicare Advantage populations, and provides technology and administrative services to support VBC performance.
Belong Health
Belong Health
Belong Health is a health plan and provider enabler focused on enabling health plans to cover complex Medicare and dual eligible populations and enabling providers to participate in ACO REACH.
Better Health Group
Better Health Group
Better Health Group is a large value-based primary care practice that also supports independent practitioners transition to value-based care through its Management Services Organization (MSO), with focus on Medicare.
Care Allies
CareAllies
CareAllies is a management services organization that partners with providers to enable success in value-based arrangements.
CareMax
CareMax
CareMax is a value-based healthcare provider that delivers integrated services to the senior population in its medical centers and provides practice transformation services to its network of Community Partner clinicians to support their transition to value-based care.
Castell
Castell
Castell streamlines value-based care through consolidated payer contract management, practice assessments, and analytics for practice evolution.
Collaborative Health Systems
Collaborative Health Systems
Collaborative Health Systems (CHS) supports independent physicians and providers transition to VBC through the development and management of Medicare ACOs and provides technology and services to support VBC performance.
Empassion
Empassion
Empassion is a Management Services Organization (MSO) that helps providers transition to VBC by bringing them into their Accountable Care Organizations (ACOs), as well as supporting them in serving their populations with advanced illness.
Equality Health
Equality Health
Equality Health is a value-based care organization focused on health equity that manages an integrated provider network and works with participating providers to access value-based reimbursement structures, manage the health of their populations, and deliver culturally competent care.
Evolent Health
Evolent Health
Evolent is a value-based care organization that partners with health plans and providers across multiple specialties to establish and participate in value-based care arrangements.
Honest Medical Group
Honest Medical Group
Honest Medical Group is a provider enabler that works with physicians, health systems and IPAs to participate in value-based models for their Medicare populations.
Lumeris
Lumeris
Lumeris is value-based care company that provides health systems, payers, and providers operational support, technology, and consulting services.
Main Street Health
Main Street Health
Main Street Health works with primary care practices in rural geographies to participate in Medicare’s value-based care programs. Main Street Health provides health navigators and data tools to support practices in delivering health outcomes.
NeueHealth
NeueHealth
NeueHealth is a network of owned and affiliated providers that also offers physician enablement solutions to support value-based care delivery.
On Belay Health Solutions
On Belay Health Solutions
On Belay is primary care enabler that works with primary care practices, federally qualified health centers (FQHC) and integrated provider networks to participate in Medicare’s valued-based care programs.
P3 Health Partners
P3 Health Partners
P3 Health Partners is a population health management company that supports providers with administrative services and care coordination for Medicare Advantage patients.
Pearl Health
Pearl Health
Pearl Health is a physician enablement company that partners with primary care physicians to transition to VBC, primarily focused on Medicare’s ACO REACH program, and provides technology and services to support VBC outcomes.
Privia
Privia
Privia is a national physician organization comprised of regional physician groups, provider networks organized in ACOs and IPAs, and MSOs offering administrative services focused on value-based care.
Signify Health
Signify Health
Signify Health delivers software and services that enable providers, health systems and payers in value-based care arrangements.
UpStream
UpStream
UpStream is a physician enabler that works with primary care practices to transition to value-based reimbursement structures for their Medicare populations, primarily under the ACO REACH program, and provides technology and services to support outcomes.
Vytalize Health
Vytalize Health
Vytalize Health is a physician enablement company that partners with primary care physicians to transition to VBC, primarily focused on Medicare’s ACO REACH program, and provides technology and services to support VBC outcomes.
Wellvana
Wellvana
Wellvana is a value-based care enabler that helps physicians and health systems participate in value-based contracts and provides technology and services to support performance.
