Medicare Platform isn't an ACO — we're the team that makes the best ones run.

We give high-performing ACOs the tools, data, and support they need to actually deliver for physicians. So whether you're stuck in an underperforming ACO, new to value-based care, or burned by a bad experience before, the ACOs we power do it differently: real transparency, real shared savings, and real respect for your practice.

In Plain English

What is an MSSP ACO?

An MSSP (Medicare Shared Savings Program) ACO is a group of doctors who coordinate care for traditional Medicare patients. When our group keeps total care costs down while meeting quality standards, Medicare pays out shared savings — and we distribute them to participating physicians on top of your regular Medicare billing. Your patients keep their Medicare. Nothing changes about how you practice.

Already in an ACO?
Wondering where your shared savings went?
If your current ACO isn't being transparent — or you're earning less than you expected — you're not alone. Most ACOs leak 30% of physician savings potential.
New to ACOs?
Never been part of one?
An ACO lets you earn shared savings on top of your Medicare billing. Your patients stay on traditional Medicare. Nothing about how you practice changes. We'll explain everything.
Tried one before?
Had a bad experience? It can be different.
We built ours specifically for physicians who've been burned. Full transparency on attribution, costs, quality, and your contribution to savings. You see every number — clearly and on demand.
About Us

Purpose-built for MSSP ACOs.

Medicare Platform is a data-driven solution purpose-built for MSSP ACOs, delivering transparency, precision, and measurable outcomes. Our team combines deep expertise in claims analytics, practice transformation, and CMS policy to help providers thrive in value-based care.

The ACOs we power are redefining healthcare reimbursement with industry-leading shared savings opportunities. By aligning financial incentives with clinical performance, we help ACOs reward providers for delivering high-quality, efficient care. Leveraging advanced analytics, targeted care coordination, and proactive preventive strategies, we drive superior outcomes while maximizing savings.

We attract top-performing providers by offering unmatched incentives and strategic support, creating a collaborative environment that fosters innovation and accountability. The result: better care for patients, sustainable cost reduction, and a scalable model for the future of value-based care.

Our leadership team includes seasoned physicians, data scientists, and healthcare executives with decades of experience. Together, we are committed to equipping your practice with the tools, insights, and partnership needed to succeed — ensuring every participant receives the tailored support they deserve.

The Reality

Most physicians in ACOs are leaving 30% of their shared savings on the table.

It's not because you're not practicing well. It's because most ACOs don't have the infrastructure to capture what's available — and they don't tell you what they're missing. We're built differently.

Built Around Your Concerns

Two protections every physician asks for.

No Downside Risk

Participate in an MSSP ACO we manage without financial risk of loss repayment while sharing in savings.

Advance Payment

Receive upfront capital to invest in patient outreach, close care gaps, and improve outcomes — before any shared savings are distributed.

How We Help

Three ways we close your savings gap.

Each one addresses a specific reason your ACO might be underperforming — or why you've been hesitant to join one. Whether you're already participating, new to the model, or open to trying again, here's what we actually deliver.

-- Visibility --

You see your numbers. In real time.

Most ACOs only share aggregate reporting. We show you your own panel — attribution, costs, quality scores, and your specific contribution to shared savings — refreshed continuously.

  • Live dashboards with your panel data
  • Physician-level performance reporting
  • See your numbers as they change — not just at quarter-end
-- Earnings --

The shared savings you were promised.

We close the 30% gap most ACOs leave on the table — through compliant HCC coding, attribution analytics, and high-needs patient management. You earn more without practicing differently.

  • HCC coding workflows protecting your budget
  • Care management for high-needs patients
  • Transparent shared-savings distributions
-- Simplicity --

No extra work for you or your staff.

You keep practicing exactly the way you do today. We handle the data, compliance, reporting, and care coordination — so the only thing that changes is what shows up in your shared-savings check.

  • No new logins for your team
  • EHR integration where possible
  • We handle CMS reporting and audits
In Detail

What we actually do for you.

Each capability addresses a specific reason physicians aren't seeing the shared savings they were promised. Together, they close the 30% gap.

01

You see your own numbers.

Most ACOs share only aggregate reports. You don't see your own panel's contribution. We give you a physician-level dashboard — your attribution, your cost variance, your quality, your projected shared savings — refreshed in real time. No more guessing.

02

Your patients stay attributed to you.

If your patients are being pulled to competing systems, your savings pool shrinks. We track every attribution shift and run voluntary alignment campaigns to keep your patients where they belong — on your panel.

03

HCC coding done right.

CMS measures your panel against a budget based on patient complexity. Undercoding means you're held to an unfairly low target — which suppresses your shared savings. We surface coding opportunities at the point of care so your benchmark reflects reality.

04

We manage your high-needs patients.

A small percentage of patients drive most of an ACO's cost. We identify yours and deploy care management — IPC programs, transitions of care, ADT-alert response — so they stay out of the ED without adding work to your day.

05

No new admin work for your practice.

No new hires. No new systems to learn. No new logins for your staff. We absorb the operational burden — compliance, reporting, audits, CMS paperwork — so you focus on practicing medicine.

06

Forming your own ACO? We do that too.

If you're a physician group considering forming an ACO, we handle CMS application, governance and bylaws, provider onboarding, full 42 CFR Part 425 compliance, and clinical launch — start to finish.

Ready to find out what you've been leaving on the table?
Talk to a Real Human
Getting Started

From conversation to distributions.

No long sales process. No mystery. Here's exactly what it looks like to get started — and when you can expect to see results.

Step 01Weeks 1-2

Conversation

We review your situation — your current panel, your ACO status if you have one, and what's actually possible for your practice.

Step 02Weeks 2-6

Setup

Data feeds activated, EHR connections established, BAA executed. Zero new logins for your staff. We do the heavy lifting.

Step 03Weeks 6-12

You See Your Numbers

Your physician dashboard goes live. Real-time attribution, costs, quality scores, and your shared-savings projection — all in one place.

Step 04Ongoing

You Get Paid

Quarterly performance reviews. Annual shared-savings distributions. Full transparency on how every dollar was earned and allocated.

I was in an ACO for three years and never saw a single dashboard with my own panel data. With Medicare Platform, I can see exactly what I'm earning, what my attribution looks like, and where my shared savings are coming from. Finally — it's transparent.

Independent Physician
Switched from a legacy ACO
Frequently Asked

The questions doctors ask us.

Real questions from physicians like you. Don't see yours? View the extended FAQ or just ask us directly.

Two ways. First, you continue billing Medicare Fee-for-Service exactly as you do today — that revenue is untouched and entirely yours. Second, when the ACO comes in under its CMS budget while hitting quality measures, CMS pays out shared savings annually. We distribute those shared savings to participating physicians transparently, based on your panel's contribution to performance. You see exactly how every dollar was earned.

Technology (analytics platform, CCLF data integration, physician dashboards), care management programs (high-needs, IPC, transitions-of-care, ADT alerts), RAF/HCC coding infrastructure and workflows, full CMS compliance and reporting (MIPS, quality measures, RADV audit support, medical records retrieval), and ongoing strategic advisory. We can also handle ACO formation end-to-end for groups forming a new ACO.

Medicare Platform is the operations infrastructure that ACOs run on. We deliver analytics, attribution analytics, RAF/HCC coding infrastructure, care management programs, physician-level reporting, and full 42 CFR Part 425 compliance — as a managed service. ACOs and physician groups partner with us instead of trying to build all of this internally, which is cost-prohibitive for anyone other than the largest organizations.

Most ACOs reach steady-state operations within 90–120 days. The standard rollout is five phases: discovery and benchmarking (weeks 1–2), data integration including CCLF and EHR feeds (weeks 2–6), platform deployment and physician onboarding (weeks 6–12), care management activation (weeks 8–14), and steady-state with quarterly reviews thereafter. New ACO formation runs longer — typically 6–9 months from kickoff to CMS approval.

Every engagement begins with a fully executed Business Associate Agreement (BAA). All data transmission and storage is HIPAA-compliant, encrypted at rest and in transit. Data ownership stays with the ACO — we are a business associate, not the owner. We maintain documented breach notification protocols, and our compliance posture meets the standards required by CMS for ACO operations.

We receive monthly Claim and Claim Line Feed (CCLF) files from CMS — containing Medicare Parts A, B, and D claims for attributed and assignable beneficiaries — plus quarterly reconciliation reports, quality performance reports, and beneficiary alignment data. That data feeds your risk stratification, care gap identification, attribution monitoring, physician-level performance dashboards, and shared-savings forecasting.

CMS calculates the benchmark using historical spending for your attributed population, adjusted for regional cost trends (the Accountable Care Prospective Trend, or ACPT). The benchmark is rebased periodically, which compresses returns over time for ACOs that aren't actively managing performance. We model your benchmark continuously and help structure operations to preserve as much margin as possible.

MSSP's BASIC track begins as a one-sided model — upside only — for the first several years, with downside risk introduced gradually as you progress along the glide path. Enhanced and AIP tracks involve two-sided risk earlier. Any downside model requires committed credit before Day 1 — typically $2.5–4M for a $100M benchmark ACO. We help you model your downside exposure and structure your financial guarantees appropriately.

An Accountable Care Organization (ACO) is a group of doctors and providers who coordinate care for Original Medicare (Fee-for-Service) patients. Unlike Medicare Advantage, ACOs do not change your patient's coverage or restrict their providers — they keep traditional Medicare. The ACO earns shared-savings distributions when it lowers total cost of care while maintaining quality. Practices keep billing FFS as usual; shared savings come on top.

No. Practices keep their panels, their workflows, and their decisions. ACOs don't dictate clinical care, restrict referrals, or interfere with practice operations. The platform provides analytics, care coordinators, and back-office infrastructure — practices decide how to use it. Most simply gain visibility into what's happening with their patients outside their four walls.
Get in Touch

Let's see what you're missing.

Schedule a no-obligation call. We'll review your situation, model what your shared-savings potential actually looks like, and answer every question — personally.

Direct Line
Fax
(949) 220-1920
Office Hours
Monday — Friday
8:00 AM — 5:30 PM PT
Confidentiality
All conversations are confidential. Your panel and practice data stays with you. We sign NDAs on request.

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