The only Accountable Care Organization dedicated to the Urgent Care Industry

Our Accountable Care Model

We only accept urgent care participants. This allows us to focus on the unique aspects of urgent care practice participation in an ACO. Through focus we achieve results.

National Aggregation

Most urgent cares are unable to participate as an ACO on their own due to the 5,000 minimum beneficiary requirement. We aggregate urgent cares nationally so that even urgent cares with 100 assigned beneficiaries can participate.

Zero Downside Risk

Urgent care participants have no downside risk in participating in this model. Urgent ACO takes all of the downside risk in the event where performance year expenditures exceed the ACO benchmark. That way ACO participation will never compromise urgent care practice margin.

Data-driven Culture

Urgent care participants undergo a financial assessment prior to being added as participants to help ensure that they won’t dilute the profitability of the entire ACO.

Our Methodology

Design and Educate

Jan – Apr 2024

We pull your practice’s specific data to model what participation would look like from a financial perspective. We educate and answer any questions about the program.

Commit to Participation

May – Aug 2024

Review the participation agreement and ask questions about participation. August is expected to be the last month to decide whether or not to participate for the 2025 participation year.

Prepare and Simulate

Sep – Dec 2024

We provide further practice data and education to help prepare you for the 2025 performance year start including quality improvement, utilization reduction and risk coding.

Frequently Asked
Questions

What is an ACO?

An ACO or Accountable Care Organization is a Medicare program to reward low cost high quality care for your patients. It is an alternative to the Merit Based Incentive (MIPS) program for quality reporting.

What are the benefits of joining an ACO?

When total cost of care delivered is below the ACO benchmark then the ACO receives 40% of the resulting savings under BASIC Level A/B (before sequestration and assuming that quality performance is met)

What are the costs to joining an ACO?

Performing well in a total cost of care model requires dedication to quality and care improvement. By participating in Urgent ACO, participants get the operational and data support needed at no additional cost.

Do I have to sell my practice to join Urgent ACO?

No. You can join the ACO and retain your full independence as a practice.

Do I have to change my Electronic Health Record (EHR) to join Urgent ACO?

As long as your practice uses certified EHR technology you are not required to change EHRs in order to report quality.

How much savings do I keep from the ACO?

Participants keep all of the 40% savings under BASIC Level A/B (prior to sequestration)

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