For nearly two decades, Better Health Group has been a leader in value-based care and operating top-rated primary care clinics. Our network of owned and independent clinics leverage our model to improve care for both Medicare Advantage (MA) and Traditional Medicare patients. Now, the Centers for Medicare & Medicaid Services (CMS) has ranked Better Health Group in the top 5% of Medicare Shared Savings Program (MSSP), Accountable Care Organizations (ACOs) for performance year 2023.
At a time when independent clinics face mounting challenges, our providers are exceeding CMS quality goals and maximizing shared savings revenue, in every state in which we operate—Florida, Alabama, Georgia, Texas, Oklahoma, and Tennessee.
For the sixth consecutive year, all of Better Health Group’s (BHG) Accountable Care Organizations (ACOs) achieved shared savings and surpassed quality performance standards in the Medicare Shared Savings Program (MSSP), according to recently released performance data from the Centers for Medicare and Medicaid Services (CMS).
In Performance Year 2024, nearly 35,000 patients received high quality care, creating total savings of $30.7 million for taxpayers, and more than $21 million to share with primary care clinics in our network. With a savings rate of nearly 10%, experienced providers doubled the average rate of other Enhanced ACO organizations.
“What truly sets BHG apart is the hands-on value they bring across multiple domains - technical, clinical, and practical,” said Gene Alldredge, MD, FACP, of Internal Medicine Associates of Tuscaloosa, Ala. “Their guidance and support have directly contributed to measurable improvements in both our revenue and overall profitability.”
Our model prioritizes quality care and is ranked among the best in the nation by patients.
Together, our ACOs delivered an average quality score of 85.7%, compared to a national ACO average of just 81.9%, and ranked among the top 4% in the nation in providing timely care, appointments and information to patients.
We also ranked in the top 5% for access to specialists; in the top 11% in care coordination; and outperformed the national average in both provider communication and patients’ ratings of providers.
In fact, providers in our ACOs saw every patient at least once during the performance year and had a primary care utilization rate that was 273% higher than the national average. In addition, they prioritized the delivery of preventive care, far surpassing the national average in Annual Wellness Visit (AWV) delivery.
These higher patient engagement and satisfaction rates prove our ACOs are among the best in the country at delivering value-based, quality care at scale.
“Better Health Group consistently demonstrates a commitment to excellence in patient care, provider support, and operational efficiency,” said Alldredge.
Our providers find success in both Original Medicare and Medicare Advantage.
We don’t just run a Medicare ACO and a Medicare Advantage Managed Service Organization (MSO). We're a peer in the clinical community, and we know running a successful practice in today’s environment is hard. We’ve tested and honed every aspect of our model through hands-on experience in our own clinics, and we know what works (and what doesn’t).
As a result of our proven model, clinics are achieving top-tier HEDIS and Star Ratings and achieving average gains of over $1,000 per patient, per year and a highly engaged clinical team (94%+).
“As primary care clinic owners ourselves, we've used our experience to provide the information and resources that really help providers deliver more quality care to more patients,” said Mike Polen, BHG CEO. “We’re proud of our ability to help providers succeed in both Original Medicare and Medicare Advantage. In our model, all Medicare patients get the same great care, and we’re creating financial sustainability for independent clinics in a way many other ACOs have not been able to do.”
We help providers achieve financial stability and deliver better care.
Unlike many other ACOs, MSOs, and Independent Physician Associations (IPAs), we don’t penalize providers for how their peers perform. In our model, providers are paid based on their own performance, and they have the advantage of safeguards that protect them from underperformers.
Just as importantly, we don’t make them wait years to start reaping the financial rewards; we help them achieve new revenue faster, across all payers, so their clinics keep growing. As a result, instead of struggling to balance patient care with rising costs, our providers are using our programs and services to exceed CMS quality goals and maximize revenue.
Now, for a limited time, we are making that opportunity available to other primary care providers by opening our network to a select number of independent clinics for 2026 Medicare Advantage plans and 2027 MSSP ACO.
“We’re different in that we’re selective when it comes to growing our network,” Polen noted. “We look for partners that complement our mission and share our commitment to the delivery of quality, value-based care to both Original Medicare and Medicare Advantage patients. If a practice is ready to do the work necessary to reap the financial rewards, a partnership with us is the right next step.”
What should your clinic look for in a value-based care partner?
On the surface, many ACOs, IPAs, and MSOs offer similar services to get you to join their network and payer contracts. Make sure you’re picking a partner that actually helps you run a better business and practice better medicine by asking the right questions.
Is your clinic missing revenue opportunities in your current ACO?
If your clinic is already in an ACO or considering one as an opportunity to grow revenues, don’t make a decision without all the information. Through our access to a wealth of CMS data, we can provide you with insights on ACO performance, and based on your clinic’s performance, how much more you may be able to garner by switching to a BHG ACO.
For the sixth consecutive year, all of Better Health Group’s (BHG) Accountable Care Organizations (ACOs) achieved shared savings and surpassed quality performance standards in the Medicare Shared Savings Program (MSSP), according to recently released performance data from the Centers for Medicare and Medicaid Services (CMS).
In Performance Year 2024, nearly 35,000 patients received high quality care, creating total savings of $30.7 million for taxpayers, and more than $21 million to share with primary care clinics in our network. With a savings rate of nearly 10%, experienced providers doubled the average rate of other Enhanced ACO organizations.
“What truly sets BHG apart is the hands-on value they bring across multiple domains - technical, clinical, and practical,” said Gene Alldredge, MD, FACP, of Internal Medicine Associates of Tuscaloosa, Ala. “Their guidance and support have directly contributed to measurable improvements in both our revenue and overall profitability.”
Our model prioritizes quality care and is ranked among the best in the nation by patients.
Together, our ACOs delivered an average quality score of 85.7%, compared to a national ACO average of just 81.9%, and ranked among the top 4% in the nation in providing timely care, appointments and information to patients.
We also ranked in the top 5% for access to specialists; in the top 11% in care coordination; and outperformed the national average in both provider communication and patients’ ratings of providers.
In fact, providers in our ACOs saw every patient at least once during the performance year and had a primary care utilization rate that was 273% higher than the national average. In addition, they prioritized the delivery of preventive care, far surpassing the national average in Annual Wellness Visit (AWV) delivery.
These higher patient engagement and satisfaction rates prove our ACOs are among the best in the country at delivering value-based, quality care at scale.
“Better Health Group consistently demonstrates a commitment to excellence in patient care, provider support, and operational efficiency,” said Alldredge.
Our providers find success in both Original Medicare and Medicare Advantage.
We don’t just run a Medicare ACO and a Medicare Advantage Managed Service Organization (MSO). We're a peer in the clinical community, and we know running a successful practice in today’s environment is hard. We’ve tested and honed every aspect of our model through hands-on experience in our own clinics, and we know what works (and what doesn’t).
As a result of our proven model, clinics are achieving top-tier HEDIS and Star Ratings and achieving average gains of over $1,000 per patient, per year and a highly engaged clinical team (94%+).
“As primary care clinic owners ourselves, we've used our experience to provide the information and resources that really help providers deliver more quality care to more patients,” said Mike Polen, BHG CEO. “We’re proud of our ability to help providers succeed in both Original Medicare and Medicare Advantage. In our model, all Medicare patients get the same great care, and we’re creating financial sustainability for independent clinics in a way many other ACOs have not been able to do.”
We help providers achieve financial stability and deliver better care.
Unlike many other ACOs, MSOs, and Independent Physician Associations (IPAs), we don’t penalize providers for how their peers perform. In our model, providers are paid based on their own performance, and they have the advantage of safeguards that protect them from underperformers.
Just as importantly, we don’t make them wait years to start reaping the financial rewards; we help them achieve new revenue faster, across all payers, so their clinics keep growing. As a result, instead of struggling to balance patient care with rising costs, our providers are using our programs and services to exceed CMS quality goals and maximize revenue.
Now, for a limited time, we are making that opportunity available to other primary care providers by opening our network to a select number of independent clinics for 2026 Medicare Advantage plans and 2027 MSSP ACO.
“We’re different in that we’re selective when it comes to growing our network,” Polen noted. “We look for partners that complement our mission and share our commitment to the delivery of quality, value-based care to both Original Medicare and Medicare Advantage patients. If a practice is ready to do the work necessary to reap the financial rewards, a partnership with us is the right next step.”
What should your clinic look for in a value-based care partner?
On the surface, many ACOs, IPAs, and MSOs offer similar services to get you to join their network and payer contracts. Make sure you’re picking a partner that actually helps you run a better business and practice better medicine by asking the right questions.
Is your clinic missing revenue opportunities in your current ACO?
If your clinic is already in an ACO or considering one as an opportunity to grow revenues, don’t make a decision without all the information. Through our access to a wealth of CMS data, we can provide you with insights on ACO performance, and based on your clinic’s performance, how much more you may be able to garner by switching to a BHG ACO.
For the sixth consecutive year, all of Better Health Group’s (BHG) Accountable Care Organizations (ACOs) achieved shared savings and surpassed quality performance standards in the Medicare Shared Savings Program (MSSP), according to recently released performance data from the Centers for Medicare and Medicaid Services (CMS).
In Performance Year 2024, nearly 35,000 patients received high quality care, creating total savings of $30.7 million for taxpayers, and more than $21 million to share with primary care clinics in our network. With a savings rate of nearly 10%, experienced providers doubled the average rate of other Enhanced ACO organizations.
“What truly sets BHG apart is the hands-on value they bring across multiple domains - technical, clinical, and practical,” said Gene Alldredge, MD, FACP, of Internal Medicine Associates of Tuscaloosa, Ala. “Their guidance and support have directly contributed to measurable improvements in both our revenue and overall profitability.”
Our model prioritizes quality care and is ranked among the best in the nation by patients.
Together, our ACOs delivered an average quality score of 85.7%, compared to a national ACO average of just 81.9%, and ranked among the top 4% in the nation in providing timely care, appointments and information to patients.
We also ranked in the top 5% for access to specialists; in the top 11% in care coordination; and outperformed the national average in both provider communication and patients’ ratings of providers.
In fact, providers in our ACOs saw every patient at least once during the performance year and had a primary care utilization rate that was 273% higher than the national average. In addition, they prioritized the delivery of preventive care, far surpassing the national average in Annual Wellness Visit (AWV) delivery.
These higher patient engagement and satisfaction rates prove our ACOs are among the best in the country at delivering value-based, quality care at scale.
“Better Health Group consistently demonstrates a commitment to excellence in patient care, provider support, and operational efficiency,” said Alldredge.
Our providers find success in both Original Medicare and Medicare Advantage.
We don’t just run a Medicare ACO and a Medicare Advantage Managed Service Organization (MSO). We're a peer in the clinical community, and we know running a successful practice in today’s environment is hard. We’ve tested and honed every aspect of our model through hands-on experience in our own clinics, and we know what works (and what doesn’t).
As a result of our proven model, clinics are achieving top-tier HEDIS and Star Ratings and achieving average gains of over $1,000 per patient, per year and a highly engaged clinical team (94%+).
“As primary care clinic owners ourselves, we've used our experience to provide the information and resources that really help providers deliver more quality care to more patients,” said Mike Polen, BHG CEO. “We’re proud of our ability to help providers succeed in both Original Medicare and Medicare Advantage. In our model, all Medicare patients get the same great care, and we’re creating financial sustainability for independent clinics in a way many other ACOs have not been able to do.”
We help providers achieve financial stability and deliver better care.
Unlike many other ACOs, MSOs, and Independent Physician Associations (IPAs), we don’t penalize providers for how their peers perform. In our model, providers are paid based on their own performance, and they have the advantage of safeguards that protect them from underperformers.
Just as importantly, we don’t make them wait years to start reaping the financial rewards; we help them achieve new revenue faster, across all payers, so their clinics keep growing. As a result, instead of struggling to balance patient care with rising costs, our providers are using our programs and services to exceed CMS quality goals and maximize revenue.
Now, for a limited time, we are making that opportunity available to other primary care providers by opening our network to a select number of independent clinics for 2026 Medicare Advantage plans and 2027 MSSP ACO.
“We’re different in that we’re selective when it comes to growing our network,” Polen noted. “We look for partners that complement our mission and share our commitment to the delivery of quality, value-based care to both Original Medicare and Medicare Advantage patients. If a practice is ready to do the work necessary to reap the financial rewards, a partnership with us is the right next step.”
What should your clinic look for in a value-based care partner?
On the surface, many ACOs, IPAs, and MSOs offer similar services to get you to join their network and payer contracts. Make sure you’re picking a partner that actually helps you run a better business and practice better medicine by asking the right questions.
Is your clinic missing revenue opportunities in your current ACO?
If your clinic is already in an ACO or considering one as an opportunity to grow revenues, don’t make a decision without all the information. Through our access to a wealth of CMS data, we can provide you with insights on ACO performance, and based on your clinic’s performance, how much more you may be able to garner by switching to a BHG ACO.