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.
What Is PC Flex?
PC Flex is a five-year CMS pilot that launched January 1, 2025 and runs through 2029. Instead of billing per visit, participating practices receive a fixed monthly payment per attributed patient, plus a one-time $250,000 advanced shared savings payment to help cover startup costs.
That sounds good, but the catch is in the details.
Who Can Actually Join PC Flex?
The PC Flex application window closed in August 2024. CMS has confirmed there will not be an additional application round. PC Flex is only available to providers who join an approved "low-revenue" ACO, defined as ACOs whose total Medicare Part A and B revenue is less than 35% of total spending for their attributed population.
The MSSP has an annual enrollment window to add/delete participating providers. For the 2027 performance year, that window closes August 5, 2026 and it's open to a much wider range of independent practices. There’s still time for you to join an MSSP ACO.
What PC Flex Gets Right And Where It Gets Complicated
The monthly payment model offers something appealing: predictability; you know what's coming in each month regardless of visit volume.
But there's a trade-off: PC Flex organizations are required to spend at least 90% in the first year and 95% thereafter on "advanced primary care". In addition, there are burdensome quarterly reporting and attestation requirements.
For independent practices without a large administrative team, that compliance can be burdensome. Under standard MSSP, your distribution from the shared savings are yours to use without those restrictions or quarterly reporting requirements.
Track Record: MSSP Wins on Proof
PC Flex is currently a one-time pilot. There isn't enough performance data yet to know how it pays out for independent practices at scale.
MSSP has years of documented results. In BHG's MSSP ACO network, 100% of ACOs have earned shared savings in every performance year — averaging over $1,000 per patient per year.
Side-by-Side Comparison
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The Bottom Line
PC Flex introduced some genuinely useful ideas around payment predictability, but compliance requirements add overhead that can offset the benefits.
The MSSP remains the most proven, most accessible path to value-based revenue for independent practices. The 2027 enrollment window is open now. Missing it means waiting until 2028 with no guarantee a better option appears in the meantime.
What Is PC Flex?
PC Flex is a five-year CMS pilot that launched January 1, 2025 and runs through 2029. Instead of billing per visit, participating practices receive a fixed monthly payment per attributed patient, plus a one-time $250,000 advanced shared savings payment to help cover startup costs.
That sounds good, but the catch is in the details.
Who Can Actually Join PC Flex?
The PC Flex application window closed in August 2024. CMS has confirmed there will not be an additional application round. PC Flex is only available to providers who join an approved "low-revenue" ACO, defined as ACOs whose total Medicare Part A and B revenue is less than 35% of total spending for their attributed population.
The MSSP has an annual enrollment window to add/delete participating providers. For the 2027 performance year, that window closes August 5, 2026 and it's open to a much wider range of independent practices. There’s still time for you to join an MSSP ACO.
What PC Flex Gets Right And Where It Gets Complicated
The monthly payment model offers something appealing: predictability; you know what's coming in each month regardless of visit volume.
But there's a trade-off: PC Flex organizations are required to spend at least 90% in the first year and 95% thereafter on "advanced primary care". In addition, there are burdensome quarterly reporting and attestation requirements.
For independent practices without a large administrative team, that compliance can be burdensome. Under standard MSSP, your distribution from the shared savings are yours to use without those restrictions or quarterly reporting requirements.
Track Record: MSSP Wins on Proof
PC Flex is currently a one-time pilot. There isn't enough performance data yet to know how it pays out for independent practices at scale.
MSSP has years of documented results. In BHG's MSSP ACO network, 100% of ACOs have earned shared savings in every performance year — averaging over $1,000 per patient per year.
Side-by-Side Comparison
The Bottom Line
PC Flex introduced some genuinely useful ideas around payment predictability, but compliance requirements add overhead that can offset the benefits.
The MSSP remains the most proven, most accessible path to value-based revenue for independent practices. The 2027 enrollment window is open now. Missing it means waiting until 2028 with no guarantee a better option appears in the meantime.
What Is PC Flex?
PC Flex is a five-year CMS pilot that launched January 1, 2025 and runs through 2029. Instead of billing per visit, participating practices receive a fixed monthly payment per attributed patient, plus a one-time $250,000 advanced shared savings payment to help cover startup costs.
That sounds good, but the catch is in the details.
Who Can Actually Join PC Flex?
The PC Flex application window closed in August 2024. CMS has confirmed there will not be an additional application round. PC Flex is only available to providers who join an approved "low-revenue" ACO, defined as ACOs whose total Medicare Part A and B revenue is less than 35% of total spending for their attributed population.
The MSSP has an annual enrollment window to add/delete participating providers. For the 2027 performance year, that window closes August 5, 2026 and it's open to a much wider range of independent practices. There’s still time for you to join an MSSP ACO.
What PC Flex Gets Right And Where It Gets Complicated
The monthly payment model offers something appealing: predictability; you know what's coming in each month regardless of visit volume.
But there's a trade-off: PC Flex organizations are required to spend at least 90% in the first year and 95% thereafter on "advanced primary care". In addition, there are burdensome quarterly reporting and attestation requirements.
For independent practices without a large administrative team, that compliance can be burdensome. Under standard MSSP, your distribution from the shared savings are yours to use without those restrictions or quarterly reporting requirements.
Track Record: MSSP Wins on Proof
PC Flex is currently a one-time pilot. There isn't enough performance data yet to know how it pays out for independent practices at scale.
MSSP has years of documented results. In BHG's MSSP ACO network, 100% of ACOs have earned shared savings in every performance year — averaging over $1,000 per patient per year.
Side-by-Side Comparison
The Bottom Line
PC Flex introduced some genuinely useful ideas around payment predictability, but compliance requirements add overhead that can offset the benefits.
The MSSP remains the most proven, most accessible path to value-based revenue for independent practices. The 2027 enrollment window is open now. Missing it means waiting until 2028 with no guarantee a better option appears in the meantime.