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.
If you’re like most independent primary care physicians in 2026, you’re feeling the pressure of rising overhead and increased workloads. While the 2026 Medicare Physician Fee Schedule offered a modest one-time increase, it’s being eaten alive by a 2.5% "efficiency adjustment." You’re working harder, but there’s no payoff.
This is exactly why Managed Services Organizations (MSOs) have become the ultimate survival tool for independent physicians.
Why now? The cost of hesitation.
As we head toward the CMS 2030 deadline, payers are increasingly favoring "risk-ready" practices. By 2028, the early adopters will have ironed out the kinks, captured the savings, and built the playbook. You'll be buying time you can't get back.
Joining an MSO in 2026 isn’t just about making more money—it’s about protecting your independence so you can get back to what you actually went to med school for: taking care of patients.
To protect your practice, you need a partner that moves you forward, not one that slows you down. As you vet potential partners in 2026, keep this checklist handy.
3 things to ask your prospective partner:
1. What were your most recent Medicare Shared Savings Program (MSSP) and Medicare Advantage (MA) performance results?
Many MSOs tout being physician-led, but their playbooks tax independent clinics with more boxes to check and lists to work. The real financial benefit they provide rarely covers the actual time and cost to get it.
Great value-based care partners run “peer-led MSOs” where participating clinicians have input on their tools and workflows. They have integrated value-based care into their operating model across multiple lines of business: MSSP and MA.
2. Are poor performers going to drag my revenue down, and how long untilI see a change in my cash flow?
Some MSOs pool their shared savings and distribute them across the entire network, regardless of a single clinic's performance. This means your clinic could deliver excellent results and still receive a far lower share of savings or nothing at all.
A great partner protects you from downside financial risk, pays you based on your clinic's individual performance and has programs that create guaranteed value sooner so you don't have to wait to get paid.
3. Do you take on partial or global risk in your MA contracts, and can I get started right away?
How much your clinic can earn in value-based care often depends on the level of risk your MSO is willing to take on. The greater the risk they can assume with a payer, the greater the potential reward for your clinic.
Great value-based care partners handle the complexities of global risk agreements to help you earn more (without costing you money) and offer rolling enrollment for their value-based contracts so you don’t have to wait to get started. They also offer protection from financial downside risk, plus expert guidance to keep you moving in the right direction with all payers and programs with unlimited reward opportunity.
Why 2026 is your year to act.
The 2030 transition isn't slowing down. The practices that get ahead of it now won't be scrambling later, they will be ready when it really matters.
If you’re like most independent primary care physicians in 2026, you’re feeling the pressure of rising overhead and increased workloads. While the 2026 Medicare Physician Fee Schedule offered a modest one-time increase, it’s being eaten alive by a 2.5% "efficiency adjustment." You’re working harder, but there’s no payoff.
This is exactly why Managed Services Organizations (MSOs) have become the ultimate survival tool for independent physicians.
Why now? The cost of hesitation.
As we head toward the CMS 2030 deadline, payers are increasingly favoring "risk-ready" practices. By 2028, the early adopters will have ironed out the kinks, captured the savings, and built the playbook. You'll be buying time you can't get back.
Joining an MSO in 2026 isn’t just about making more money—it’s about protecting your independence so you can get back to what you actually went to med school for: taking care of patients.
To protect your practice, you need a partner that moves you forward, not one that slows you down. As you vet potential partners in 2026, keep this checklist handy.
3 things to ask your prospective partner:
1. What were your most recent Medicare Shared Savings Program (MSSP) and Medicare Advantage (MA) performance results?
Many MSOs tout being physician-led, but their playbooks tax independent clinics with more boxes to check and lists to work. The real financial benefit they provide rarely covers the actual time and cost to get it.
Great value-based care partners run “peer-led MSOs” where participating clinicians have input on their tools and workflows. They have integrated value-based care into their operating model across multiple lines of business: MSSP and MA.
2. Are poor performers going to drag my revenue down, and how long untilI see a change in my cash flow?
Some MSOs pool their shared savings and distribute them across the entire network, regardless of a single clinic's performance. This means your clinic could deliver excellent results and still receive a far lower share of savings or nothing at all.
A great partner protects you from downside financial risk, pays you based on your clinic's individual performance and has programs that create guaranteed value sooner so you don't have to wait to get paid.
3. Do you take on partial or global risk in your MA contracts, and can I get started right away?
How much your clinic can earn in value-based care often depends on the level of risk your MSO is willing to take on. The greater the risk they can assume with a payer, the greater the potential reward for your clinic.
Great value-based care partners handle the complexities of global risk agreements to help you earn more (without costing you money) and offer rolling enrollment for their value-based contracts so you don’t have to wait to get started. They also offer protection from financial downside risk, plus expert guidance to keep you moving in the right direction with all payers and programs with unlimited reward opportunity.
Why 2026 is your year to act.
The 2030 transition isn't slowing down. The practices that get ahead of it now won't be scrambling later, they will be ready when it really matters.
If you’re like most independent primary care physicians in 2026, you’re feeling the pressure of rising overhead and increased workloads. While the 2026 Medicare Physician Fee Schedule offered a modest one-time increase, it’s being eaten alive by a 2.5% "efficiency adjustment." You’re working harder, but there’s no payoff.
This is exactly why Managed Services Organizations (MSOs) have become the ultimate survival tool for independent physicians.
Why now? The cost of hesitation.
As we head toward the CMS 2030 deadline, payers are increasingly favoring "risk-ready" practices. By 2028, the early adopters will have ironed out the kinks, captured the savings, and built the playbook. You'll be buying time you can't get back.
Joining an MSO in 2026 isn’t just about making more money—it’s about protecting your independence so you can get back to what you actually went to med school for: taking care of patients.
To protect your practice, you need a partner that moves you forward, not one that slows you down. As you vet potential partners in 2026, keep this checklist handy.
3 things to ask your prospective partner:
1. What were your most recent Medicare Shared Savings Program (MSSP) and Medicare Advantage (MA) performance results?
Many MSOs tout being physician-led, but their playbooks tax independent clinics with more boxes to check and lists to work. The real financial benefit they provide rarely covers the actual time and cost to get it.
Great value-based care partners run “peer-led MSOs” where participating clinicians have input on their tools and workflows. They have integrated value-based care into their operating model across multiple lines of business: MSSP and MA.
2. Are poor performers going to drag my revenue down, and how long untilI see a change in my cash flow?
Some MSOs pool their shared savings and distribute them across the entire network, regardless of a single clinic's performance. This means your clinic could deliver excellent results and still receive a far lower share of savings or nothing at all.
A great partner protects you from downside financial risk, pays you based on your clinic's individual performance and has programs that create guaranteed value sooner so you don't have to wait to get paid.
3. Do you take on partial or global risk in your MA contracts, and can I get started right away?
How much your clinic can earn in value-based care often depends on the level of risk your MSO is willing to take on. The greater the risk they can assume with a payer, the greater the potential reward for your clinic.
Great value-based care partners handle the complexities of global risk agreements to help you earn more (without costing you money) and offer rolling enrollment for their value-based contracts so you don’t have to wait to get started. They also offer protection from financial downside risk, plus expert guidance to keep you moving in the right direction with all payers and programs with unlimited reward opportunity.
Why 2026 is your year to act.
The 2030 transition isn't slowing down. The practices that get ahead of it now won't be scrambling later, they will be ready when it really matters.