There’s a seismic shift happening in healthcare. Traditional fee for service (FFS) models are underperforming, underfunding, and overburdening primary care. As Healthcare Dive reports, Medicare’s physician fee schedule structurally undervalues primary care while financially rewarding volume-driven specialty services (Healthcare Dive, 2024).
For Primary Care Providers (PCPs), this is the moment to take control. The better model is already here.. and with eight ACOs next year, Advanced Management USA offers a clear path to value based success. Our approach is simple: created for physicians, by physicians, with a focus on high performance, transparency, and financial rewards that match your impact.
Fee for Service vs. Value Based Care: A Better Way to Practice
In value based care, success means more than patient volume. It means better outcomes, stronger relationships, and smarter use of resources… all while reducing costs.
Value Based Care Works — The KPIs Prove It
The shift to VBC is backed by results. In 2022, Medicare’s Shared Savings Program generated $1.8 billion in savings while continuing to improve quality scores across most ACOs (CMS, 2023). Patients in these models received more preventive services too. For instance, breast cancer screening rates reached 88% in value-based models compared to 73% in fee-for-service populations (Humana, 2023).
Chronic care management shows similar gains. 79% of diabetic patients in VBC arrangements maintained A1c levels under 9% — a key quality benchmark (NCQA, 2023). These better outcomes have also led to operational efficiencies: VBC-aligned providers report 25% fewer avoidable hospital admissions than their FFS counterparts (NEJM Catalyst, 2023).
For PCPs, one of the biggest wins is revenue stability. Practices in capitated or shared savings models report three to five times more predictable income compared to those relying purely on FFS volume (Merritt Hawkins, 2023).
Why Join an ACO with Advanced Management USA?
With over $1 billion in generated savings, 90%+ average quality scores, and $580 million distributed to participating providers, Advanced Management USA and our affiliate ACOs are built for high-performance practices looking to thrive under VBC. Here’s how we differentiate:
| What We Offer | How It Benefits You |
|---|---|
| Performance Driven Earnings Model | We pay for outcomes — not just participation |
| Patient Access Coordination Team | Reduces your workload by managing scheduling and closing care gaps |
| Stakeholder Opportunities | Join a top-performing network and shape the ACO’s future |
| Physician Led Support | Built by physicians who understand your daily challenges |
| Dedicated Provider Consultants | Direct one-on-one guidance to drive clinical and financial success |
| Performance Based Distributions | High performers are rewarded at a premium rate |
Overcoming Barriers to VBC: We Make It Simple
We’ve designed our ACOs to lower the transition barrier for PCPs and independent practices. Our support model addresses the most common concerns:
| Concern | Our Response |
|---|---|
| “Too much financial risk” | We take on all downside risk so you don’t have to. |
| “We’re short on staff” | Shared services team for care management and patient outreach |
| “We don’t know how to track quality” | Integrated dashboards and tools to automate reporting |
| “We’re too small to matter” | Independent PCPs are core partners, not sidelined players |
What You Can Do Right Now
If you’re ready to shift from volume to value:
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Contact us to explore onboarding into one of our eight ACOs
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Request a readiness assessment to see where your support needs lie
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Adopt simple tracking for key metrics like BP control, A1c, screenings
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Train your team for longer visits and care planning conversations
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Leverage our team — from billing to scheduling — to support your transition
Conclusion
Value based care isn’t a future trend. It’s already producing better outcomes, saving the healthcare system billions, and creating stable, high-reward opportunities for physicians.
With Advanced Management USA’s eight new ACOs launching next year, you can step into a model built for long-term success — by physicians, for physicians. We’ve delivered 48 consecutive quarters of top-tier performance, and we’re just getting started.
Let’s redefine what success looks like in primary care — together.
Citations
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Healthcare Dive. (2024). Medicare’s physician fee schedule leaves primary care behind. Link
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CMS. (2023). Medicare Shared Savings Program Saves Medicare $1.8 Billion in 2022. Link
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Humana. (2023). Value-Based Care Improves Patient Outcomes. Link
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NCQA. (2023). HEDIS Measurement Year 2023. Link
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NEJM Catalyst. (2023). Avoidable Admissions & Value-Based Models. Link
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Merritt Hawkins. (2023). Review of Physician and Advanced Practitioner Incentives. Link
