Solutions For All Your Medicare Patients
We give our providers the practical solutions they need to succeed in the value-based era, including participation in the right ACO model for their practice.
Rewards For Your Outstanding Patient Care
When you join a Genuine Health Group ACO, you can earn substantial rewards for the outstanding patient care you deliver. Our bonus structure offers participating practices more than twice the revenue for each aligned patient when they meet our criteria.
Plus, we make it crystal clear how to earn those rewards. Check these boxes and enjoy the rewards:
Assess and document chronic conditions during patient encounters to eliminate HCC gaps.
See your patients promptly after discharge from the hospital.
Enroll eligible patients in our Genuine Health At Home program.
Complete annual wellness visits and ensure CMS successfully receives, reviews, and accepts the claim to establish baseline data for future wellness visits.
1
Chronic
Condition
Assessment
Review suspected HCC gaps and document chronic conditions during patient encounters
2
Post- Discharge Visits
Conduct a face-to-face visit within 1-15 days after discharge with higher rewards for visits within 1-7 days
3
Chronic
Care
Engagement
Enroll eligible patients in Genuine Health at Home and maintain engagement for up to 3 months
4
Annual
Wellness
Visit (AWV)
Complete and document eligible AWVs and ensure CMS processes the first eligible AWV claim
5
Performance-Based Rewards
Earn bonus payments tied to high-quality, cost-effective care and overall ACO performance
ACOs For Patients With Original Medicare
While ACO models differ in financial structure and reporting requirements, the patient population and care services involved are largely the same. That is why selecting the right model depends on your practice’s operational goals, experience with value-based care, and readiness for different levels of accountability.
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Genuine Health Group helps affiliated providers evaluate these factors and choose the best fit. Through clinical coaching, data insights, and hands-on operational support, we help practices strengthen performance and progress into more advanced models over time.
What Is An ACO?
Accountable Care Organizations (ACOs) are networks of healthcare providers that work together to deliver coordinated, high-quality care to a designated patient population.
The Genuine ACO Difference
At Genuine Health Group, we believe joining an ACO should feel less like a risk and more like an opportunity. Our model is designed to give providers the resources, guidance, and financial upside needed to succeed in value-based care without losing independence, and includes:
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Ability to participate in the ACO model that fits your unique patient panel
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Flexibility on enhancements to fee-for-service payments
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Bonus payments tied to quality-based measures
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One-on-one support and coaching from our physician engagement team
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Advanced analytics and actionable insights tailored to your practice
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Exemption from burdensome MIPS
To find out more about how Genuine can help you manage your traditional Medicare patients, complete the form above,and someone from our physician outreach team will be in touch.
MSSP ACO
Our Medicare Shared Savings Program (MSSP) ACO leverages participating providers’ care improvement efforts to achieve lower healthcare costs and better health outcomes for patients with original fee-for-service Medicare.
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When you affiliate with Genuine Health’s MSSP ACO, you can take comfort in knowing we have achieved shared savings every single year we have operated our ACO, and we are consistently ranked among the top-performing ACOs in the nation.
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Additionally, Genuine Health is one of only 24 organizations nationwide approved by the CMS Innovation Center to participate in the MSSP Primary Care Flex Model. This exclusive designation enables enhanced capitation and in-year financial rewards tied to your everyday patient care activities, creating additional opportunities for performance-based revenue without taking on full financial risk.
The New LEAD ACO
The new LEAD ACO model borrows from the long-established Medicare Shared Savings Program, which rewards physicians when their total cost of care comes in below established benchmarks, allowing them to share in the savings achieved. Like all ACOs, the goal is to keep your patients as healthy as possible to prevent unnecessary hospitalizations and other avoidable, costly interventions. The more you save compared to the benchmark while keeping your patients healthy and satisfied, the more you benefit financially.
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The new LEAD program also incorporates elements from the REACH program that it replaces. Most notably, practices will have the option to take on greater accountability for cost and outcomes in exchange for the opportunity to earn a larger share of savings – reflecting the REACH model’s principle of increased upside with higher levels of risk.
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Contact us to learn more about the upcoming LEAD model. A member of our team will reach out within 1-2 business days.