Most practices assume compliance is handled. Data submitted. Measures selected. Attestations complete. But in 2026, CMS isn't just evaluating what you submitted — they're evaluating whether your process holds up under scrutiny. And that gap is exactly where most organizations are exposed.

The 2025 Medicare Shared Savings Program (MSSP) refresh brings critical updates for ACOs—including new risk tracks, quality benchmarks, and payment incentives. Whether you’re a new or experienced ACO participant, choosing between BASIC, ENHANCED, and ENHANCED+ tracks will shape your financial and operational success.