Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Smart ACO leaders are leveraging 2025’s triple convergence—mandatory eCQM adoption, heightened CMS compliance, and unprecedented Medicaid funding cuts—not just to stay compliant, but to gain a competitive edge. In the face of evolving quality reporting requirements, complex multi-EHR data aggregation, and the fallout from over $1 trillion in Medicaid cuts, leading Accountable Care Organizations are strategically investing in robust data infrastructure, specialist engagement, and technology upgrades to outperform market peers and drive both quality improvement and financial sustainability through the remainder of 2025 and beyond.

Gap closure reports are the strategic intelligence that separates high-performing ACOs from the rest. These reports identify patients who have missed critical preventive care, directly impacting HEDIS scores and shared savings. For ACOs, mastering gap closure is not just about improving quality metrics; it's about designing powerful incentive structures that motivate care coordination teams. Learn how to leverage technology, optimize workflows, and implement reward systems that drive performance, enhance patient outcomes, and achieve sustainable financial success in value-based care.

Did you know 30% of your MIPS score hinges on cost performance—including hidden ED episode measures? This guide breaks down how CMS calculates ED visit costs, where your team’s workflows unknowingly impact scores, and 5 proven strategies to optimize both care and reimbursement.

CMS’s 2025 ACO PC Flex Model offers upfront and monthly payments to stabilize primary care funding, while ACO REACH prepares for stricter 2026 benchmarks and risk adjustments. ACOs must navigate financial modeling, care transformation, and compliance—turning regulatory shifts into strategic advantages. Discover actionable steps to optimize revenue, manage risk, and stay ahead.

The CY 2026 Physician Fee Schedule Proposed Rule introduces major changes for ACOs, including accelerated risk progression, revised quality metrics, and new beneficiary requirements. Learn how these updates impact your financial strategy and operational workflows—and how to prepare before the September 12 comment deadline.

CMS has reopened the September 2025 Preview Period for LTCH and IRF quality reporting. Learn what's changed, which measures were corrected, and what providers must do by the August 28 deadline to protect their Medicare Compare scores.

Starting in 2026, CMS is introducing major updates to the Medicare Shared Savings Program (MSSP) that will impact ACO participation, risk models, quality reporting, and cybersecurity protections. Key changes include a shorter one-sided risk period (5 years instead of 7), relaxed patient minimums, simplified quality reporting, and new safeguards against cyberattacks. ACOs must prepare now to adapt to these shifts and maximize performance under the new rules.

With the passage of the One Big Beautiful Bill Act (OBBBA), ACOs must prioritize clinician engagement in Shared Savings Program (SSP) meetings to maximize performance under new Medicare payment structures. This guide outlines 7 actionable strategies—from aligning incentives with 3.8% APM payment bumps to leveraging peer-to-peer learning and streamlined data insights—to boost participation, improve outcomes, and drive shared savings.

The 2026 CMS proposed rule introduces major updates for ACOs in the Medicare Shared Savings Program (MSSP), including mandatory APP reporting, a stronger push toward digital quality measures, and higher performance thresholds. Key changes also include revised benchmarking, beneficiary attribution adjustments, and expanded Promoting Interoperability requirements. ACO leaders should prepare for increased digital reporting demands while taking advantage of new flexibilities—especially for rural and smaller ACOs. Stay informed and ready for compliance ahead of the final rule.

The Centers for Medicare & Medicaid Services (CMS) has proposed key updates for the 2026 MIPS performance year, including unchanged category weights, a stronger push toward digital quality measures (dQMs), and adjustments to measure inventories and performance thresholds. Clinicians and administrators should prepare for evolving MIPS Value Pathways (MVPs), streamlined reporting, and increased digital reporting requirements. Stay ahead by reviewing the proposed changes and ensuring compliance before the final rule takes effect.

Discover CMS’s 2025 third-party intermediary policy changes for MIPS providers and get clear, actionable steps to update vendor agreements, test workflows, and meet deadlines.

Automatic reweighting in MIPS 2025 doesn’t mean less work—it means smarter strategy. Hospital-based, small practice, rural, and non-patient-facing clinicians must understand how reweighting impacts their scores. Missing key deadlines or misreporting could mean lost incentives. Learn which categories shift, who qualifies, and how to optimize your MIPS performance.