Belong participates in MSSP. The program aim to simplify navigation of the healthcare system for the most vulnerable populations through enhanced care coordination, improving access to benefits and minimizing unnecessary care. Belong works with providers and practices to identify which program they would be most successful in and then helps build partnerships that can support increased revenues for the practice while improved outcomes for members.​

Belong also actively tracks and identifies new CMMI models, evaluates them, and presents them as opportunities to our partner practices.

Providers: Primary care providers (physicians and mid-levels)
Patients: Medicare Fee for Service (FFS) beneficiaries

ACOs provide beneficiaries with greater attention to their individualized health needs and enhanced care coordination across providers, while maintaining the services and flexibilities they value in Medicare FFS. This enhanced care coordination is implemented through a process that assesses the current state of a provider’s capabilities and supplements them with additional infrastructure through Belong Health. ACOs also enable many beneficiaries to take advantage of benefits they may not have been aware of or that are unique to the ACO model.​

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ACOs allow providers to form communities across practices, fostering collaboration and accountability for performance. By sharing management responsibilities and costs, participating providers can leverage tools and resources to better coordinate, manage, and improve the quality of care they deliver to their Medicare FFS beneficiaries. These tools include actionable data and reporting, care management, and beneficiary engagement processes, among others.

In addition to the in-year enhanced payments Belong makes, ACO participating providers are eligible at the end of each program year for an additional surplus payment based on performance throughout the year. The surplus payment is determined by the cost of care savings for the population of aligned beneficiaries and performance on key quality measures for the ACO program.

Providers will be engaging with their existing Medicare panel, with special attention to Annual Wellness Visits, the needs of highest risk beneficiaries, and fulfilling the focused quality measures of the ACO program. PCPs will have additional support through the ACO’s care management, care coordination services, and action-oriented data insights. As a result, participation in an ACO program should have minimal impact on primary care workload.