Value-Based Care Transparency Snapshot (U.S.)

patients enrolled in a primary care-led, integrated palliative care program spent an average of five more days at home during their final months (133.5 versus 128.23; p<.001) and were almost two-thirds less likely to die in a hospital (9 percent versus 26 percent; p<.001)

patients enrolled in a primary care-led, integrated palliative care program delivered within a full-risk model spent an average of five more days at home during their final months and were almost two-thirds less likely to die in a hospital

patients enrolled in a primary care-led, integrated palliative care program delivered within a full-risk model spent an average of five more days at home during their final months (133.5 versus 128.23; p<.001)

Senior patients managed by women PCPs experience equal or better clinical and quality outcomes and less healthcare utilization.

PCPs saw eight more new TM patients per year compared to the matched cohort of physicians who did not transition to the full-risk model, representing an approximate 35% relative increase in new TM patient volume.

New Study Finds Senior Patients Managed by Women Physicians in a Value-Based Care (VBC) Model Have Equal or Better Clinical and Quality Outcomes and Less Healthcare Utilization

Senior patients managed by women PCPs experienced better key clinical outcomes and less healthcare utilization compared to patients seen by men PCPs.

Senior patients managed by women PCPs experienced better key clinical outcomes, as evidenced by better hemoglobin A1C control and receipt of more eye exams for those with diabetes, compared to patients seen by men PCPs.

agilon REACH ACOs achieved $150 million in gross savings and 95% quality score

health screenings in value-based care, estimated to be between 8% and 20% higher than in FFS models

Up to 38% fewer hospitalizations through early detection and timely intervention.

no explicit outcome claims available

In 2026, Aledade is serving 1 in 5 of all new MSSP participants and nearly 20% of the total MSSP program.

75% of ACOs earned performance payments totaling $4.1 billion while generating $2.4 billion in savings for Medicare.

The Medicare Shared Savings Program generated an estimated $1.8 billion in total savings in 2022.

Aledade earned the highest national score of 95.7 out of 100

In 2023, Aledade partners conducted 50% more Annual Wellness Visits than the average practice.

Accredo’s TRC model helped achieve 22% fewer inpatient admissions

Aledade generated more than $1 billion in total savings by focusing on improved patient outcomes.

Aledade Partners Achieve Superior Hypertension Control, Outperforming Large Health Systems in New Case Study

Aledade earned the top spot in the 2026 Best in KLAS report for value-based care enablement services with a performance score of 95.7 points.

Aledade generated more than $1 billion in total savings.

In the most recent MSSP performance year, 93% of Aledade’s accountable care organizations achieved savings, and together Aledade generated more than $1 billion in total savings.

93% of Aledade’s accountable care organizations achieved savings, and together Aledade generated more than $1 billion in total savings by focusing on improved patient outcomes.

the Medicare Shared Savings Program (MSSP) saved Medicare more than $2.4 billion, its largest savings in history.

In 2024, the Medicare Shared Savings Program (MSSP) — the nation's largest value-based care program — saved Medicare more than $2.4 billion, its largest savings in history.

Not only have we decreased the medical costs of PT-adherent Medicare Advantage members by 40%, but our approach delivers real value to patients, resulting in a 14% reduction in their MSK-related out-of-pocket surgical expenses.

22% fewer inpatient admissions

Aledade partners earned more than $205,000 on average in shared savings payments in 2023.

Chronic members comprise 14% of our membership but account for 78% of the institutional claims submitted.

Generalist-led hospital models have emerged as a potential approach to achieving value-based care goals.

100% of our 210,000+ members enrolled in our personalized care models and real-time data insights.

Alignment Health Plan earned an overall 5-star rating for its H5296 Medicare Advantage (MA) HMO contract in Nevada and North Carolina.

One independent physicians group (IPA) in Mississippi realized a 12% reduction in hospitalizations for patients in chronic care management (CCM) programs, 25% fewer hospital readmissions and $66 million in Medicare savings since 2016.

Alignment Healthcare achieved a 20% reduction in hospital readmission rates through their innovative model.

we can reduce unnecessary complexity and help lower the total cost of care.

In the Medicare Shared Savings Program, the company achieved 6% savings compared to the previous year.

Total revenue of $965.1 million, up 56% from $620.4 million

approximately 80% of Care Partners capitation revenue and approximately 40% of consolidated membership now in full-risk arrangements

This acquisition is projected to boost annual revenue by $1.2 billion.

Total revenue of $3,181.8 million, up 56% from $2,034.5 million

Astrana Health has successfully operated for 35+ years to empower entrepreneurial providers with tools to deliver a higher level of care.

Foothill Regional Medical Center Receives 2026 Patient Safety Excellence Award™ from Healthgrades

Astrana Health, Inc. Reports First Quarter 2026 Results

Members served through a Value Based Care program had 16% fewer ER visits, and Well Child visits increased by 44%. Overall costs for these members were 28% lower per member/per month.

This protocol paper describes an effectiveness-implementation trial evaluating community suicide prevention practices triggered by advances in informatics that alert CareSource, a large managed care organization (MCO), when a subscriber is released from jail.

This randomized controlled trial investigates two evidence-based suicide prevention practices triggered by CareSource's jail detention/release notifications.

This randomized controlled trial investigates two evidence-based suicide prevention practices triggered by CareSource's jail detention/release notifications, in a partial factorial design.

CareSource’s $1.5 Million Donation to Dayton Children’s Hospital Aims to Improve Access to Pediatric Care in West Dayton

15% more children complete all seven recommended vaccinations for 2-year-olds

CareSource Foundation Invests $300,000 in Community Health Innovation Grants to Improve Health Outcomes Across Nevada Communities

CareSource Earns 2025 Great Place To Work Certification™

Clover Health's ACO demonstrated a decrease in hospital readmissions by 22%.

Patients discharged home from SNFs with HHC had lower 30-day readmission rates.

The program reduced hospital readmissions by 10% in the past year.

Clover Health PPO Medicare Advantage Plan achieved 4.94 out of 5 Stars on HEDIS measures for Star Rating year 2025 (MY2023).

Clover Health's MA membership grows 51% year-over-year.

Average PMPM Fees/ Revenue per Case $13.87

Evolent Care Partners had a shared savings rate of 5.9% in 2024, which — although decent — is lower than Privia’s 9.3% savings rate across its ACOs.

Evolent program achieves 20% reduction in use of low-value oncology regimens

Evolent Health achieved a 95% call answer rate.

Nearly 1 in 3 Medicare beneficiaries sees five or more physicians annually.

Evolent’s scale—managing care for over 5 million lives—creates a data flywheel that improves algorithms and outcomes.

ECP is a leading participant in the Medicare Shared Savings Program ('MSSP'), partnering with more than 1,000 physicians across the nation to serve more than 120,000 members.

Avg PMPM Fees for Specialty Technology and Services Suite is $13.87.

transaction to improve our annual cash flow by more than

we will continue to see a sizable market opportunity as health plans turn to Evolent for help in balancing quality and affordability for their members

Improve quality while managing costs in our ACO for independent providers

The company achieved a 15% reduction in readmission rates year-over-year.

A total of 278 alternative therapy interventions were made with an estimated cost savings of $133,191.43.

Molina Healthcare revenue for the quarter ending December 31, 2025 was

Molina Healthcare annual revenue for 2025 was

Molina Healthcare reports Medicare Advantage Membership grew from 258,000 to 260,000 - YoY.

Oak Street Health’s approach led to a 44% reduction in hospital admissions compared to Medicare benchmarks.

The ACO improved patient satisfaction scores by 15%.

The program aims for 90% of providers to meet quality benchmarks by year-end.

Oak Street Health focuses on delivering high-quality care through a value-based care model.

Privia ACOs Delivered $233+ Million in Total Savings in the 2024 Performance Year of Medicare Shared Savings Program, a 32% Year-over-Year Increase

Privia operated nine ACOs that delivered care to more than 194,000 Medicare beneficiaries through MSSP, achieving shared savings of $233.1 million, an increase of 32% over 2023.

Privia ACOs Delivered $176.6 Million in Shared Savings Across 10 Participating ACOs

about 15 percent of all appointments with Privia providers are scheduled through this functionality each month.

Privia Health’s EHR Cancer Screening Gains Put Value Based Story In Focus

Privia Health Reports Third Quarter 2025 Financial Results

Privia ACOs Delivered Total Annual Average Expenditures 8% Lower than Median MSSP ACO and 19%

Privia Health saw its 10 ACOs achieved aggregate shared savings of $176.6 million.

we’ve generated $690 million since I joined.

The company achieved a 30% reduction in hospital readmission rates.

Privia’s generating savings in the MSSP for 10 consecutive years.

Privia Health Earns 2026 HFMA MAP Award for Revenue Cycle Excellence

Privia Health earned the 2026 MAP Award for High Performance in Revenue Cycle.

Make 2025 the year you thrive in value-based care.