about Synnova ACO Program
Contracting Deadline for 2027 program:
July 31st, 2026
2027 LEAD ACO PROGRAM
Financial Stability & Benchmark Security
10-Year Locked Benchmark (2027–2036):
The longest performance period in CMS history, providing a decade of financial predictability.
Elimination of the "Ratchet Effect":
No annual rebasing of your historical benchmarks; your savings are protected and don't result in lower future targets.
Inflation-Adjusted Performance:
Benchmarks are adjusted for regional inflation without the penalty of rebasing.
Prospective Revenue:
Direct, upfront monthly revenue flow from CMS to the ACO, bypassing traditional FFS "chasing.“
Share Savings Revenue:
Surplus revenue generated by lowering to actual expenditure below the 10-year locked Total Cost of Care Benchmark.
Concurrent Risk Adjustment:
Immediate RAF (Risk Adjustment Factor) adjustments based on current year patient complexity, rather than waiting for retrospective look-backs.
2027 LEAD ACO PROGRAM
Operational Efficiency & Practice Throughput
At Synnova ACO, we empower healthcare providers to operate smarter, faster, and more effectively—without compromising the quality of patient care.
Unified ACO Administration:
A single clinical and regulatory framework that replaces the "chaos" of managing numerous different MA plans and IPAs.
Automated Quality Reporting (eCQM):
Digital quality reporting via platform replaces manual HEDIS "chart chasing" and audit prep.
Full MIPS Exemption:
Participation in the LEAD Professional/ Global track grants Qualified Participant (QP) status, removing all MIPS reporting requirements.
Elimination of Referral Authorizations:
Significant reduction in "paperwork friction," allowing faster patient throughput and specialist coordination.
Real-Time Gap Closure:
Point-of-care alerts to close clinical gaps during the visit, ensuring accuracy for the high-need benchmarks.
Permanent Voluntary Alignment:
Once a member signs the alignment form, they stay with our PCP participant network continuously; there is no “Open Enrollment” period for them to be poached.
Preserved Freedom of Choice:
Unlike MA, seniors in the LEAD ACO maintain their “Freedom to Roam”—they can see any Medicare-accepting provider in the country while keeping their enhanced benefits.
A vital shift toward Whole-Person Care: Synchronizing the delivery of Physical, Behavioral, and Social Determinants of Health (SDOH)
2027 LEAD ACO PROGRAM
Member Alignment & Benefit Enhancements
MA-Equivalent Benefits:
Access to “Preferred Provider” benefits usually reserved for Medicare Advantage plans , such as:
- Coinsurance Waivers: Reducing or eliminating out-of-pocket costs for provider visits.
- Part B Cost Sharing: Direct support for Medicare Part B expenses.
- Part D Premium Buy-Down (By 2029): Ability for the ACO to subsidize Part B premium.
SYNNOVA ACO PRIMARY OBJECTIVES
Financial Empowerment for PCPs
Predictable revenue through monthly CAP revenue coupled with transparent, high-yield profit-sharing and performance incentives
Practice Efficiency Solutions
Deployment of advanced technology and supplemental clinical resources to maximize practice efficiency and longitudinal success
Senior Member Empowerment
A robust suite of "Advantage-Plus" benefits designed to foster direct member engagement and proactive health self-management