ACO Roster Building Checklist

ACO Risk & Quality CareJourney 1 min

Download this checklist to understand the critical provider insights you need before finalizing your ACO roster.

Questions for ACO Leaders When Profiling Providers

Curating a roster of participants for the upcoming performance year (PY) determines the patient population an ACO is accountable for, the financial budget the ACO is assigned, and ultimately the ACO’s ability to achieve savings.

Whether you’re actively curating your provider roster, planning for the upcoming PY, or looking to drive continuous improvement throughout the performance year, these considerations can help guide your strategy.

Roster Volume and Risk

Reliable projections of attributed patient volume and risk scores help ACOs plan accurately and benchmark providers against peers.

Financial and Performance Impact

Adding or dropping a provider shifts the financial benchmark and cost-efficiency profile relative to the region, so each roster decision needs a clear read on downside and upside.

Provider Fit and Stability

Churn rate, patient disease burden, ACO experience, and practice-pattern alignment determine whether a provider will strengthen the roster over the full performance year, not just at signing.

What You’ll Learn

Download the checklist to learn how to:

Project a provider’s attributed patient volume and understand how it’s distributed across TINs
Evaluate a provider’s risk score and HCC capture and recapture rates against peers
Assess the financial benchmark impact of adding or dropping a provider
Compare a provider’s utilization and risk-adjusted spend to regional and peer performance
Profile a provider’s churn rate, patient population, and ACO experience to plan for the performance year