A Smarter Model for
Independent Physicians

We’re not just another ACO. We’re a physician-led, physician-owned platform built to support independence, elevate care, and reward performance.

Since 2012, PBACO has worked with thousands of physicians nationwide to reduce unnecessary costs, streamline operations, and consistently achieve top-tier quality results – while preserving physician independence.

Why Independent Physicians Choose PBACO

Top National Performance

Ranked #1 MSSP ACO in shared savings 5 of the last 8 years.

Physician-Owned & Led

Our model gives PCPs true ownership through equity and voting rights.

Low Overhead

PBACO operates at ~15% overhead, meaning more savings flow to you.

Support That Scales

Tools and services that reduce admin burdens and improve outcomes.

Broad Payer Access

Medicare, Medicare Advantage, Exchange & Commercial contracts.

Automated Reporting

~95% average quality score across 233,000+ patient lives.

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MEMBERSHIP REQUIREMENTS

What You Need to Join PBACO

We're built for independent physicians, whether you’re part of a group or solo practice. To enroll, you should:

• Be a primary care provider (specialists can join with aligned groups)
• Have an active Medicare billing status
• Be interested in value-based care and improved outcomes
• Participate in PBACO's performance improvement programs
• Complete onboarding and sign a participation agreement

Frequently Asked Questions

Why should I join an ACO?

Joining an ACO allows your practice to earn an annual bonus with absolutely no financial downside or risk. You’ll continue billing Medicare Fee-For-Service exactly as you do today. By participating, you have the opportunity to receive a significant bonus check each year, simply for delivering the high-quality care you already provide. Through enhanced data and insights, you'll be able to better track patient outcomes and make more informed clinical decisions. PBACO offers comprehensive support and guidance across all areas of your practice—helping you succeed clinically, operationally, and financially.

Ready to Join? It’s Easy.
Just click "Enroll Now" at the top right corner of the website and fill out a New Member Application. A member of our PBACO team will review your application and reach out within 1–2 business days. No commitment required until you’re ready to sign!

Is there any risk to joining?

PBACO participates as an Enhanced Track ACO—meaning we operate under a risk-based model—our providers remain 100% risk-free. We take on all financial risk, so if there are any losses, you won’t be responsible. There are no hidden fees or surprise costs when joining PBACO. All services and support are provided to our physicians at no cost to you.

What sets PBACO apart from other ACOs?

PBACO is 100% physician-owned and operated, setting us apart from traditional ACO models. Every physician who joins becomes an owner—including new members—ensuring that decisions are made by and for clinicians. Our organization is fully funded by physicians, with no outside investors, allowing us to stay focused on what matters most: patient care and physician success. By operating with a lean and efficient structure, we’re able to return approximately 85% of all earnings directly to our physician owners.

What happens to my billing?

Nothing changes. You’ll continue to bill 100% Fee-For-Service to CMS and receive payments directly, just as you do today. PBACO does not take over your billing. Instead, we operate using claims data provided by CMS and BlueSky Analytics to support performance tracking and improvement. Our team of EHR specialists is available to help create customized EMR templates for billing, coding, and documentation. These templates are designed to integrate seamlessly with most EMR systems—so there’s no disruption to your current workflow.

Own Your Practice’s Future

Join PBACO and be part of shared success built on equity, performance, and national scale, without compromise.
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Discover how much your practice could earn with PBACO.
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