A physician-led ACO built by people who run primary care.
Operationally backed by Rancho Health, the MSO that already supports 36
clinics across Southern California. We handle the administrative load so your
practice can focus on patient care.
WHAT PARTICIPATION MEANS
Built for primary care, run by primary care.
Operational support
Credentialing, contracting, billing oversight, and quality reporting handled by the Rancho Health MSO.
Risk adjustment & quality
Workflow tools and analytics that surface gaps in care and keep your HCC/quality metrics current.
Shared-savings opportunity
When the ACO meets quality and cost benchmarks, participating providers share in the savings.
Practice autonomy
You stay independent. We support — we don't manage. You see your patients the way you trained.
HOW IT WORKS
How a practice joins the network.
ACOs are organized by Tax Identification Number. When your TIN joins Rancho Accountable Care, all eligible providers billing under that TIN become part of the ACO for the performance year.
Typical enrollment cycle is 90–120 days, aligned with the CMS performance year that begins each January 1.
1. Initial conversation
A 30-minute call to understand your practice, your patient panel, and your goals.
2. TIN review
We review your Tax Identification Number, NPI(s), Medicare PECOS enrollment, and current network alignment.
3. Participation agreement
Sign a Participation Agreement that defines your role (Participant or Preferred) and chosen payment mechanism.
4. CMS submission
Rancho Accountable Care submits your TIN to CMS as part of our participant list. CMS validates and confirms.
5. Onboarding
Workflow training, EMR connectivity setup, and introduction to your dedicated practice success manager.
PARTICIPATION STATUS
Two ways to participate.
TIN HOLDERS
Participant
Practices whose TIN is on the Rancho Accountable Care participant list submitted to CMS. Beneficiaries are aligned to your TIN; you share in savings/losses according to the agreement.
- Beneficiary alignment
- Quality reporting attribution
- Eligible for shared savings
- Subject to participation agreement terms
SPECIALISTS & FACILITIES
Preferred Provider
Specialists, hospitals, SNFs, and other providers who agree to coordinate with the ACO’s Participants but whose TIN is not used for beneficiary alignment.
- No beneficiary alignment
- Care coordination support
- Access to ACO benefit enhancement waivers
- Written agreement, no billing changes
PCC vs. TCC
CMS offers two prospective payment options for ACOs in the LEAD Model.
We help your practice choose the one that aligns with your patient panel and operational maturity.
| Scope | Primary care services for aligned beneficiaries | All Part A & Part B services for aligned beneficiaries |
| Cash flow | Monthly capitation payment for primary care | Monthly capitation payment for total cost of care |
| Risk profile | Lower | Higher |
| Best fit | Practices new to value-based care | Mature ACOs with strong specialist & hospital integration |