Answers to common questions about joining Florence and how our model works. If you'd rather just talk, we're easy to reach.
Florence Health is a practice-isolated ACO participating in the Medicare Shared Savings Program. We work with independent primary care practices and FQHCs that want to be measured on their own results — and paid accordingly.
Your performance is measured and rewarded at your practice level — not pooled across a larger network. High-quality, disciplined care is measured and rewarded directly, not averaged against someone else's.
Three things: practice-level performance measurement, payment structures built for monthly predictability rather than year-end distributions, and hands-on execution support through the Florence Success Model.
You keep your existing Medicare FFS revenue. On top of that, Florence offers in-year advances and a year-end shared savings distribution based on your individual performance. Options include Enhanced FFS, FFS + Flat Visit Fee, and FFS + PMPM.
Yes. Florence participates in the Enhanced MSSP track to maximize shared savings potential, creating a larger savings pool while maintaining structured risk management.
Independent primary care practices and FQHCs with strong clinical fundamentals, disciplined cost stewardship, and a preference for transparent, practice-level accountability. Florence is selective by design.
No. Participating physicians retain full clinical independence. What Florence changes is how your performance is measured, supported, and rewarded.
Year-end shared savings are reconciled after the CMS performance year. Florence's in-year advance structures improve cash flow throughout the year so you're not waiting 9–22 months.
Monthly performance reviews, care gap identification and risk stratification, clinical documentation support, patient access and care coordination, and provider-level financial reporting by NPI.
Onboarding typically takes 2–4 weeks with approximately 4–6 total hours of your practice's time.
Ask yourself: Do you know how your performance is measured? When and how much you'll be paid? Are your results practice-level or pooled? If you're unsure, it may be worth a conversation.
LEAD is a new 10-year accountable care program from CMS launching January 2027. Florence will be offering both MSSP and LEAD participation for PY2027, giving practices a choice of model based on their goals and risk appetite. If you're considering joining, starting early gives your practice runway to optimize performance before measurement begins.