All offers last sourced at EST on , . Offers are generated based on current information we have about your practice. Payments made in Performance Year 2025 will be based on practice performance and final data from CMS and are subject to change.
Help us understand a bit more about your practice, your payment preferences, and risk tolerance.
Available offers that are best aligned for you will appear here. See an example with 500 original Medicare patients below.
Our system requires a bit more information about you so we can ensure we’re providing the best offer for you.
Steady Revenue
$46,234 per year
Primary Care Payments
$3,169 / month
Approximate FFS Payment
$0 / month
Pearl Revenue Enhancement*
$1368 / month
Performance-Based Payments
$74,137 per year
Potential Shared Savings**
$74,137 per year
Payments 1 ? Transitioning to 100% capitation for original Medicare gives you revenue stability and positions you to make the most of Shared Savings.
Capitation %
100%
Fee-for-Service (FFS) %
0%
Revenue Enhancement %
30%
Risks 2 ? >Pearl limits your exposure by taking on asymmetric risk on your behalf, while offering you much more of the upside share. If you believe you will perform well in this model, it is best take on upside risk to maximize your Shared Savings.
Upside Share
35%
Downside Share
15%
* Pearl Implementation Incentive of up to 30% available through August 1st, 2023. Learn more.
** Shared Savings reflects upside after accounting for Professional ACO REACH risk corridors; Financial performance above is illustrative; Actual payments will be a result of practice performance during the performance year
Name | 2024 | 2025 | 2026 |
---|---|---|---|
Steady Revenue | $48,634 | $43,362 | $42,131 |
Primary Care Payments | $634 / month | $3,169 / month | $3,169 / month |
Approximate FFS Payment | $2,735 / month | $0 / month | $0 / month |
Pearl Revenue Enhancement* | $1,368 / month | $444 / month | $342 / month |
Performance-Based Payments | $52,955 | $74,137 | $105,910 |
Potential Shared Savings** | $52,955 | $74,137 | $105,910 |
Payments 1 ? Transitioning to 100% capitation for original Medicare gives you revenue stability and positions you to make the most of Shared Savings. | |||
Capitation % | 20% | 100% | 100% |
Fee-for-Service (FFS) % | 80% | 0% | 0% |
Revenue Enhancement % | 30% | 15% | 10% |
Risks 2 ?Pearl limits your exposure by taking on asymmetric risk on your behalf, while offering you much more of the upside share. If you believe you will perform well in this model, it is best take on upside risk to maximize your Shared Savings. | |||
Upside Share | 25% | 35% | 50% |
Downside Share | 0% | 10% | 50% |
* Pearl Revenue Enhancement of up to 30% available through August 1st, 2023. Learn more.
** Shared Savings reflects upside after accounting for Professional ACO REACH risk corridors; Financial performance above is illustrative; Actual payments will be a result of practice performance during the performance year
1 Steady revenue payments do not include revenue from non-PQEM codes billed. Non-PQEM codes will continue to be billed FFS at the same rates as your practice is billing today.
2 Risk shares calculated after accounting for ACO REACH risk corridors.
Loading ...