partnership
The partnership, in clear terms.
The published Medicare Advantage 2026 schedule. Review the figures and conditions, then talk through the full agreement with us.
| Member RAF | PMPM |
|---|---|
| 0.0 – 0.99 | $135 |
| 1.0 – 1.09 | $145 |
| 1.1 – 1.199 | $155 |
| 1.2 – 1.299 | $165 |
| 1.3 – 1.399 | $175 |
| 1.4 – 1.499 | $185 |
| 1.5 – 1.599 | $195 |
| 1.6 + | $205 |
| Share | Claims | AWVs | Stars |
|---|---|---|---|
| 50% | ≥ 85% | ≥ 90% | ≥ 4.0 |
| 45% | ≥ 80% | ≥ 90% | ≥ 3.5 |
| 40% | ≥ 70% | ≥ 85% | ≥ 3.0 |
| 35% | ≥ 70% | ≥ 80% | ≥ 2.5 |
| 30% | Below 50% claims, 80% AWVs, or 2.5 stars | ||
2026 published schedule. RAF = risk adjustment factor; PMPM = per member, per month; AWV = annual wellness visit. Tier thresholds are reproduced from the approved schedule. This is not a calculator or a guarantee of payment. Confirm how the full agreement applies to your practice with the team.
What is the institutional risk pool?
This is the pool of funds for which an IPA bears risk, largely related to hospital care. Under the published partnership, surplus is shared with primary care physicians based on performance and applicable terms.
Walk through it with us
Bring your questions about capitation, documentation, claims, quality thresholds, and participation. The team will explain the schedule and agreement before you decide.