Duet's ACO gives NP-owned practices a seat at the table for Medicare's shared savings programs for the first time.
THE BASICS
An Accountable Care Organization (ACO) is an invite-only network of Medicare providers who deliver high-quality care to their patients while reducing costs. When the network succeeds, providers share in the savings.
For years, ACOs were built around hospitals and large physician groups. NPs were left out. Duet's ACO changes that — putting NP owners at the center of a model they've always been capable of leading.
High-quality care
Top providers work to ensure their Medicare patients get high-quality, preventative care — with you at the center.
Value-based payments
Reimbursements are enhanced based on outcomes and savings — not just the visit. Quality care that keeps patients healthy and out of the hospital earns more.
Shared savings
When total costs come in below Medicare's benchmark, savings are shared directly with participating providers.
NP VOICES
They were skeptical too. Here's what changed their minds.
"I love serving Medicare patients, but it comes at a real cost given the 15% lower reimbursement rate for NPs. The ACO helps level the playing field: if you deliver quality care as we do, you can share in the savings, which is meaningful for our practice."
Rivka Adelman, ANP, ACNP
Adelman Health
"NPs have always shown up for seniors in the communities that need us most — the places other providers have walked away from. The care I've been delivering for years is now being measured and rewarded. It's overdue and gratifying at the same time.
Efrat LaMandre, FNP, PHD
EG Healthcare
"Our practice has always gone the extra mile for our patients. But when I saw the numbers from Duet, it proved it. Seeing my data was one of those moments where everything clicks. I'm now in a position where Medicare will actually reward me for it."
Cecilia Keady, DNP, FNP
Keady Family Practice
HOW IT WORKS
NP-led governance
An ACO designed by NPs — not hospital executives. Built to reflect the way NPs practice, with an emphasis on prevention, patient education, and holistic health.
Your model stays yours
Your way of delivering care is unchanged. Joining the ACO adds resources and analytics to support your model of care that are otherwise out of reach for most practices.
Financial upside to you
Participate directly in shared savings as a partner, without others receiving credit for your work. Since a rising tide benefits all NPs, get support to maximize your financial upside.
Practice waivers for NPs
NPs in the ACO receive waivers to minimize administrative hoops, including for ordering rehab, certifying hospice, ordering diabetic shoes - and more, state depending.
GETTING STARTED
1
Schedule an eligibility check
Find out your Medicare patient attribution, performance data, and potential fit from Duet.
2
Join the first NP-led ACO
Participate in a model built around NP care and get access to specialized resources at no cost.
3
Share in savings with Medicare
Get financially rewarded from Medicare when the ACO outperforms the cost benchmarks.
COMMON QUESTIONS
How do I find out if I qualify?
We review your eligibility together based on your patient panel and data from Medicare, and extend you an invitation.
How are shared savings determined?
Medicare sets a spending benchmark for your patient panel. When the total cost comes in below that benchmark, the savings are shared among providers.
Does anything change about my care model?
No. You keep your practice, your patients, and your clinical decision-making. Joining the ACO adds resources and financial benefits — it doesn't change how you practice.
Is there a cost to join?
No. High-performing NP practices are invited to join at no charge.
Does this require any additional work?
Most NPs spend fewer than 2 hours per month on ACO-related activities. Duet handles most of the work.
What if I'm already in a value-based care program?
Many value-based programs do not overlap with a Medicare ACO. Our team reviews your current contracts to ensure participation is compatible.
READY WHEN YOU ARE
