Solutions · ACO PC Flex
Make every dollar of your PC Flex payments count
PC Flex gives low-revenue ACOs predictable, prospective primary care funding. Scalesz Pay makes sure it reaches your practices accurately, on time, and without consuming your team in payment administration.
PPC Payment distribution
Distribute monthly Prospective Primary Care Payments to participating practices with
rules that match your participation agreements — by TIN, with NPI exceptions.
Attribution on CMS methodology
Know exactly which beneficiaries drive each month's payments, calculated the way CMS
calculates them.
Care coordination fees
Layer care coordination payments alongside primary care distributions — one pipeline,
one reconciliation.
Practice-ready EOPs & 835s
Your practices get clean, postable remittances — fewer questions, faster trust in a
new payment model.
Self-manageable by design
Ops teams make configuration changes themselves. No change orders, no professional
services bills for routine updates.
Priced for low-revenue ACOs
Modular pricing: enable what you need now, add capabilities as you grow into the model.
FAQ
PC Flex, answered
- What is the ACO PC Flex Model?
- The ACO Primary Care Flex (PC Flex) Model is a voluntary CMS Innovation Center model that runs 2025 through 2029 for low-revenue ACOs in the Medicare Shared Savings Program. It pays a one-time Advance Shared Savings Payment plus monthly Prospective Primary Care Payments (PPC Payments) based on county-level primary care spending rather than historical spending.
- How does Scalesz Pay help a PC Flex ACO?
- Scalesz Pay manages the downstream side of PC Flex: calculating attribution on CMS methodology, distributing prospective primary care payments and care coordination fees to participating practices, handling retroactive membership changes, and producing the EOPs, 835s, and reports your practices expect — all sized and priced for low-revenue ACOs.
- We received the Advance Shared Savings Payment. How should we deploy it?
- The advance is meant to build capability. Many PC Flex ACOs spend a disproportionate share on manual payment administration. Automating payment operations converts a recurring staffing cost into a predictable, much smaller platform cost — preserving the advance for care delivery investments.
- Is Scalesz affordable for a low-revenue ACO?
- Yes — that is the design center. Pricing is modular: you enable only the capabilities you need, and the platform is self-manageable, so you are not buying professional services with every change.
Running PC Flex on spreadsheets?
See how a low-revenue ACO stands up automated payment operations in six weeks — without consuming the advance that's meant for patient care.