Margin

For MSSP ACOs and their advisors

Actuarial analytics for MSSP ACOs

Margin helps Medicare Shared Savings Program ACOs and the teams that support them forecast shared savings, understand benchmark and quality drivers, and compare rule scenarios, built on CMS public data and your own de-identified claims.

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No sign-in for the free tools. Public CMS data only.

Shared savings forecast

Net payment distribution vs. MSR

Estimate · illustrative
P50 net payment
$1.2M
P10 – P90
$0.2M – $2.3M
Chance of clearing MSR
68%
MSR threshold$3M$2M$1M$0Q1Q2Q3Q4
Synthetic data for illustration only. Real forecasts are generated from your own de-identified claims and labeled as estimates.

Product

What it does

One workspace for the questions finance and actuarial teams ask every performance year. Every model output is labeled as an estimate, scenario or illustration.

  • Forecasts and scenarios

    Model shared savings and losses with a range of outcomes against the minimum savings rate, and run what-if scenarios on the levers you control. Results are labeled estimates.

    Estimate

  • Benchmark and quality

    See how the benchmark is built step by step and which quality measures move your score, so the drivers behind a result are visible.

  • Rule watch

    Track MSSP rule changes, including the proposed CY2027 rule, and see their estimated effect.

    Proposed rule

  • LEAD comparison

    An illustrative comparison of your MSSP path against the CMS LEAD Model.

    Illustrative

  • Cited copilot

    Ask questions of de-identified data and get answers that cite their sources, so every figure can be traced.

  • Board packs

    Draft board-ready summaries from the same cited figures, with a human review step before anything is shared.

How it works

From claims to a defensible view

  1. Bring your data

    Load CCLF deliveries and quality files. Public CMS data supplies the benchmark context.

  2. De-identify and check

    Analytics and the copilot read de-identified views of tenant data, with small cells suppressed.

  3. Model and compare

    Forecast savings, trace the benchmark, and compare rule and path scenarios side by side.

  4. Review and report

    Draft board-ready summaries from the same cited figures, with a human review step.

Audience

Who it is for

ACO finance and actuarial teams, MSSP consultants and management service organizations that need a defensible, repeatable view of performance under the Shared Savings Program.

Free, no sign-in

Two free tools, no sign-in

Both tools use public CMS data only and show estimates, not actuarial opinions.

  • Compare ACOs

    Find an ACO and see its closest peers on public CMS metrics.

  • Rule explorer

    Estimate the impact of the proposed CY2027 MSSP rule on an ACO.

    Estimate

Security approach

How data is handled

Stated plainly, including what is not finished yet.

  • What is in place by design

    • The public tools use only public CMS data. No patient information is collected.
    • In the application, analytics and the copilot read de-identified views of tenant data.
    • Small-cell counts are suppressed in outputs.
    • Designed to align with HIPAA safeguards: tenant isolation, role-based access and audit logging. Compliance is contractual and is not asserted by this site.
    • Demos and this repository use synthetic data only.

  • What is not claimed

    • Working toward HITRUST e1; Margin is not certified.
    • No independent audit or attestation is claimed. Customer terms are set by a separate agreement.
    • The privacy and terms pages are drafts pending legal review.

See Margin on synthetic data

Pricing is scoped to your ACO or advisory practice. Tell us what you want to see and we will set up a walkthrough.

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