Sound Physicians’ ACO delivers nearly $114 million total savings in 2024 Medicare Shared Savings Program

No. 1 among MSSP ACOs focused on long-term care and facility-based beneficiaries

Nashville, TN - Oct. 2, 2025

Sound Long-Term Care Management (SLTCM), an accountable care organization (ACO) within Sound Physicians, saved Medicare $113,985.433 last year in total shared savings under the Medicare Shared Savings Program (MSSP), according to the Centers for Medicare and Medicaid Services (CMS) data released on Sept. 29, 2025.† SLTCM ranked No. 1 among MSSP ACOs focused on long-term care and facility-based beneficiaries, reflecting the organization's commitment to providing high-quality, cost-effective care for one of Medicare's most complex patient populations: people living in long-term care and assisted-living settings.

"Our ACO continues to put Medicare's most vulnerable and medically complex populations at the center of everything we do," said Mike Camacho, President, SLTCM. "By bringing together clinical expertise, strong facility partnerships, advanced analytics, and technology, we're not only improving quality of care but also delivering the highest level of savings among long-term care ACOs nationwide."

Clinical improvements

In its second year of performance, SLTCM saw^‡:

• Emergency department visits decreased by 7.6%
• Short-term hospitalizations decreased by 13.3%
• Emergency department visits leading to hospitalization decreased by 13.8%

How SLTCM was successful this year

From the beginning, SLTCM's blueprint has emphasized using analytics to facilitate early intervention, coordinating care through its dedicated clinical team, and aligning with providers on coverage and goals. Consistent focus on three key areas contributed to SLTCM's continued success:

• Data-driven support. SLTCM used advanced analytics to identify vulnerable patients and facilitate earlier intervention-before avoidable hospitalizations and complications occurred-through annual wellness visits, post-discharge follow-ups from acute-care settings, and targeted review of outlier performance and utilization.
• Care coordination at scale. SLTCM expanded its interdisciplinary care coordination team with dedicated quality improvement nurses (QINs) and strengthened transitions across inpatient, outpatient, and post-acute settings, including through telemedicine.
• Provider engagement. SLTCM aligned clinical workflows-including annual wellness visits and in-facility telemedicine to provide night, weekend, and holiday clinical coverage-clinical goals, shared real-time performance data, and fostered a culture of accountability and collaboration across its network.

"Our commitment to supporting providers and facilities in the long-term care setting is transforming how we provide care for older adults with high needs," said Tom Kim, MD, Chief Medical Officer, SLTCM. "These results reinforce that a clinician-led, collaborative approach can create measurable improvements in outcomes and make meaningful differences in the lives of our patients."

Who SLTCM serves

Medicare beneficiaries in SLTCM are more likely to:

• Experience more chronic conditions
• Receive end-of-life care
• Encounter financial hardship
• Receive care in facility settings
• Require surrogate or family support for medical decision-making

As part of Sound Physicians, a national, clinician-led medical group, SLTCM brings local teams the tools and support they need to provide better care and thrive in value-based programs.

About Sound Long-Term Care Management, a Sound Physicians ACO

Sound Physicians Long-Term Care Management (SLTCM) is a Medicare Shared Savings Program ACO focused exclusively on Medicare beneficiaries living in long-term care and assisted living facilities. With a dedicated clinical team led by physicians-and deep roots in value-based care cultivated over more than two decades-SLTCM's aim is to support its partners in providing uncompromising care to patients while enhancing financial performance. We invest deeply in our people, partners, and technology-including telemedicine-to ensure we connect patients with the care they need and deserve.

† Final CY2024 results as of Sept. 29, 2025, compared with final CY2023 results.
‡ Data sources: Medicare fee-for-service claims data and SLTCM internal analytics;
values rounded to one decimal place. Final performance results subject to CMS' release of final report package.