Healthcare ACO Participation Agreement Form

Streamline ACO Enrollment with a Professional Participation Agreement Form

Healthcare Accountable Care Organizations (ACOs) require detailed participation agreements that outline attribution methodologies, quality benchmarks, and risk-sharing arrangements. This Healthcare ACO Participation Agreement Form template provides a structured, compliant solution for healthcare administrators, medical practices, and ACO coordinators to efficiently onboard new provider participants.

Built for Healthcare Administration and ACO Management

This template is designed specifically for healthcare organizations managing ACO programs, including hospitals, health systems, medical groups, and payer organizations. It captures all essential participation details—from provider demographics and practice information to complex financial arrangements and quality metric commitments—in a single, professional form that can be completed online and signed electronically.

Key Features for ACO Enrollment

The form includes sections for provider information, practice demographics, attribution methodology preferences (prospective vs. retrospective), quality benchmark acknowledgment, risk-sharing tier selection, and data-sharing agreements. With Paperform's conditional logic, you can show or hide specific sections based on provider type, risk level, or program tier, ensuring each participant only sees relevant questions.

Integrate with Your Healthcare Systems

Connect this form directly to your practice management system, CRM, or internal databases using Paperform's native integrations or Stepper workflows. Automatically route completed applications for review, trigger credentialing processes, and maintain compliance documentation without manual data entry.

Add eSignatures with Papersign

Once providers complete the participation form, use Papersign to automatically generate the formal participation agreement for secure electronic signature. This creates a seamless enrollment experience while maintaining proper documentation and audit trails required for ACO compliance and CMS reporting.

With Paperform's SOC 2 Type II compliance and robust security features, you can trust that sensitive provider and practice information is protected throughout the enrollment process. Streamline your ACO onboarding, reduce administrative burden, and ensure consistent data collection across all participating providers.