Aledade Lands $500M Credit Facility to Scale Value-Based Primary Care Network

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What You Should Know:

– Aledade, the largest network of independent primary care, has secured a $500M senior secured credit facility from Ares Commercial Finance, which can expand up to $650 million.

– The financing doubles Aledade’s current committed capacity , providing essential working capital flexibility to manage the timing gaps in Medicare payments and accelerate shared savings distributions to its clinician partners.

– The capital fuels the company’s continued national scale in value-based care, building on the $1B in savings its ACOs generated in 2024.

Aledade Doubles Funding Capacity to Solidify Leadership in Value-Based Care

Aledade, the nation’s largest network of independent primary care, and Ares Commercial Finance today announced a major financial milestone: a $500M senior secured credit facility, led by Ares Credit funds. This significant transaction provides Aledade with the flexibility to expand the facility up to $650M, effectively doubling the company’s current committed financing capacity. The funding is not merely a capital infusion; it is a strategic maneuver designed to accelerate the transition from the traditional fee-for-service model to value-based care across the country.

Bridging the Medicare Payment Gap

Aledade’s business model hinges on partnering with primary care organizations to drive their success in the Medicare Shared Savings Program (MSSP). This means helping physicians get paid for improved outcomes rather than the quantity of services provided. MSSP payments, however, often involve a significant time lag. The new credit facility provides crucial working capital flexibility to bridge this timing gap, allowing Aledade to manage its expenses and, critically, accelerate the distribution of shared savings to its clinician partners.

“This allows us to accelerate shared savings distributions to our clinician partners, enabling them to reinvest in their patients and practices sooner to sustain our momentum in value-based care,” said Farzad Mostashari, MD, co-founder and CEO of Aledade.

Proven Track Record of Savings and Scale

Aledade’s operational success provides a strong foundation for this large-scale investment:

Savings Generated: In the 2024 MSSP performance year, Aledade’s ACOs generated $1 billion in savings. Since 2014, Aledade and its partners have driven more than $3 billion in healthcare savings for U.S. taxpayers.
Performance Edge: In the 2024 MSSP year, 93% of Aledade’s physician-led ACOs achieved shared savings, compared to under 70% among non-Aledade participants.
National Reach: The company currently supports more than 20,000 clinicians in 2,400 practices across 46 states, serving nearly 3 million Medicare patients through value-based care programs.