Greetings from Clearwater Beach and the 2026 OPEN MINDS Performance Management Institute. This week, while I’m here with 650+ executives focused on performance optimization of programs serving high-needs consumers, Aledade announced it had added 700 primary care provider organizations to its networks for its 2026 value-based contracts (see Aledade Adds 700 Providers To Value-Based Care Network Amid Federal Policy Tailwinds). This brings their network to 3,000 primary care provider organizations serving 3 million consumers. 

The growth of Aledade is attributed to both a changing payer landscape and provider organization strategy. On the payer side, part of this growth is driven by an increasing number of Medicare beneficiaries in accountable care organizations (ACOs)—14.3 million people are enrolled in an ACO as of January 2026,…