Ambulatory Specialty Model is mandatory. Losing your independence isn't.

Moonrise helps independent orthopedic groups understand and manage the 9%+ ASM downside risk on their Medicare revenue so you can protect margin and stay in control of your practice.

If your surgeons see Medicare low back pain, ASM can move a meaningful share of your Part B payments up or down. Moonrise turns ASM from a vague policy risk into a set of specific numbers, pathways, and decisions your partners can act on.

Why ASM matters for independent orthopedics

ASM isn't a side program you can ignore. For eligible orthopedic and spine clinicians in selected markets, it:

  • •Ties a 9%+ payment adjustment to your performance on low back pain, then applies that factor across all of that clinician's Medicare Part B revenue in the adjustment years.
  • •Ranks you against peers, using quality and cost measures where not everyone can be "above average" at the same time.
  • •Assumes big-system infrastructure (care coordination, data sharing, collaborative care arrangements) that most independent groups have never been resourced to build.

For a physician-owned group with real fixed costs, a multi-year negative swing on Medicare revenue for your key surgeons is not theoretical. It's margin, compensation, and independence.

What Moonrise does for orthopedic practices under ASM

Moonrise is a platform built to help independent practices see, model, and manage the ASM risk sitting inside their Medicare book of business.

ASM exposure and likelihood scan

Estimate whether your markets and clinicians are likely to be selected for ASM based on specialty mix and Medicare low back pain volumes. Identify which surgeons are most likely to be ASM participants and size the Medicare Part B revenue exposed to the adjustment corridor.

Financial impact modeling

Translate CMS scoring rules into a realistic range of revenue outcomes for your practice, not just a theoretical ±9–12%. Show how patterns of care (conservative management vs procedures, imaging utilization, post-acute use) move your likely cost and quality scores.

Practical low back pain and CCA blueprint

Build a minimal, workable low back pain pathway that reflects how your surgeons actually practice while aligning with ASM expectations. Structure collaborative care arrangements with PCPs and ACOs in a way that is compliant and manageable for an independent group.

Risk governance for independents

Put a simple governance cadence in place so you are not surprised by a payment adjustment two years after the performance year. Align internal incentives and expectations so physician-owners and employed surgeons understand how ASM performance affects group revenue.

Who Moonrise is for

Moonrise is designed for:

  • •Physician-owners and managing partners of independent orthopedic and spine groups with meaningful Medicare low back pain volume.
  • •Practice administrators and executive directors who own budgets, contracting, and physician compensation.
  • •Groups that intend to remain independent through at least 2031 and want to treat ASM as a contract to manage, not a reason to sell.

If you simply want a policy overview, there are plenty of free summaries. If you need to know what ASM could do to your numbers and what to do about it, that's where Moonrise comes in.

2025–2026 ASM pilot cohort

We are accepting a small cohort of pilot partners to pressure-test the Moonrise approach with real orthopedic practices before ASM performance years begin.

Pilot partners receive:

  • •An ASM exposure and revenue model tailored to your practice.
  • •A readiness roadmap outlining operational, data, and care-model gaps specific to your group.
  • •A low back pain pathway and CCA blueprint suitable for use with surgeons, PCPs, and ACO partners.
  • •A governance template for monitoring ASM performance over time.

Accepted pilot partners will receive discounted pricing through 2026 in preparation for 2027 deployment.

This cohort is intentionally small. We prioritize groups where decision-makers are directly involved and are prepared to share enough practice-level detail for the work to be meaningful.

Why Moonrise exists

Moonrise is a specialist team focused on one thing: helping independent orthopedic practices navigate ASM-level risk without giving up their independence.

We bring together:

  • •A market architect who has spent more than a decade building and running revenue models across payors, health systems, employers, and venture-backed startups, including orthopedics and musculoskeletal care.
  • •Former chief administrative officers and chief revenue officers from leading provider organizations who have owned P&L, physician compensation, revenue cycle, and payer negotiations in the real world.

By joining the Moonrise ASM pilot cohort, you work directly with senior operators who understand both CMS models and the day-to-day realities of running a specialty practice.

Our mission is to give independent specialists the same level of market and contract intelligence that systems and payors have had for years.

Start your application

If you are serious about preparing your orthopedic group for ASM, share a few details below. We will review your application and follow up directly.

By submitting, you confirm that you are a decision-maker for your practice or are working directly with those who are.