Value-Based Wound Care for
Accountable Care Organizations
Accountable Care Organizations, or ACOs, need to control wound care cost and utilization without sacrificing clinical outcomes. Old Mission Wound Care partners with ACOs operating under shared savings and downside risk to manage wound care as a defined, controllable cost.
Our value-based model replaces fee-for-service volatility with predictable spend and aligned incentives.

Predictable Costs
Flat monthly model that aligns incentives with your ACO's financial goals.
Chronic and complex wounds are one of the most underestimated cost drivers in ACO populations. They quietly extend episodes, increase utilization, and contribute to avoidable readmissions, all while flying under the radar of traditional care management programs.
Old Mission Wound Care exists to bring structure, accountability, and predictability to this problem.
The Problem:
Wound Care Is a Hidden Cost Driver in ACO Risk Models
For many ACOs, wound care becomes expensive not because patients are sicker, but because the care model is misaligned. Fee-for-service wound vendors are incentivized by volume, not outcomes, which leads to prolonged treatment timelines, inconsistent clinical decision-making, and unpredictable spend. Advanced biologics and procedural escalation introduce financial volatility, while wound-related complications and readmissions directly threaten shared savings performance.

Our Role: A Value-Based Wound Care Partner
(Not a Vendor)
Old Mission Wound Care operates as a value-based clinical partner embedded into your care continuum, not as an external vendor chasing utilization. We take responsibility for both wound outcomes and cost control, therefore aligning our incentives with the financial and quality goals of your ACO.
What this means in practice: We manage wound care as a defined risk domain rather than a collection of billable services. Our clinical teams emphasize conservative care first, escalate responsibly when necessary, and design treatment plans around healing timelines instead of procedural volume. The result is a more disciplined, outcome-driven approach to wound management.
The Model: A Predictable, Flat Monthly Model
Predictable Per-Member-Per-Month Pricing
At the center of our approach is a flat, predictable per-member-per-month model for wound patients. This replaces variable billing, per-visit charges, and per-graft costs with a single monthly fee that is easy to forecast and manage.
Comprehensive Care Delivery
That monthly model includes full wound care delivery, including clinical oversight, conservative and advanced therapies, and coordination across care settings. Because our economics are not tied to utilization, our incentives are aligned around faster healing, fewer complications, and reduced downstream utilization.
The Proof: Proven Outcomes in High-Risk Wound Populations
Before transitioning fully to a value-based model, our clinical team delivered mobile wound care at scale across complex and high-risk patient populations. Those outcomes consistently outperformed national benchmarks and inform how we manage wound care today.
Demonstrating effective, evidence-based healing across high-acuity patients
Significantly lower than national averages for chronic wound populations
We achieved a 98 percent wound improvement rate and a 1.3 percent wound-related hospital readmission rate, demonstrating that disciplined, accountable wound care can deliver both clinical and financial performance.
Built for: Shared Savings & Downside Risk
For ACOs operating under risk, wound care must be predictable, controllable, and aligned with broader population health goals. Our model reduces total cost of care for wound patients, limits exposure to high-cost biologics, and lowers preventable admissions and emergency department visits. Just as importantly, it enables cleaner forecasting and greater confidence for finance, actuarial, and executive teams.
Reduce Total Cost of Care
Lower overall spending for wound patients through disciplined care management
Limit High-Cost Exposure
Control biologics and procedural costs through conservative-first approach
Lower Preventable Utilization
Reduce admissions and ED visits through proactive wound management
Simple to Implement,
Easy to Scale
Old Mission Wound Care integrates into existing care teams and referral pathways without creating operational burden. We support clinicians rather than replacing them, and our model is designed to scale across markets, populations, and geographies as your ACO grows.

Let's Evaluate Your Wound Care Risk
If wound care is impacting your ACO's margins, quality metrics, or shared savings performance, we should talk. A short conversation can clarify where risk exists and whether a value-based wound care model makes financial sense for your population.
Evaluate Your Wound Care Cost Exposure