Keep the base, add a bonus — the shape, and the largest audited example

Keep the base, add a bonus

The base fee holds either way. Only the bonus rides on the outcome.

Illustrative shape, not plotted values. Same floor either way; only the top layer is contingent.

The largest audited example of this shape

$4.1B paid in performance bonuses on top of base pay, in Medicare’s Shared Savings Program (2024).

Of 476 participating groups. Source: Medicare Shared Savings Program, PY2024.