In January of 2014, CHA ACO, LLC was named an Accountable Care Organization (ACO) and began participating in the Medicare Shared Savings Program offered by the Centers for Medicare and Medicaid Services (CMS).

In 2017 CHA ACO, LLC added a commercial ACO product, Beacon ACO.

New in 2021 is Quality Care Alliance (QCA) a network established to offer employers  in Elkhart County, St. Joseph County, and the surrounding area with a value-based group health benefit program offering employers an integrated platform to support collective population health, care concierge and wellness initiatives. The ACO narrow provider network includes Beacon Health System, Goshen Health and independent physician groups in Elkhart, and St. Joseph counties and the surrounding areas. The enhanced service model focus represents a collaborative network of group benefit administration services, regional health systems, independent doctors, and other providers who will work together to provide the best healthcare experience possible, resulting in a higher level of care at a reduced cost. By partnering with carefully selected providers who deliver the highest tier of quality in the area, the narrow network will offer significant advantages for patients.