ACOs We Manage
Advanced Doctors ACO (ADACO) is a rapidly growing network of independent physicians and healthcare professionals dedicated to working in a cohesive manner to improve health outcomes and eliminate unnecessary duplication of services. ADACO is committed to putting the health and wellbeing of its 6,000+ Medicare beneficiaries first by providing the right care, at the right place and time.
| Position | Name |
|---|---|
| ACO Executive | David Klebonis |
| Medical Director | Jonathan Yun |
| Compliance Officer | David Klebonis |
| Quality Assurance/Improvement Officer | Thomas J. Leach |
How Shared Savings Are Distributed
— Performance Year 2020- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
CFR 425.612(f) and 42 CFR 425.613.
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
See our 2020 Quality Performance Results Table by visiting www.advanceddoctorsaco.org Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
Medicare Lives Managed
Participating Network Providers
Primary and Specialty Practices
Medicare Lives Managed
Participating Network Providers
Primary and Specialty Practices
California Clinical Partners ACO (CCPACO) is our largest ACO in terms of lives touched at over 20,000 Medicare beneficiaries. To deliver accountable care, CCPACO is empowering over 300 primary care and specialist providers from San Diego County to Kern County to coordinate comprehensive healthcare and optimize health outcomes.
| Position | Name |
|---|---|
| ACO Executive | David Klebonis |
| Medical Director | Asif Hashmi |
| Compliance Officer | Colin J. Campbell |
| Quality Assurance/Improvement Officer | Gianna Trombino |
Shared Savings and Losses
Amount of Shared Savings/Losses
Second Agreement Period
— Performance Year 2020 $15,379,221
Shared Savings Distribution
Second Agreement Period
— Performance Year 2020 $15,379,221
— Proportion invested in infrastructure: N/A
— Proportion invested in redesigned care processes/resources: N/A
— Proportion of distribution to ACO participants: 50%
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Yes, our ACO does use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
CFR 425.612(f) and 42 CFR 425.613.
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
See our 2020 Quality Performance Results Table by visiting www.ccpaco.org
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
DocACO Gulf Coast (DOCACO) is a network of independent physicians and healthcare professionals delivering coordinated healthcare to 10,000+ Medicare beneficiaries living in Bradenton, FL and Aiken, SC. Through enhanced prevention and chronic disease management, DOCACO’s 50+ and counting providers are optimizing healthcare outcomes to ensure a healthy future for the Medicare population.
| Position | Name |
|---|---|
| ACO Executive | David Klebonis |
| Medical Director | Christina Prather |
| Compliance Officer | Thomas Leach |
| Quality Assurance/Improvement Officer | Loren Chen |
Shared Savings and Losses
Amount of Shared Savings/Losses
First Agreement Period
— Performance Year 2020, $0
Shared Savings Distribution
First Agreement Period
Performance Year 2020
— Proportion invested in infrastructure: N/A
— Proportion invested in redesigned care processes/resources: N/A
— Proportion of distribution to ACO participants: N/A
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.61
See our 2019 Quality Performance Results Table by visiting www.docaco.org
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
Medicare Lives Managed
Participating Network Providers
Primary and Specialty Practices
Medicare Lives Managed
Participating Network Providers
Primary and Specialty Practices
Advanced Doctors ACO (ADACO) is a rapidly growing network of independent physicians and healthcare professionals dedicated to working in a cohesive manner to improve health outcomes and eliminate unnecessary duplication of services. ADACO is committed to putting the health and wellbeing of its 6,000+ Medicare beneficiaries first by providing the right care, at the right place and time.
| Position | Name |
|---|---|
| ACO Executive | David Klebonis |
| Medical Director | Jonathan Yun |
| Compliance Officer | David Klebonis |
| Quality Assurance/Improvement Officer | Thomas J. Leach |
How Shared Savings Are Distributed
— Performance Year 2020- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
CFR 425.612(f) and 42 CFR 425.613.
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
See our 2020 Quality Performance Results Table by visiting www.advanceddoctorsaco.org Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
GW Health Network (Health Alliance ACO, LLC) is a partnership between the George Washington Medical Faculty Associates and the George Washington University Hospital established to improve the delivery of coordinated healthcare to Medicare beneficiaries. With over 800 primary care and specialist providers, GWHN is strengthening the patient and provider relationship through enhanced prevention, chronic disease management, and patient-centered healthcare for over 7,000 Medicare beneficiaries.
| Position | Name |
|---|---|
| ACO Executive | Vinod Sancheti |
| Medical Director | Vinod Sancheti |
| Compliance Officer | Manish Saini |
| Quality Assurance/Improvement Officer | Bikramjit Singh |
Shared Savings and Losses
Amount of Shared Savings/Losses
First Agreement Period
— Performance Year 2020 $4,619,801
Shared Savings Distribution
First Agreement Period
- Performance Year 2020
— Proportion invested in infrastructure: 30%
— Proportion invested in redesign care processes/resources: 25%
— Proportion of distribution to ACO Participants: 45%
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
CFR 425.612(f) and 42 CFR 425.613.
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
See our 2019 Quality Performance Results Table by visiting http://www.gwhealthnetwork.com/public-reporting/
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.
Medicare Lives Managed
Participating Network Providers
Primary and Specialty Practices
Medicare Lives Managed
Participating Network Providers
Primary and Specialty Practices
NJPACO R. has been operational since 2014, bringing over 6 years of value-based healthcare delivery to Medicare Fee for Service patients. NJPACO R. is coordinating the care of 8,500+ Medicare beneficiaries living in New Jersey. Through enhanced prevention and chronic disease management, NJPACO R.’s 50+ and counting providers are optimizing healthcare outcomes to ensure a healthy future for the Medicare population.
Shared Savings and Losses
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance 2021, N/A
- First Agreement Period
- Performance Year 2020, N/A
How Shared Savings Are Distributed
- Second Agreement Period
- Performance Year N/A
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- First Agreement Period
- Performance Year N/A
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year N/A
- Performance Year N/A
- Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- No, our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612
- Waiver for Payment for Telehealth Services:
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
CFR 425.612(f) and 42 CFR 425.613.
- No, our ACO clinicians do not provide telehealth services using the flexibilities under 42
2019 Quality Performance Results:
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.