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ACOs We Manage

Advanced Management USA manages a network of 7 Large scale Accountable Care Organizations (ACOs).
Learn more about our ACOs successes and how they’re advancing value-based healthcare delivery!

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Medicare Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

California Clinical Partners ACO (CCPACO) is our largest ACO in terms of lives touched at over 33,000 Medicare beneficiaries. To deliver accountable care, CCPACO is empowering over 449 primary care and specialist providers from San Diego County to Kern County to coordinate comprehensive healthcare and optimize health outcomes.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorDr. Lori Lane
Compliance OfficerDavid Klebonis
Quality Assurance/Improvement OfficerNick Martin

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period

— Performance Year 2022 $32,432,731

Shared Savings Distribution

First Agreement Period

— Performance Year 2022 $32,432,731

— Proportion invested in infrastructure: 35%

— Proportion invested in redesigned care processes/resources: 15%

— Proportion of distribution to ACO participants: 50%

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    •  Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.

See our 2022 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.

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 24,000+ Medicare & Commercial beneficiaries first by providing the right care, at the right place and time.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorDr. Lori Lane
Compliance OfficerDavid Klebonis
Quality Assurance/Improvement OfficerDavid Klebonis

— Performance Year 2022 $4,859,586

How Shared Savings Are Distributed

— Performance Year 2022

  • Proportion invested in infrastructure: 15%
  • Proportion invested in redesigned care processes/resources: 20%
  • Proportion of distribution to ACO participants: 65%
  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Yes, our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612..
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §
      425.612(f) and 42 CFR § 425.613.

See our 2022 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.

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Medicare Lives Managed

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Commercial Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

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 1435 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 9,000 Medicare beneficiaries.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorWilliam Borden
Compliance OfficerTodd Condon Jr.
Quality Assurance/Improvement OfficerAnna Rubin

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
— Performance Year 2020  $2,237,716

Shared Savings Distribution

First Agreement Period

  • Performance Year 2020
    — Proportion invested in infrastructure: 35%
    — Proportion invested in redesign care processes/resources: 15%
    — Proportion of distribution to ACO Participants: 50%
  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses 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.

See our 2022 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.

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Medicare Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

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Medicare Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

NJPACO R. has been operational since 2014, bringing over 9 years of value-based healthcare delivery to Medicare Fee for Service patients. NJPACO R. is coordinating the care of 19,000+ Medicare beneficiaries living in New Jersey. Through enhanced prevention and chronic disease management, NJPACO R.’s 105+ and counting providers are optimizing healthcare outcomes to ensure a healthy future for the Medicare population.

PositionName
ACO ExecutiveVinod Sancheti
Medical DirectorVinod Sancheti
Compliance OfficerManish Saini
Quality Assurance/Improvement OfficerBikramjit Singh

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance 2022, $10,664,165
  • Second Agreement Period
    • Performance Year 2021, $3,744,254

How Shared Savings Are Distributed

  • Third 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: $10,664,165
    • 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: $3,744,254
  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Yes, Our ACO uses 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.

See our 2022 Quality Performance Results by visiting njpacor.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.

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Medicare Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

EMPIRE ACO (EMPACO) is an expanding network of autonomous medical practitioners and healthcare experts committed to collaborating seamlessly to optimize health outcomes and curtail superfluous service duplication. Building on several years of experience as providers in an ever changing industry, EMPACO remains steadfast in its commitment to prioritizing the health and well-being of its vast Medicare beneficiary population exceeding 8,000+.

PositionName
ACO ExecutiveDevendra Shrivastava
Medical DirectorVajinath Chakote
Compliance OfficerDavid Klebonis
Quality Assurance/Improvement OfficerAbiola Familusi

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

— Performance Year 2022 $0

Shared Savings Distribution

Second Agreement Period

— Performance Year 2022 $0

— 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.

See our 2022 Quality Performance Results Table by visiting www.empireaco.com 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.

DocACO Gulf Coast (DOCACO) is a network of independent physicians and healthcare professionals delivering coordinated healthcare to 23,000+ Medicare & Commercial beneficiaries living in Bradenton, FL and Aiken, SC. Through enhanced prevention and chronic disease management, DOCACO’s 271+ and counting providers are optimizing healthcare outcomes to ensure a healthy future for the Medicare population.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorLori Lane
Compliance OfficerThomas Leach
Quality Assurance/Improvement OfficerGianna Trombino

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
— Performance Year 2021, $1,395,369

Shared Savings Distribution

First Agreement Period

Performance Year 2021
— Proportion invested in infrastructure: 35%

— Proportion invested in redesigned care processes/resources: 15%

— Proportion of distribution to ACO participants: 50%

  • 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
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See our 2021 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.

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Medicare Lives Managed

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Commercial Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

Pacific Accountability Care is a collaborative network of over 174 independent physicians and healthcare experts dedicated to providing integrated healthcare services to more than 13,000 Medicare beneficiaries across Southern California. With a focus on preventive care and effective management of chronic conditions, PACIFIC's team strives to optimize healthcare outcomes, promoting a healthier future for the Medicare population.

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
— Performance Year 2022, $4,677,455

Shared Savings Distribution

Second Agreement Period

Performance Year 2022
— Proportion invested in infrastructure: 50%

— Proportion invested in redesigned care processes/resources: 15%

— Proportion of distribution to ACO participants: 35%

  • 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:
    • Our ACO clinician provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.61

See our 2022 Quality Performance Results Table by visiting www.pacificaccountablecare.com

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.

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Medicare Lives Managed

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Participating Network Providers

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Primary and Specialty Practices

DocACO Gulf Coast (DOCACO) is a network of independent physicians and healthcare professionals delivering coordinated healthcare to 23,000+ Medicare & Commercial beneficiaries living in Bradenton, FL and Aiken, SC. Through enhanced prevention and chronic disease management, DOCACO’s 271+ and counting providers are optimizing healthcare outcomes to ensure a healthy future for the Medicare population.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorLori Lane
Compliance OfficerThomas Leach
Quality Assurance/Improvement OfficerGianna Trombino

Shared Savings and Losses

Amount of Shared Savings/Losses

First Agreement Period
— Performance Year 2021, $1,395,369

Shared Savings Distribution

First Agreement Period

Performance Year 2021
— Proportion invested in infrastructure: 35%

— Proportion invested in redesigned care processes/resources: 15%

— Proportion of distribution to ACO participants: 50%

  • 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 2021 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.

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Medicare Lives Managed

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Commercial Lives Managed

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Participating Network Providers

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Primary and Specialty Practices