ACOs We Manage

Advanced Management USA manages a network of 5 Large scale Accountable Care Organizations (ACOs). Learn more about our ACOs successes and how they’re advancing value-based healthcare delivery!

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.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorJonathan Yun
Compliance OfficerDavid Klebonis
Quality Assurance/Improvement OfficerThomas J. Leach
— Performance Year 2020 $2,929,207

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.

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.

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Medicare Lives Managed

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Participating Network Providers

0

Primary and Specialty Practices

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Medicare Lives Managed

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Participating Network Providers

0

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.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorAsif Hashmi
Compliance OfficerColin J. Campbell
Quality Assurance/Improvement OfficerGianna 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.

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.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorChristina Prather
Compliance OfficerThomas Leach
Quality Assurance/Improvement OfficerLoren 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.

0 +

Medicare Lives Managed

0 +

Participating Network Providers

0

Primary and Specialty Practices

0 +

Medicare Lives Managed

0 +

Participating Network Providers

0

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.

PositionName
ACO ExecutiveDavid Klebonis
Medical DirectorJonathan Yun
Compliance OfficerDavid Klebonis
Quality Assurance/Improvement OfficerThomas J. Leach
— Performance Year 2020 $2,929,207

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.

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.

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

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.

0 +

Medicare Lives Managed

0 +

Participating Network Providers

0

Primary and Specialty Practices

0 +

Medicare Lives Managed

0 +

Participating Network Providers

0

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.

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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
  • 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.
  •  

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.