Evolent Care Partners
The Accountable Care Organization, Ltd.
ACO Name And Location
The Accountable Care Organization, Ltd.
Previous Names: N/A
800 N. Glebe Road, Suite 500
Arlington, VA 22203
ACO Primary Contact
Jessica Landin
1.800.910.6739
jlandin@evolenthealth.com
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
|---|---|
| ABIMBOLA BANJO |
N |
|
ALICIA W GROSSMANN MD PA |
N |
|
ALPINE MEDICAL CENTER PLLC |
N |
|
ALVI PRIME TIME CLINICS PLLC |
N |
|
ANDRE KS TSE MD PA |
N |
|
ANNA P ABALOS MD INC |
N |
|
ASSOCIATED FAMILY PHYSICIANS INC |
N |
|
AUBURN MEDICAL GROUP, INC |
N |
|
BASTROP COUNTY MEDICAL & ASSOCIATES, PA |
N |
|
BOICE-WILLIS CLINIC PA |
N |
|
CAPITAL FAMILY MEDICINE, P.A. |
N |
|
CAPITAL FAMILY PHYSICIANS, PA |
N |
|
CARY HEALTHCARE ASSOCIATES, P.A. |
N |
|
CARY INTERNAL MEDICINE & THE DIABETES CENTER PA |
N |
|
CLARKSTON INTERNAL MEDICINE, P.C. |
N |
|
Clarkston Medical Group, P.C. |
N |
|
DAVID PAUL ADAMS MD PA |
N |
|
DAWEI ZHENG, M.D. A PROFESSIONAL MEDICAL CORPORATION |
N |
|
DEVAMANI GOWDA |
N |
|
DEYI ZHENG M.D., INC. |
N |
|
DHEERAJ KAMRA, MD A PROFESSIONAL MEDICAL CORPORATION |
N |
|
DOCTORS IN INC |
N |
|
DOMINION MEDICAL ASSOCIATES, P.A. |
N |
|
DOUGLAS YOUNG, M.D.,INC. |
N |
|
EMMANUEL EDOKA |
N |
|
FAMILY FIRST PRIMARY CARE PLLC |
N |
|
FAMILY MEDICAL CENTER OF GEORGETOWN, PA |
N |
|
FLORA MEDICAL CLINIC PLLC |
N |
|
FOLSOM LAKE PRIMARY CARE PC |
N |
|
GENERATIONS FAMILY PRACTICE PA |
N |
|
GILBERTO MARTINEZ |
N |
|
GRANGER MEDICAL CLINIC PC |
N |
|
GREENHAVEN FAMILY PRACTICE INC |
N |
|
IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC |
N |
|
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES PA |
N |
|
JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA |
N |
|
JACOBS AND VAN CLEEFF INTERNAL MEDICINE, PC |
N |
|
JOSE SOSA |
N |
|
JOSEPH A MAROTTA MD PA |
N |
|
KENAN & WANG LLC |
N |
|
KENDALL WONG |
N |
|
KEVIN STEPHENS MD PA |
N |
|
KURTIS FOX
|
N |
|
LEGENDS MEDICAL CLINIC PLLC |
N |
|
LEO TOUPIN, MD PA |
N |
|
LINCOLN MEDICAL ASSOCIATES, INC. |
N |
|
LOOMIS MEDICAL CLINIC |
N |
|
M NADIR ALOCOZY INC |
N |
|
Michigan Healthcare Professionals PC |
N |
|
MMG 1 PC |
N |
|
NATOMAS FAMILY PRACTICE |
N |
|
NORTH AUSTIN FAMILY MEDICINE, PA |
N |
|
NORTH CAROLINA INTERNAL MEDICINE PC |
N |
|
NORTH STAR FAMILY MEDICINE P.A. |
N |
|
ODESSA CONSULTANTS LLC |
N |
|
OGDEN CLINIC PC |
N |
|
OMG 1PC |
N |
|
OSCAR GARZA, M.D., PA |
N |
|
PANKAJ PATEL |
N |
|
PARVEZ ISLAM |
N |
|
PAUL BRISTOL |
N |
|
PLEASANTON FAMILY MEDICINE PLLC |
N |
|
PORT LAVACA CLINIC ASSOCIATES PA |
N |
|
PROGRESSIVE HEALTH CARE PC |
N |
|
RAJ PATEL, M.D., P.A. |
N |
|
RAJANIKANT PANDYA |
N |
|
RAJESH J PATEL, M.D., P.A. |
N |
|
RALEIGH DURHAM MEDICAL GROUP PA |
N |
|
RALEIGH FAMILY PRACTICE, P.A. |
N |
|
RALEIGH MEDICAL GROUP, PA |
N |
|
RIGOBERTO BARBA |
N |
|
ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE |
N |
|
ROCKY MOUNT FAMILY MEDICAL CENTER PA |
N |
|
SAMMY LERMA III MD PA |
N |
|
SAYED A. HUSSAIN M.D. INC. |
N |
|
SEA BREEZE FAMILY PRACTICE PA |
N |
|
SHAH AND ASSOCIATES FAMILY PRACTICE |
N |
|
SHANE EDWARD KELLER MD PA |
N |
|
SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA |
N |
|
SHYLESH GANTA ,MD , PA |
N |
|
SILVER PINE MEDICAL GROUP PLC |
N |
|
SOCKOLOV & SOCKOLOV A PROFESSIONAL CORPORATION |
N |
|
SOUTH SAN ANTONIO MEDICAL ASSOCIATES |
N |
|
SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A. |
N |
|
SUBODH MALLIK |
N |
|
SURESH PRASAD MD PA |
N |
|
THE SOUTH BEND CLINIC LLP |
N |
|
THOMAS W HOPKINS MD A PROFESSIONAL CORPORATION |
N |
|
VIKRAM VADYALA PLLC |
N |
|
VISTA COMPLETE CARE, INC. |
N |
|
WAKE INTERNAL MEDICINE CONSULTANTS, INC. |
N |
|
WESTERN WAKE WELLNESS |
N |
|
YSHAY SHLESINGER, M.D., A PROFESSIONAL CORPORATION |
N |
ACO Governing Body
| Last Name |
First Name | Title / Position |
Member's Voting Power | Membership Type |
ACO Participant Legal Business Name/DBA, if Applicable |
|---|---|---|---|---|---|
| Gosar | Asit | President and CEO, TACO | 1 | Other | N/A |
| Landin | Jessica | COO, TACO | 1 | Other | N/A |
| Macken- Marble | Kelly | CEO, South Bend Clinic | 1 | ACO Participant | The South Bend Clinic |
| Montiero | Robert | MD | 1 | ACO Participant | Wake Internal Medicine Consultants |
| Babcock | Andrew | MD | 1 | ACO Participant | Raleigh Family Practice |
| Margolis | Michael | MD | 1 | ACO Participant | OMG 1PC |
| Abraham | Renny | MD | 1 | ACO Participant | Clarkston Medical Group P.C. |
| Kaufhold | Kevin | MD | 1 | ACO Participant | The South Bend Clinic |
| Garza | Oscar | MD | 1 | ACO Participant | OSCAR GARZA, M.D., PA |
| Leininger | Nels | MD | 1 | Medicare Beneficiary | N/A |
| Wright | John | MD | 1 | ACO Participant | Port Lavaca Clinic PLLC |
| Chestnut | Martha | MD, CPE | 1 | ACO Participant | Boice-Willis Clinic |
| Pennington | Mary Jane | MD/President & CEO, Granger Medical Clinic | 1 | ACO Participant | Granger Medical Clinic |
| Porter | Kevin | CEO, Ogden Clinic | 1 | ACO Participant | Ogden Clinic |
| Chima | Bill | MD | 1 | ACO Participant | Rocklin Family Practice and Sports Medicine |
Key ACO Clinical and Administrative Leadership:
Jessica Landin | ACO Executive
Michael Margolis | Medical Director
Melanie Hurd | Compliance Officer
Michael Margolis | Quality Assurance / Improvement Officer
Associated Committees and Committee Leadership:
Committee Name: Quality Committee
Committee Leader Name and Position: Michael Margolis, Medical Director
Types of ACO participants, or combinations of participants, that formed the ACO:
ACO professionals in a group practice arrangement
Networks of individual practices of ACO professionals
Shared Savings And Losses
Amount Of Shared Savings And Losses
- Second Agreement Period
- Performance Year 2019, $0
- Performance Year 2018, $0
- Performance Year 2017, $0
- First Agreement Period
- Performance Year 2016, $10,544,665
- Performance Year 2015, $0
- Performance Year 2014, $4,439,151
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2019
- 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 2018
- 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 2017
- 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 2019
- First Agreement Period
- Performance Year 2016
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2015
- 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 2014
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 40%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2016
Quality Performance Results
2019 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
85.15 | 85.86 |
| ACO-2 |
CAHPS: How Well Your Providers Communicate |
93.34 | 94.11 |
| ACO-3 |
CAHPS: Patients’ Rating of Provider |
92.26 | 92.69 |
| ACO-4 |
CAHPS: Access to Specialists |
82.49 | 81.54 |
| ACO-5 |
CAHPS: Health Promotion and Education |
61.51 | 60.44 |
| ACO-6 |
CAHPS: Shared Decision Making |
64.68 | 62.78 |
| ACO-7 |
CAHPS: Health Status/Functional Status |
74.20 | 73.79 |
| ACO-34 |
CAHPS: Stewardship of Patient Resources |
32.34 | 26.17 |
| ACO-45 |
CAHPS: Courteous and Helpful Office Staff |
90.64 | 92.84 |
| ACO-46 |
CAHPS: Care Coordination |
85.71 | 86.89 |
| ACO-8 |
Risk Standardized, All Condition Readmission |
15.34 | 14.86 |
| ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
64.55 | 58.15 |
| ACO-43 |
Ambulatory Sensitive Condition Acute Composite |
2.10 | 1.87 |
| ACO-13 |
Falls: Screening for Future Fall Risk |
63.43 | 84.04 |
| ACO-14 |
Preventive Care and Screening: Influenza Immunization |
69.57 | 74.77 |
| ACO-17 |
Preventive Care and Screening: Tobacco Use: |
69.05 | 78.04 |
| ACO-18 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
64.48 | 70.40 |
| ACO-19 |
Colorectal Cancer Screening |
62.44 | 70.76 |
| ACO-20 |
Breast Cancer Screening |
63.86 | 73.84 |
| ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
89.03 | 82.17 |
| ACO-40 |
Depression Remission at Twelve Months |
4.76 | 13.58 |
| ACO-27 |
Diabetes: Hemoglobin A1c Poor Control (>9%) |
14.55 | 13.88 |
| ACO-28 |
Controlling High Blood Pressure |
74.95 | 75.04 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov
Note: In the Quality Performance Results file(s) above, search for “The Accountable Care Organization, Ltd.” to view the quality performance results. This ACO can also be found by using the ACO ID A2098 in the public use files on data.cms.gov
Payment Rule Waivers
- 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.