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

  • Third Agreement Period
    • Performance Year 2020, $15,769,604
  • 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

  • Third Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 10%

      • Proportion invested in redesigned care processes/resources: 35%

      • Proportion of distribution to ACO participants: 55%

  • 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
  • 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%

 

Quality Performance Results
 


2020 Quality Performance Results:
 

 ACO#  Measure Name Rate ACO Mean
 ACO-8

 Risk Standardized, All Condition Readmission

15.89 15.07
 ACO-38

 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

52.88

49.5

 ACO-43

 Ambulatory Sensitive Condition Acute Composite
 

0.87 0.95
(AHRQ* Prevention Quality Indicator (PQI #91))
 ACO-13

 Falls: Screening for Future Fall Risk

75.09 84.97
 ACO-14

 Preventive Care and Screening: Influenza Immunization

64.71 76.03
 ACO-17

 Preventive Care and Screening: Tobacco Use:
 Screening and Cessation Intervention

46.15 81.67
 ACO-18

 Preventive Care and Screening: Screening for Depression and Follow-up Plan

64.27 71.46
 ACO-19

 Colorectal Cancer Screening

73.52 72.59
 ACO-20

 Breast Cancer Screening

71.26 74.05
 ACO-42

 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83.93 83.37
 ACO-40

 Depression Remission at Twelve Months

4.76 13.99
 ACO-27

 Diabetes: Hemoglobin A1c Poor Control (>9%)

14.89 14.70
 ACO-28

 Controlling High Blood Pressure

70.57 72.87

 

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.