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Public Reporting

ACO Name And Location

The Accountable Care Organization, Ltd.
Previous Names: N/A
1812 N Moore Street, Suite 1705
Arlington VA 22209
 

ACO Primary Contact

Ellen Ginman
1.571.832.0455
eginman@evolent.com

 

Organizational Information

TACO PARTICIPANTS 2025

ACO Participant in Joint Venture (Enter Y or N)

ABIMBOLA BANJO

N

ADULT MEDICINE OF LAKE COUNTY INC

N

AEGIS MEDICAL CENTER PLLC

N

ALICIA W GROSSMANN MD PA

N

ALVI PRIME TIME CLINICS PLLC

N

AMM HEALTHCARE, PA

N

ANN H SNYDER MD PA

N

ANNA P ABALOS MD INC

N

ASSOCIATED FAMILY PHYSICIANS INC

N

AUBURN MEDICAL GROUP, INC

N

BAY FAMILY MEDICAL GROUP, INC

N

BOICE-WILLIS CLINIC PA

N

BOND CLINIC PA

N

BRIAN CARREON MD PA

N

CAMIL I. KREIT MD PA

N

CAPITAL FAMILY PHYSICIANS, PA

N

CAPITOL INTERNAL MEDICINE ASSOCIATES

N

CARMEN BAYBAYAN MD LLC

N

CARY HEALTHCARE ASSOCIATES, P.A.

N

CARY INTERNAL MEDICINE & THE DIABETES CENTER PA

N

CLARKSTON INTERNAL MEDICINE, P.C.

N

CLOVER FORK OUTPATIENT MEDICAL PROJECT INC

N

CNY FAMILY CARE LLP

N

COORDINATED HEALTHCARE SERVICES, P.A.

N

CURTIS TAKEMOTO-GENTILE MD INC

N

DENNIS S. GRAY, M.D., PSC

N

DEYI ZHENG M.D., INC.

N

DINA SVERDLOV MD A PROFESSIONAL CORPORATION

N

DOCTORS IN INC

N

DOMINION MEDICAL ASSOCIATES, P.A.

N

DOMUS CARE SOLUTIONS

N

DOUGLAS YOUNG, M.D.,INC.

N

DR RUSSELL M TOM LLC

N

DRS BORDERS AND ASSOCIATES, PSC

N

FAMILY FIRST PRIMARY CARE PLLC

N

FAMILY MEDICAL CENTER OF GEORGETOWN, PA

N

FAMILY MEDICINE INC

N

FAMILY PRACTICE CENTER PC

N

FOLSOM LAKE PRIMARY CARE PC

N

GENERATIONS FAMILY PRACTICE PA

N

GILL MEDICAL AND GERIATRICS ASSOCIATES LLC

N

GLATT MEDICAL LIMITED PARTNERSHIP

N

GREATER LOUISVILLE INTERNAL MEDICINE PSC

N

GREENHAVEN FAMILY PRACTICE INC

N

GREENTREE PRIMARY CARE PLLC

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

JOHN CHOW

N

JOSE SOSA

N

JOSEPH A MAROTTA MD PA

N

KENAN & WANG LLC

N

KENDALL WONG

N

KEVIN STEPHENS MD PA

N

KIHEI-WAILEA MEDICAL CENTER. LLC

N

KURTIS FOX

N

LAGRANGE FAMILY CARE DOCTORS P.S.C.

N

LAKOWSKY & BATLIN MEDICAL CORP.

N

LEGENDS MEDICAL CLINIC PLLC

N

LEO TOUPIN, MD PA

N

LILY ENAYATI MD INC

N

LINCOLN MEDICAL ASSOCIATES, INC.

N

M NADIR ALOCOZY INC

N

MANAKAI O MALAMA INTEGRATIVE

N

MATTHEW G. STINE DO PA

N

MEDICAL ASSOCIATES OF SOUTHERN KENTUCKY PLLC

N

MICHELE TRIPPEL MD INC

N

MIDDLETOWN MEDICAL PC

N

MONTICELLO MEDICAL ASSOCIATES, INC.

N

NORTH AUSTIN FAMILY MEDICINE, PA

N

NORTH CAROLINA INTERNAL MEDICINE PC

N

NORTH HOUSTON FAMILY MEDICINE PLLC

N

NORTH STAR FAMILY MEDICINE P.A.

N

NORTHERN MEDICAL GROUP, PLLC

N

ODESSA CONSULTANTS LLC

N

OSCAR GARZA, M.D.,PA

N

PANKAJ PATEL

N

PAUL BRISTOL

N

PORT LAVACA CLINIC ASSOCIATES PA

N

PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC

N

PROGRESSIVE HEALTH CARE PC

N

PURISIMA FAMILY MEDICINE, INC.

N

RAJANIKANT PANDYA

N

RAJESH J PATEL, M.D., P.A.

N

RALEIGH FAMILY PRACTICE, P.A.

N

RALEIGH MEDICAL GROUP, PA

N

ROCKLIN FAMILY PRACTICE AND SPORTS MEDICINE

N

ROCKY MOUNT FAMILY MEDICAL CENTER PA

N

RSI MEDICAL PA

N

SAMMY LERMA III MD PA

N

SAYED A. HUSSAIN M.D. INC.

N

SEA BREEZE FAMILY PRACTICE PA

N

SELLERSBURG INTERNAL MEDICINE & PEDIATRICS

N

SHAH AND ASSOCIATES FAMILY PRACTICE

N

SHAUN KRETZSCHMAR DO PA

N

SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA

N

SHYLESH GANTA ,MD , PA

N

SILVER PINE MEDICAL GROUP PLC

N

SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A.

N

ST LUKES CLINIC ALA MOANA INC

N

STEPHEN CARNEY

N

STEPHENS CITY FAMILY MEDICINE LLC

N

SUBODH MALLIK

N

SUNFLOWER MEDICAL GROUP PA

N

SURESH PRASAD MD PA

N

TENG MEDICAL FOUNDATION PC

N

TEXAS ALLIANCE MEDICAL GROUP PA

N

THOMAS K S TAN M D INC

N

TOMMY KUO

N

VERSAILLES FAMILY MEDICINE, PLLC

N

VIKRAM VADYALA PLLC

N

VISTA COMPLETE CARE, INC.

N

VITALMD GROUP HOLDING LLC

N

VYTALUS MEDICAL GROUP PLLC

N

WAKE INTERNAL MEDICINE CONSULTANTS, INC.

N

WELCOME FAMILY MEDICINE PA

N

WESTERN WAKE WELLNESS

N

WILLIAM S KELLY MD PA

N

XIN-NONG LI M.D., INC.

N

 

 

ACO Governing Body  

 

First Name

Last Name

Title/Position

Voting Power

Membership Type

ACO Participant Legal Business Name/DBA if applicable

Ellen

Ginman

President, TACO

7%

Other

N/A

Heather

Jacobson

Managing Director, TACO

7%

Other

N/A

Cynthia

Myers

 

7%

Medicare Beneficiary

N/A

Robert

Montiero

M.D.

7%

ACO Participant

Wake Internal Medicine Consultants, Inc.

Andrew

Babcock

M.D.

7%

ACO Participant

Raleigh Family Practice, P.A.

Oscar

Garza

M.D., PA

7%

ACO Participant

Oscar Garza, M.D., PA

John

Wright

M.D.

7%

ACO Participant

Port Lavaca Clinic Associates PA

Martha

Chestnut

M.D., CPE

7%

ACO Participant

Boice-Willis Clinic PA

Susan

Manella

D.O.

7%

ACO Participant

VitalMD Group Holding LLC

Michael

Harper

M.D.

7%

ACO Participant

Sellersburg Internal Medicine & Pediatrics

Bill

Chima

M.D.

7%

ACO Participant

Rocklin Family Practice and Sports Medicine

Benjamin

Williard

CFO

7%

ACO Participant

Family Practice Center PC

Darcy

Shepard

CEO

7%

ACO Participant

Middletown Medical PC

Juan

Rivera

M.D.

7%

ACO Participant

Bond Clinic PA

Yvette

Guislain

M.D.

7%

ACO Participant

Sunflower Medical Clinic Group PA

 

*Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

 

Key ACO Clinical and Administrative Leadership:

ACO Executive: Ellen Ginman    
Medical Director: Brian Short, M.D.   
Compliance Officer: Melanie Hurd    
Quality Assurance/Improvement Officer: Brian Short, M.D. 

Associated Committees and Committee Leadership:

Committee Name

Quality Committee

Deal Committee

Committee Leader Name and Position

Heather Jacobson, Chair

Ellen Ginman, Chair 

 

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 2023: $47,640,428
  • Performance Year 2022: $40,591,383
  • Performance Year 2021: $16,167,039
  • 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 2023
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2022
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2021
    • Proportion invested in infrastructure: 10%
    • Proportion invested in redesigned care processes/resources: 35%
    • Proportion of distribution to ACO participants: 55%       
  • 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


2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

Collection Type

Reported Performance Rate

Current Year Mean Performance Rate (SSP ACOs)

 

Quality ID #: 001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)   [1]

CMS Web Interface

6.19

9.84

Quality ID #: 134

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

CMS Web Interface

73.76

80.97

Quality ID #: 236

Controlling High Blood Pressure

CMS Web Interface

80.45

77.8

Quality ID #: 318

Falls: Screening for Future Fall Risk 

CMS Web Interface

90.25

89.42

Quality ID #: 110

Preventive Care and Screening: Influenza Immunization

CMS Web Interface

74.94

70.76

Quality ID #: 226

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

CMS Web Interface

70.97

79.29

Quality ID #: 113

Colorectal Cancer Screening

CMS Web Interface

80.07

77.14

Quality ID #: 112

Breast Cancer Screening

CMS Web Interface

75.4

80.36

Quality ID #: 438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

89.27

87.05

Quality ID #: 370

Depression Remission at Twelve Months

CMS Web Interface

14.71

16.58

Quality ID #: 321

CAHPS for MIPS [2]

CMS Web Interface

5.12

6.25

Measure #: 479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]

Administrative Claims

0.1543

0.1553

Measure #: 484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

Administrative Claims

30.01

35.39

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS

78.75

83.68

CAHPS-2

How Well Providers Communicate

CAHPS

92.28

93.69

CAHPS-3

Patient’s Rating of Provider

CAHPS

90.74

92.14

CAHPS-4

Access to Specialists

CAHPS

75.46

75.97

CAHPS-5

Health Promotion and Education

CAHPS

64.8

63.93

CAHPS-6

Shared Decision Making

CAHPS

64.93

61.6

CAHPS-7

Health Status and Functional Status

CAHPS

74.46

74.12

CAHPS-8

Care Coordination

CAHPS

85.35

85.77

CAHPS-9

Courteous and Helpful Office Staff

CAHPS

90.92

92.31

CAHPS-11

Stewardship of Patient Resources

CAHPS

26.71

26.69

For previous years’ Financial and Quality Performance Results, please visit: 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.