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)
CLARKSTON INTERNAL MEDICINE, P.C.      N
PROGRESSIVE HEALTH CARE PC  N
THE SOUTH BEND CLINIC LLP  N
Clarkston Medical Group, P.C.   N
Michigan Healthcare Professionals PC  N
MMG 1 PC   N
OMG 1PC  N
ALEXANDER N NEWMAN MD PA   N
ALVI PRIME TIME CLINICS PLLC   N
CAPITAL FAMILY MEDICINE, P.A.  N
CAPITAL FAMILY PHYSICIANS, PA   N
CARY ADULT MEDICINE PLLC   N
CARY HEALTHCARE ASSOCIATES, P.A.   N
CARY INTERNAL MEDICINE & THE DIABETES CENTER PA N
DAVID PAUL ADAMS MD PA   N
FAMILY FIRST PRIMARY CARE PLLC   N
FAMILY MEDICAL ASSOCIATES OF RALEIGH, PA   N
GARNER INTERNAL MEDICINE, P.A.   N
GENERATIONS FAMILY PRACTICE PA   N
IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC  N
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES PA   N
INTERNAL MEDICINE ASSOCIATES OF RALEIGH, PA  N
JACOBS AND VAN CLEEFF INTERNAL MEDICINE, PC   N
MARY J FORBES MD PLLC   N
METRO INTERNAL MEDICINE P.A.   N
NEUSE VALLEY INTERNAL MEDICINE, PLLC   N
NORTH CAROLINA INTERNAL MEDICINE PC   N
NORTH RALEIGH FAMILY MEDICINE   N
RALEIGH DURHAM MEDICAL GROUP PA   N
RALEIGH FAMILY PRACTICE, P.A.   N
RALEIGH MEDICAL GROUP, PA   N
RICHARD D ADELMAN MD   N
SHAH AND ASSOCIATES FAMILY PRACTICE   N
WAKE INTERNAL MEDICINE  CONSULTANTS, INC.   N
WESTERN WAKE WELLNESS   N
ABIMBOLA BANJO   N
ALICIA W GROSSMANN MD PA   N
ALPINE MEDICAL CENTER PLLC   N
BASTROP COUNTY MEDICAL & ASSOCIATES, PA   N
DOMINION MEDICAL ASSOCIATES, P.A.   N
DR. JESUS G. GARCIA, MD, PA   N
EMMANUEL EDOKA   N
FAMILY MEDICAL CENTER OF GEORGETOWN, PA   N
FLORA MEDICAL CLINIC PLLC   N
JOSEPH A MAROTTA MD PA   N
KENDALL WONG   N
LEO TOUPIN, MD PA   N
LUIS BIELER, MD, PA   N
MANUEL R CARRASCO MD PA   N
NORTH AUSTIN FAMILY MEDICINE, PA   N
NORTH STAR FAMILY MEDICINE P.A.   N
ODESSA CONSULTANTS LLC   N
OSCAR GARZA, M.D.,PA   N
PANKAJ PATEL   N
PAUL BRISTOL   N
PLEASANTON FAMILY MEDICINE PLLC   N
PORT LAVACA CLINIC ASSOCIATES PA  N
PSYCHIATRIC MEDICAL ASSOCIATES, PA   N
RAJ PATEL, M.D., P.A.   N
RAJANIKANT PANDYA   N
RAJESH J PATEL, M.D., P.A.   N
KEVIN STEPHENS MD PA   N
LEGENDS MEDICAL CLINIC PLLC   N
RAUL GAONA   N
SAMMY LERMA III MD PA   N
SHANE EDWARD KELLER MD PA   N
SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA   N
SHYLESH GANTA ,MD , PA   N
SOUTH SAN ANTONIO MEDICAL ASSOCIATES   N
SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A.   N
SUBODH MALLIK   N
SUMANT KUMAR   N
SURESH PRASAD MD PA   N
VIKRAM VADYALA PLLC   N

 

ACO Governing Body
 

Last Name First Name Ttitle / 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   1 Medicare Beneficiary N/A
Feldman Barry MD 1 ACO Participant MMG 1 PC
Wright  John MD 1 ACO Participant Port Lavaca Clinic PLLC

 

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
  • 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
 


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

61.65 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 (AHRQ* Prevention Quality Indicator (PCI #91)) 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: Screening and Cessation Intervention

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 

 

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.