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Aco report #1 - summary data for acos in - Cattaneo & Stroud, Inc.

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ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Access Medical Group/St. John's Health<br />

Center/NantWorks (Blue Shield)<br />

Mukesjh Bhatia, MD, Pres, Access Medical Group<br />

4644 L<strong>in</strong>coln Blvd, Suite 111, Mar<strong>in</strong>a Del Rey, CA 90292-6374<br />

Phone (818) 710-0315 Fax (310) 306-0067<br />

Website<br />

Type Payor Program: Blue Shield-all Com HMO plans<br />

accessmedicalgroup.com<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2013<br />

Medical Director: Mukesh Bhatia, MD, Medical Director, Access Medical<br />

Group<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 5,000<br />

Total Estimated Physicians 340 (1)<br />

Accountable Care Alliance of Ventura (CMS)<br />

Will Garand, ACO Executive<br />

147 North Brent St, Ventura, CA 93003-2854<br />

Phone (805) 652-5009 Fax (805) 643-7554<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

unavailable at this time (see cmhshealth.org)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Stanley Frochtzwaig, M.D., Chief Medical Officer<br />

Counties Served: Ventura<br />

Total Estimated Lives: 7,000<br />

Total Estimated Physicians 160 (1)<br />

Accountable Care Cl<strong>in</strong>ical Services/Preferred<br />

ACO (CMS)<br />

Zahra Movaghar, Adm<strong>in</strong>istrator<br />

1025 North Brand Blvd, Suite 100, Glendale, CA 91202-3631<br />

Phone (818) 265-0800 Fax (818) 265-0804<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

preferredipa.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: Mark P. Amico, MD, Medical Director<br />

MULTI-STATE<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 1,900<br />

Total Estimated Physicians 25 (1)<br />

Accountable Care Cl<strong>in</strong>ical Services-Orange<br />

(CMS)<br />

Lisa Hahn, Director of Client Services<br />

1 Monarch Place, 10th Floor, Spr<strong>in</strong>gfield, MA 01144-0000<br />

Phone (413) 439-2516 Fax (413) 734-8000<br />

Website<br />

Type Payor Program: Medicare-FSS<br />

acafirst.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: John Luster, MD, Medical Director<br />

MULTI-STATE<br />

Counties Served: Orange<br />

Total Estimated Lives: 700<br />

Total Estimated Physicians 6 (1)<br />

Affiliated Physicians Medical Group ACO<br />

(CMS)<br />

Lan Pham, Consult<strong>in</strong>g Adm<strong>in</strong>istrator<br />

2360 Hunti<strong>in</strong>gton Dr, Suite 201, San Mar<strong>in</strong>o, CA 91108-2651<br />

Phone (626) 656-2370x10 Fax (626) 248-9060<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

apipa.net<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: Tuan Xuan Nguyen, MD, Medical Director<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 1 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

THIS IS THE FINAL UPDATE<br />

Total Estimated Lives: 7,700<br />

Total Estimated Physicians 103 (1)<br />

Akira Health (CMS)<br />

Tien Tr<strong>in</strong>h, MD, CEO/CMO<br />

PO Box 53123, San Jose, CA 95123<br />

Phone (408) 440-0750 Fax (408) 440-0750<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

akirahealth.com/Northern_Cali<strong>for</strong>nia.html<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: Tien Tr<strong>in</strong>h, MD, Chief Medical Officer<br />

Counties Served:<br />

Alameda<br />

San Mateo<br />

Santa Clara<br />

Total Estimated Lives: 6,100 (2)<br />

Total Estimated Physicians 46 (1)(2)<br />

Akira Health of Fresno (CMS)<br />

Tien Tr<strong>in</strong>h, MD, CEO/CMO<br />

PO Box 53123, San Jose, CA 95123<br />

Phone (408) 440-0750 Fax (408) 440-0750<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

akirahealth.com/Fresno_County.html<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Tien Tr<strong>in</strong>h, MD, Chief Medical Officer<br />

Counties Served:<br />

Fresno<br />

K<strong>in</strong>gs<br />

Tulare<br />

Total Estimated Lives: 5,035 (2)<br />

Total Estimated Physicians 19 (1)(2)<br />

AllCare IPA/Doctors Medical Center (Blue<br />

Shield)<br />

Matthew K. Coury, CEO, AllCare IPA<br />

3320 Tully Rd, Suite 1, Modesto, CA 95350-0840<br />

Phone (209) 572-6900 Fax (209) 572-6909<br />

Website<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2012<br />

Medical Director: Tri M<strong>in</strong>h Pham, MD, Medical Director, AllCare IPA<br />

Type Payor Program: Blue Shield-all Com HMO plans & Blue Groove with 3-Tiers PPO, POS/HMO<br />

& Care+ HMO (specific Dx categories)<br />

allcareipa.com<br />

Counties Served:<br />

Merced<br />

Stanislaus<br />

Total Estimated Lives: 6,600<br />

Total Estimated Physicians 442 (1)<br />

Allied Physicians ACO (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Kenneth Sim, MD, President<br />

Operational Date: 1/1/2014<br />

1668 South Garfield Ave, Suite 102, Alhambra, CA 91801-5413<br />

Phone (626) 943-6228 Fax (626) 282-9740<br />

Medical Director: Kienneth Sim, MD, Medical Director<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

alliedaco.com<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 5,500<br />

Total Estimated Physicians 107 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 2 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Antelope Valley ACO (CMS)<br />

V<strong>in</strong>ay A. Sunku, MD, CEO<br />

44215 - 15th St, West #311, Lancaster, CA 93534-5505<br />

Phone (661) 945-2299 Fax (661) 945-7755<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

antelopevalleyaco.com<br />

THIS IS THE FINAL UPDATE<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Ravi Shankar, MD, Medical Director<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 8,400<br />

Total Estimated Physicians 38 (1)<br />

APCN-ACO (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

En M<strong>in</strong>g Lai, MD, CEO<br />

Operational Date: 1/1/2012<br />

223 North Garfield Ave, Suite 208, Monterey Park, CA 91754-1700<br />

Phone (626) 288-7988 Fax (888) 709-9341<br />

Medical Director: Oscar Chien, MD, Medical Director<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

apcnaco.net<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 9,800<br />

Total Estimated Physicians 125 (1)<br />

ApolloMed Accountable Care Organization<br />

(CMS)<br />

Warren Hosse<strong>in</strong>ion, MD, CEO<br />

700 North Brand Blvd, Suite 450, Glendale, CA 91203-2349<br />

Phone (818) 396-8050 Fax (818) 844-3888<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

apollomed.net<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 7/1/2012<br />

Medical Director: David Sherman, MD, Chief Medical Officer<br />

Counties Served:<br />

Alameda<br />

Los Angeles<br />

Orange<br />

Santa Clara<br />

Total Estimated Lives: Total Estimated Physicians 603 (1)<br />

28,700<br />

AppleCare Medical ACO (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

V<strong>in</strong>od B. Jivrajka, MD, President/CEO<br />

Operational Date: 7/1/2012<br />

6131 Orangethorpe Ave, Suite 280, Buena Park, CA 90620-1384<br />

Phone (877) 909-8112 Fax (714) 443-4463<br />

Medical Director: Surendra V. Ja<strong>in</strong>, MD, Chief Medical Officer<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

applecaremedical.com<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: Total Estimated Physicians 300 (1)<br />

7,200<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 3 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Brown & Toland Physicians<br />

Richard Fish, CEO<br />

153 Townsend St, Suite 700, San Francisco, CA 94107-1982<br />

Phone (415) 972-6000 Fax (415) 972-4329<br />

Website<br />

Type Payor Program: Aetna-all Com HMO plans<br />

brownandtoland.com<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2013<br />

Medical Director: Andrew Snyder, MD, Chief Medical Officer<br />

Counties Served:<br />

Alameda<br />

Contra Costa<br />

San Francisco<br />

San Mateo<br />

Total Estimated Lives: 13,500<br />

Total Estimated Physicians 2,027 (1)<br />

Brown & Toland Physicians (CMS)<br />

Richard Fish, CEO<br />

153 Townsend St, Suite 700, San Francisco, CA 94107-1982<br />

Phone (415) 972-6000 Fax (415) 972-4329<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

brownandtoland.com<br />

Medicare ACO-Pioneer<br />

Operational Date: 1/1/2012<br />

Medical Director: Andrew Snyder, MD, Chief Medical Officer<br />

Counties Served:<br />

Alameda<br />

Contra Costa<br />

San Francisco<br />

San Mateo<br />

Total Estimated Lives: Total Estimated Physicians 190 (1)<br />

18,100<br />

Brown & Toland Physicians (Cigna)<br />

Richard Fish, CEO<br />

153 Townsend St, Suite 700, San Francisco, CA 94107-1982<br />

Phone (415) 972-6000 Fax (415) 972-4329<br />

Website<br />

Type Payor Program: Cigna-all Com HMOs plans<br />

brownandtoland.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 10/1/2012<br />

Medical Director: Andrew Snyder, MD, Chief Medical Officer<br />

Counties Served:<br />

Alameda<br />

Contra Costa<br />

San Francisco<br />

Total Estimated Lives: Total Estimated Physicians 1,028 (1)<br />

9,400<br />

Brown & Toland Physicians/CPMC (Blue<br />

Shield)<br />

Richard Fish, CEO, Brown & Toland Physicians<br />

153 Townsend St, Suite 700, San Francisco, CA 94107-1982<br />

Phone (415) 972-6000 Fax (415) 972-4329<br />

Website<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2011<br />

Medical Director: Andrew Snyder, MD, Chief Medical Officer, Brown &<br />

Toland Physicians<br />

Type Payor Program: Blue Shield-HMO with SF City & County Employees Health System<br />

brownandtoland.com<br />

Counties Served: San Francisco<br />

Total Estimated Lives: 18,600<br />

Total Estimated Physicians 1,107 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 4 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

THIS IS THE FINAL UPDATE<br />

Cedars-S<strong>in</strong>ai Accountable Care (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Thomas Gordon, CEO<br />

Operational Date: 1/1/2013<br />

200 North Robertson Blvd, Suite 101, Los Angeles, CA 90211-6002<br />

Phone (310) 385-3220 Fax (310) 858-8020<br />

Medical Director: Stephen C. Deutsch, MD, Act<strong>in</strong>g Medical Director<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

cedars-s<strong>in</strong>ai.edu<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 10,200<br />

Total Estimated Physicians 215 (1)<br />

Cedars-S<strong>in</strong>ai Medical Care Foundation (Blue<br />

Cross)<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Thomas D. Gordon, CEO<br />

Operational Date: 7/1/2013<br />

200 North Robertson Blvd, Suite 101, Beverly Hills, CA 90211-6002<br />

Phone (310) 385-3200 Fax (310) 858-8020<br />

Medical Director: Stephen C. Deutsch, MD, Medical Director<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

cedars-s<strong>in</strong>ai.edu/Patients/Programs-and-Services/Medical-Delivery-Network/Cedars-S<strong>in</strong>ai-<br />

Medical-Group/<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 5,100<br />

Total Estimated Physicians 73 (1)<br />

Community Medical Centers Foundation (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Abdul B. Kassir, CEO<br />

Operational Date: 1/1/2014<br />

789 North Medical Center Dr East, Suite 100, Clovis, CA 93611-6878<br />

Phone (559) 324-4749 Fax (559) 324-4041<br />

Medical Director: Daniel L. Bluestone, MD, Medical Director<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

unavailable at this time (see communitymedical.org)<br />

Counties Served: Fresno<br />

Total Estimated Lives: 4,600<br />

Total Estimated Physicians 263 (1)<br />

Foothill Accountable Care Medical Group<br />

(CMS)<br />

Tej<strong>in</strong>der S<strong>in</strong>gh, MD, President<br />

840 Towne Center Dr, Pomona, CA 91767-5900<br />

Phone (909) 398-1562 Fax (909) 446-8119<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

foothillaco.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Arnold I. Roth, MD, Medical Director<br />

Counties Served:<br />

Los Angeles<br />

Riverside<br />

San Bernard<strong>in</strong>o<br />

Total Estimated Lives: 7,000 (2)<br />

Total Estimated Physicians 160 (1)(2)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 5 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Golden Life Healthcare (CMS)<br />

G<strong>in</strong>a Hitson, Adm<strong>in</strong>istrator<br />

1337 Howe Ave, Suite 201, Sacramento, CA 95825-3397<br />

Phone (916) 640-1800 Fax (916) 640-1849<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

glifeaco.com<br />

THIS IS THE FINAL UPDATE<br />

Medicare ACO-Advanced Payment Model<br />

(APM)<br />

Operational Date: 7/1/2012<br />

Medical Director: Chandan Cheema, MD, Chief Medical Officer<br />

Counties Served:<br />

Colusa<br />

Nevada<br />

Placer<br />

Sacramento<br />

Yuba<br />

Total Estimated Lives: 10,000<br />

Total Estimated Physicians 75 (1)<br />

Greater Newport Physicians/Hoag Hospital<br />

(Blue Shield)<br />

Diane Laird, CEO, Greater Newport Physicians Medical Group<br />

330 Placentia Ave, Suite 270, Newport Beach, CA 92663-3309<br />

Phone (949) 574-4475 Fax (949) 574-4574<br />

Website<br />

Type Payor Program: Blue Shield-all Com HMO plans<br />

gnpweb.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2012<br />

Medical Director: Cassidy C. Tsay, MD, Medical Director, Greater<br />

Newport Physicians Medical Group<br />

Counties Served: Orange<br />

Total Estimated Lives: Total Estimated Physicians 476 (1)<br />

10,400<br />

HCP ACO Cali<strong>for</strong>nia (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

William Ch<strong>in</strong>, MD, CEO<br />

Operational Date: 1/1/2014<br />

19191 South Vermont Ave, Suite 200, Torrance, CA 90502-1049<br />

Phone (310) 354-4200 Fax (310) 538-0671<br />

Medical Director: Thomas Paulson, MD, Exec Medical Director, Calif<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

www.healthcarepartners.com/ProgramsAndServices/AccountableCareOrganization.aspx?mid=<br />

28<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: Total Estimated Physicians 1,586 (1)<br />

55,000<br />

HealthCare Partners Accountable Care<br />

Organization (CMS) (CLOSED)<br />

Medicare ACO-Pioneer<br />

William Ch<strong>in</strong>, MD, Executive Medical Director<br />

19191 South Vermont Ave, Suite 200, Torrance, CA 90502-1049<br />

Operational Date: 1/1/2012<br />

ACO TERMINATED CMS CONTRACT 12/31/2012<br />

Phone (310) 354-4200 Fax (310) 538-0671<br />

Medical Director: Thomas Paulson, MD, Exec Medical Director, Calif<br />

Website<br />

Type Payor Program: Medicare FFS<br />

healthcarepartners.com<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: 0<br />

Total Estimated Physicians 0 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 6 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

HealthCare Partners Associates Medical<br />

Group (Blue Cross)<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

William Ch<strong>in</strong>, MD, Executive Medical Director<br />

Operational Date: 5/1/2010<br />

19191 South Vermont Ave, Suite 200, Torrance, CA 90502-1049<br />

Phone (310) 354-4200 Fax (310) 538-0671<br />

Medical Director: Thomas Paulson, MD, Exec Medical Director, Calif<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

healthcarepartners.com<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: 60,000 (2)<br />

Total Estimated Physicians 6,300 (1)(2)<br />

HealthCare Partners Associates Medical<br />

Group (Cigna)<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

William Ch<strong>in</strong>, MD, Executive Medical Director<br />

Operational Date: 4/1/2013<br />

19191 South Vermont Ave, Suite 200, Torrance, CA 90502-1049<br />

Phone (310) 354-4200 Fax (310) 538-0671<br />

Medical Director: Thomas Paulson, MD, Exec Medical Director, Calif<br />

Website<br />

Type Payor Program: Cigna-all Com HMO plans<br />

healthcarepartners.com<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: 6,500 (2)<br />

Total Estimated Physicians 6,300 (1)(2)<br />

Heritage Cali<strong>for</strong>nia ACO (CMS)<br />

Jaya Kurian, CFO<br />

8510 Balboa Blvd, Suite 285, Reseda, CA 91325-5804<br />

Phone (818) 654-3461 Fax (818) 654-3412<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

heritageprovidernetwork.com<br />

Medicare ACO-Pioneer<br />

Operational Date: 1/1/2012<br />

Medical Director: Stanley Ian Drew, MD, Medical Director<br />

Counties Served:<br />

Kern<br />

Los Angeles<br />

Orange<br />

Riverside<br />

San Bernard<strong>in</strong>o<br />

San Luis Obispo<br />

Tulare<br />

Ventura<br />

Total Estimated Lives: 88,000<br />

Total Estimated Physicians 2,052 (1)<br />

Heritage Provider Network (Blue Cross)<br />

Jaya Kurian, CFO<br />

8510 Balboa Blvd, Suite 285, Reseda, CA 91325-5804<br />

Phone (818) 654-3461 Fax (818) 654-3412<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

heritageprovidernetwork.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2013<br />

Medical Director: Stanley Ian Drew, MD, Medical Director<br />

Counties Served:<br />

Kern<br />

Los Angeles<br />

Orange<br />

Riverside<br />

San Bernard<strong>in</strong>o<br />

San Luis Obispo<br />

Tulare<br />

Ventura<br />

Total Estimated Lives: 21,500 (2)<br />

Total Estimated Physicians 11,064 (1)(2)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 7 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Hill Physicians/Dignity Health/UCSF (Health<br />

Net)<br />

Darryl Cardoza, CEO, Hill Physicians Medical Group<br />

2409 Cam<strong>in</strong>o Ramon, San Ramon, CA 94583-4285<br />

Phone (800) 445-5747 Fax (925) 820-8252<br />

Website<br />

Type Payor Program: Health Net-HMO UC Employees<br />

hillphysicians.com<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2013<br />

Medical Director: Thomas F. Long, MD, Chief Medical Officer, Hill<br />

Physicians Medical Group<br />

Counties Served: San Francisco<br />

Total Estimated Lives: 11,000<br />

Total Estimated Physicians 907 (1)<br />

Hill Physicians/Dignity Health/UCSF-San<br />

Francisco (Blue Shield)<br />

Darryl Cardoza, CEO, Hill Physicians Medical Group<br />

2409 Cam<strong>in</strong>o Ramon, San Ramon, CA 94583-4285<br />

Phone (800) 445-5747 Fax (925) 820-8252<br />

Website<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2011<br />

Medical Director: Thomas F. Long, MD, Chief Medical Officer, Hill<br />

Physicians Medical Group<br />

Type Payor Program: Blue Shield-HMO with SF City & County Employees Health System<br />

hillphysicians.com<br />

Counties Served: San Francisco<br />

Total Estimated Lives: Total Estimated Physicians 1,197 (1)<br />

4,800<br />

Hill Physicians/Dignity Health-Sacramento<br />

Area (Blue Shield)<br />

Darryl Cardoza, CEO, Hill Physicians Medical Group<br />

2409 Cam<strong>in</strong>o Ramon, San Ramon, CA 94583-4285<br />

Phone (800) 445-5747 Fax (925) 820-8252<br />

Website<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2010<br />

Medical Director: Thomas F. Long, MD, Chief Medical Officer, Hill<br />

Physicians Medical Group<br />

Type Payor Program: Blue Shield-CalPERS Com HMO & Blue Groove with 3-Tiers PPO,<br />

POS/HMO & Care+ HMO (specific Dx categories)<br />

hillphysicians.com<br />

Counties Served:<br />

El Dorado<br />

Placer<br />

Sacramento<br />

Total Estimated Lives: 40,000<br />

Total Estimated Physicians 719 (1)<br />

Humboldt-Del Norte IPA (Blue Cross)<br />

Mart<strong>in</strong> Love, CEO<br />

2662 Harris St, Eureka, CA 95503-4856<br />

Phone (707) 443-4563 Fax (707) 443-2527<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

hdnipa.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 10/1/2013<br />

Medical Director: Alan M. Glaseroff, MD, Chief Medical Officer<br />

Counties Served: Humboldt<br />

Total Estimated Lives: 5,600<br />

Total Estimated Physicians 215 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 8 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Hunt<strong>in</strong>gton Care Network ACO (CMS)<br />

Raj Takhar, VP Physicians Strategies, Hunt<strong>in</strong>gton Memorial Hospital<br />

100 West Cali<strong>for</strong>nia Blvd, Pasadena, CA 91109-7013<br />

Phone (626) 397-3630 Fax (626) 397-2995<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

www.hunt<strong>in</strong>gtoncarenetwork.com<br />

THIS IS THE FINAL UPDATE<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Nancy Greengold, MD, VP of Cl<strong>in</strong>ical Intergration<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 8,000<br />

Total Estimated Physicians 30 (1)<br />

John Muir Health (Blue Shield)<br />

Lee Husk<strong>in</strong>s, CEO, John Muir Physician Network<br />

1340 Treat Blvd, Suite 450, Walnut Creek, CA 94597-2413<br />

Phone (925) 952-2880 Fax (925) 952-2872<br />

Website<br />

Type Payor Program: Blue Shield-all Com HMO plans<br />

johnmuirhealth.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 3/1/2012<br />

Medical Director: Richard Fraioli, MD, Medical Director<br />

Counties Served:<br />

Alameda<br />

Contra Costa<br />

Solano<br />

Total Estimated Lives: 16,200<br />

Total Estimated Physicians 983 (1)<br />

John Muir Physician Network (CMS)<br />

Lee Husk<strong>in</strong>s, President/Chief Adm<strong>in</strong>istrative Officer<br />

1450 Treat Blvd, Suite 350, Walnut Creek, CA 94597-2168<br />

Phone (925) 952-2880 Fax (925) 952-2872<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

johnmuirhealth.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2012<br />

Medical Director: Richard Kamrath, MD, Medical Director<br />

Counties Served:<br />

Alameda<br />

Contra Costa<br />

Solano<br />

Total Estimated Lives: Total Estimated Physicians 229 (1)<br />

20,700<br />

MBA-Northern Cali<strong>for</strong>nia Physicians<br />

Management Group (CMS)<br />

Keely Smith, CEO<br />

900 East Ma<strong>in</strong> St, Suite 301, Grass Valley, CA 95945-5863<br />

Phone (530) 271-3222 Fax (530) 274-6343<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

e-mba<strong>in</strong>c.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Daniel Bibelheimer, MD, Medical Director<br />

Counties Served:<br />

Butte<br />

Nevada<br />

Sacramento<br />

San Joaqu<strong>in</strong><br />

Total Estimated Lives: 11,000<br />

Total Estimated Physicians 99 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 9 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Meridian Health Systems ACO (CMS)<br />

Anthony C. Dike, MD, Chairman of the Board/Chief Medical Officer<br />

4477 West 118th St, Suite 304, Hawthorne, CA 90250-2255<br />

Phone (323) 295-5062 Fax (310) 693-8082<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

www.meho.com/mhsaco/ourgrup.htm<br />

THIS IS THE FINAL UPDATE<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 7/1/2012<br />

Medical Director: Nagasamudra S. Ashok, MD, Regional Medical Director<br />

MULTI-STATE<br />

Counties Served:<br />

Los Angeles<br />

Riverside<br />

San Diego<br />

Tulare<br />

Total Estimated Lives: 1,200<br />

Total Estimated Physicians 14 (1)<br />

Meritage ACO (CMS)<br />

Joel A. Criste, CEO<br />

4 Hamiltion Land<strong>in</strong>g, Suite 100, Novato, CA 94949-8257<br />

Phone (415) 884-1818 Fax (415) 884-3505<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

www.meritagemed.com/meritage-accountable-care-organization-aco<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: Joseph Habis, MD, Medical Director<br />

Counties Served:<br />

Mar<strong>in</strong><br />

Napa<br />

Sonoma<br />

Total Estimated Lives: Total Estimated Physicians 221 (1)<br />

16,000<br />

Monarch HealthCare (CMS)<br />

Col<strong>in</strong> LeClaire, Executive Director<br />

11 Technology Dr, Irv<strong>in</strong>e, CA 92618-2302<br />

Phone (949) 923-3200 Fax (949) 923-3587<br />

Website<br />

Type Payor Program: Medicare FFS<br />

monarchhealthcare.com<br />

Medicare ACO-Pioneer<br />

Operational Date: 1/1/2012<br />

Medical Director: Nancy S. Boerner, MD, Chief Medical Officer<br />

Counties Served: Orange<br />

Total Estimated Lives: 23,000<br />

Total Estimated Physicians 350 (1)<br />

National ACO (CMS)<br />

Andre Berger, MD, CEO<br />

9400 Brighton Way, Suite 205, Beverly Hills, CA 90210-4709<br />

Phone (310) 691-1356 Fax (310) 691-1306<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

nationalacollc.com<br />

Medicare ACO-Advanced Payment Model<br />

(APM)<br />

Operational Date: 1/1/2013<br />

Medical Director: Alex Foxman, MD, Medical Director<br />

MULTI-STATE<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: 10,000<br />

Total Estimated Physicians 40 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 10 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

National Rural ACO (CMS)<br />

Georgia Green, MS, Executive Director<br />

P.O. Box 1330, Nevada City, CA 95959-1330<br />

Phone (916) 500-4777 Fax (916) 914-2092<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

ruralaco.com<br />

THIS IS THE FINAL UPDATE<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Earl Ferguson, MD, Medical Director<br />

MULTI-STATE<br />

Counties Served:<br />

Inyo<br />

Kern<br />

Mariposa<br />

Mono<br />

Total Estimated Lives: 3,500<br />

Total Estimated Physicians 48 (1)<br />

North Coast Medical ACO (CMS)<br />

Wayne Knight, Executive Director<br />

4002 Vista Way, Oceanside, CA 92056-4506<br />

Phone (760) 940-3355 Fax (760) 940-4061<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

unavailable at this time (see tricitymed.org)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 7/1/2012<br />

Medical Director: John LaFata, MD, Medical Director<br />

Counties Served: San Diego<br />

Total Estimated Lives: 7,000<br />

Total Estimated Physicians 258 (1)<br />

Palo Alto Medical Foundation (Cigna)<br />

Richard Slav<strong>in</strong>, MD, Pres/CEO<br />

2350 West El Cam<strong>in</strong>o Real, Mounta<strong>in</strong> View, CA 94040-6201<br />

Phone (650) 853-2934 Fax (650) 853-6050<br />

Website<br />

Type Payor Program: Cigna-all PPO plans<br />

pamf.org<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2012<br />

Medical Director: Lawrence E. Shapiro, MD, Medical Director<br />

Counties Served:<br />

Alameda<br />

San Mateo<br />

Santa Clara<br />

Santa Cruz<br />

Total Estimated Lives: 21,000 (2)<br />

Total Estimated Physicians 1,169 (1)(2)<br />

Physicians Medical Group of Santa<br />

Cruz/Dom<strong>in</strong>ican Hospital (Blue Shield)<br />

Marv<strong>in</strong> LaBrie, CEO, Physicians Medical Group of Santa Cruz<br />

5200 Soquel Ave, Suite 203, Santa Cruz, CA 95062-7804<br />

Phone (831) 465-7800 Fax (831) 464-7044<br />

Website<br />

Type Payor Program: Blue Shield-all Com HMO plans<br />

pmgscc.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 9/1/2011<br />

Medical Director: Nancy Greenstreet, MD, Medical Director<br />

Counties Served: Santa Cruz<br />

Total Estimated Lives: 8,300<br />

Total Estimated Physicians 246 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 11 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Premier ACO Physicians Network, LLC (CMS)<br />

Mansoor Shah, MD, Chairman/CEO<br />

4909 Lakewood Blvd, Suite 200, Lakewood, CA 90712-2134<br />

Phone (562) 602-1563 Fax (562) 531-0937<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

premieraco.com<br />

THIS IS THE FINAL UPDATE<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 7/1/2012<br />

Medical Director: Khalid Saeed, MD, Medical Director<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: 8,500<br />

Total Estimated Physicians 175 (1)<br />

Premier Care Network (CMS)<br />

Zaffar Iqbal, MD, Chairman of the Board<br />

3636 Stockton Hill Rd, Suite 1, K<strong>in</strong>gman, AZ 86409-0514<br />

Phone (855) 218-7751 Fax unknown<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

www.pcnaco.com<br />

Medical Director:<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

MULTI-STATE<br />

Counties Served: San Bernard<strong>in</strong>o<br />

Total Estimated Lives: 150<br />

Total Estimated Physicians 0 (1)<br />

Premier Choice ACO (CMS)<br />

Col<strong>in</strong> LeClaire, Executive Director<br />

3990 Concours, Suite 500, Ontario, CA 91761-7983<br />

Phone (800) 956-8000 Fax (877) 875-6882<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

premierchoiceaco.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Tushar. K. Desai, MD, SVP/Chief Medical Officer<br />

Counties Served:<br />

Riverside<br />

San Bernard<strong>in</strong>o<br />

Total Estimated Lives: Total Estimated Physicians 250 (1)<br />

10,500<br />

Premier Choice ACO (CMS) (CLOSED)<br />

L<strong>in</strong>da Dutton, ACO Executive Director<br />

3990 Concours, Suite 500, Ontario, CA 91761-7983<br />

Phone (909) 605-8067 Fax (877) 875-6882<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

www.primecare.com<br />

Medicare ACO-Pioneer<br />

Operational Date: 1/1/2012<br />

ACO TERMINATED CMS CONTRACT 12/31/2012<br />

Medical Director: Tushar. K. Desai, MD, SVP/Chief Medical Officer<br />

Counties Served:<br />

Riverside<br />

San Bernard<strong>in</strong>o<br />

Total Estimated Lives: 0<br />

Total Estimated Physicians 0 (1)<br />

PrimeCare Medical Network (Aetna)<br />

Col<strong>in</strong> LeClaire, Executive Director<br />

3990 Concours, Suite 500, Ontario, CA 91761-7983<br />

Phone (800) 956-8000 Fax (877) 875-6882<br />

Website<br />

Type Payor Program: Aetna-selected Com HMO & PPO plans<br />

www.primecare.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2013<br />

Medical Director: Tushar K. Desai, MD, Medical director<br />

Counties Served:<br />

Riverside<br />

San Bernard<strong>in</strong>o<br />

Total Estimated Lives: 2,200<br />

Total Estimated Physicians 3,725 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 12 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Providence Health System-Southern Cali<strong>for</strong>nia<br />

(Blue Shield)<br />

Michael Hunn, CEO, Southern Cali<strong>for</strong>nia Region<br />

20555 Earl St, Torrance, CA 90503-3006<br />

Phone (310) 793-8087 Fax (310) 793-8020<br />

Website<br />

Type Payor Program: Blue Shield-all Com HMO plans<br />

cali<strong>for</strong>nia.providence.org<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2013<br />

Medical Director: Laurence Eason, MD, Chief Medical Officer<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 14,100<br />

Total Estimated Physicians 443 (1)<br />

Redwood Community Care Organization (CMS)<br />

Steven Ramsland,EdD, CEO<br />

1310 Redwood Way, Petaluma, CA 94954-6514<br />

Phone (707) 792-7900 Fax (707) 792-7910<br />

Website<br />

Type Payor Program: Medicare FFS<br />

unavailable at this time (see rchc.net)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

Medical Director: Mary Maddux-Gonzalez, MD, Chief Medical Officer<br />

Counties Served:<br />

Mar<strong>in</strong><br />

Napa<br />

Sonoma<br />

Total Estimated Lives: Total Estimated Physicians 90 (1)<br />

7,900<br />

R-TotalHealth (CMS)<br />

Kirk Gillis, Vice President<br />

1155 Mill St, Reno, NV 89502-1576<br />

Phone (775) 982-6056 Fax (775) 982-5754<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

unavailable at this time (see renown.org)<br />

Medical Director: vacant<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2014<br />

MULTI-STATE<br />

Counties Served:<br />

Alp<strong>in</strong>e<br />

El Dorado<br />

Inyo<br />

Lassen<br />

Modoc<br />

Mono<br />

Nevada<br />

Placer<br />

Plumas<br />

Sierra<br />

Total Estimated Lives: 400<br />

Total Estimated Physicians 0 (1)<br />

San Diego Independent ACO (CMS)<br />

John Dailey, Executive Director<br />

10225 Aust<strong>in</strong> Dr, Suite 103, Spr<strong>in</strong>g Valley, CA 91978-1521<br />

Phone (619) 660-5719 Fax (619) 444-7454<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

sd<strong>in</strong>dyaco.com<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: Venu Prabaker, MD, Medical Director<br />

Counties Served: San Diego<br />

Total Estimated Lives: 5,000<br />

Total Estimated Physicians 26 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 13 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Sansum Cl<strong>in</strong>ic (Blue Cross)<br />

V<strong>in</strong>ce Jensen, Pres/COO<br />

470 South Patterson Ave, Santa Barbara, CA 93111-2404<br />

Phone (805) 681-7700 Fax (805) 681-7710<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

sansumcl<strong>in</strong>ic.org<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2014<br />

Medical Director: Kurt N. Ransohoff, MD, Medical Director<br />

Counties Served: Santa Barbara<br />

Total Estimated Lives: 5,000<br />

Total Estimated Physicians 240 (1)<br />

Santa Clara County IPA (Aetna)<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

J. Kersten Kraft, MD, Pres<br />

Operational Date: 1/1/2013<br />

1051 East Hillsdale Blvd, Suite 750, Foster City, CA 94404-1603<br />

Phone (650) 358-5800 Fax (650) 577-9830<br />

Medical Director: Jane Yieh, MD, Medical Director<br />

Website<br />

Type Payor Program: Aetna-selected Com HMO & PPO plans<br />

sccipa.com<br />

Counties Served: Santa Clara<br />

Total Estimated Lives: 14,000<br />

Total Estimated Physicians 814 (1)<br />

Santa Clara County IPA (Blue Cross)<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

J. Kersten Kraft, MD, Pres<br />

Operational Date: 5/1/2010<br />

1051 East Hillsdale Blvd, Suite 750, Foster City, CA 94404-1603<br />

Phone (650) 358-5800 Fax (650) 577-9830<br />

Medical Director: Jane Yieh, MD, Medical Director<br />

Website<br />

Type Payor Program: Blue Cross-ACO Flex 3-Tier PPO offer<strong>in</strong>g: ACO Providers PPO Providers;<br />

Non-contracted Providers<br />

sccipa.com<br />

Counties Served: Santa Clara<br />

Total Estimated Lives: 17,000<br />

Total Estimated Physicians 814 (1)<br />

Santa Clara County IPA (Cigna)<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

J. Kersten Kraft, MD, Pres<br />

Operational Date: 10/1/2013<br />

1051 East Hillsdale Blvd, Suite 750, Foster City, CA 94404-1603<br />

Phone (650) 358-5800 Fax (650) 577-9830<br />

Medical Director: Jane Yieh, MD, Medical Director<br />

Website<br />

Type Payor Program: Cigna-all PPO plans<br />

sccipa.com<br />

Counties Served: Santa Clara<br />

Total Estimated Lives: 12,000<br />

Total Estimated Physicians 814 (1)<br />

Sante Community Physicians (Blue Cross)<br />

Scott B. Wells, CEO<br />

1180 East Shaw Ave, Suite 101, Fresno, CA 93710-7812<br />

Phone (559) 228-5400 Fax (559) 224-8461<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

santehealth.net<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2013<br />

Medical Director: Daniel Bluestone, MD, Medical Cirector<br />

Counties Served:<br />

Fresno<br />

K<strong>in</strong>gs<br />

Madera<br />

Total Estimated Lives: 20,600<br />

Total Estimated Physicians 1,105 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 14 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

SeaView IPA (Blue Cross)<br />

Lynn Haas, CEO<br />

1901 North Solar Dr, #265, Oxnard, CA 93036-0633<br />

Phone (805) 988-2280 Fax (805) 988-5160<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

svipa.com<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2013<br />

Medical Director: Gary J. Proffett, MD, Medical Director<br />

Counties Served: Ventura<br />

Total Estimated Lives: 5,000<br />

Total Estimated Physicians 467 (1)<br />

Sharp HealthCare (Aetna)<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

John E. Jenrette, MD, CEO Sharp Community Medical Group<br />

Operational Date: 1/1/2012<br />

8695 Spectrum Center Blvd, 4th Floor, San Diego, CA 92123-1489<br />

Phone (858) 499-4540 Fax (858) 499-4556<br />

Medical Director: Lynne Milgram, MD, MBA, Chief Medical Officer<br />

Website<br />

Type Payor Program: Aetna-all Com PPO plans<br />

sharp.com<br />

Counties Served: San Diego<br />

Total Estimated Lives: 13,900<br />

Total Estimated Physicians 1,114 (1)<br />

Sharp Healthcare (Blue Cross)<br />

Stacey Hrountas, CEO Sharp Rees-Stealy Medical Group<br />

8695 Spectrum Center Blvd, 4th Floor, San Diego, CA 92123-1489<br />

Phone (858) 616-8013 Fax (858) 499-4556<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

sharp.com<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2012<br />

Medical Director: Donald Balfour, MD, SRS/Lynne Milgram, MD, SCMG<br />

Medical Directors<br />

Counties Served: San Diego<br />

Total Estimated Lives: 7,700<br />

Total Estimated Physicians 1,114 (1)<br />

Sharp HealthCare ACO (CMS)<br />

Medicare ACO-Pioneer<br />

Alison Fleury, CEO<br />

Operational Date: 1/1/2012<br />

8695 Spectrum Center Blvd, 4th Floor, San Diego, CA 92123-1489<br />

Phone (858) 499-4006 Fax (858) 499-4030<br />

Medical Director: Jeffrey Hay, MD, Chief Medical Officer<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

sharp.com<br />

Counties Served: San Diego<br />

Total Estimated Lives: 29,800<br />

Total Estimated Physicians 800 (1)<br />

St. Joseph Health (Blue Shield)<br />

Deborah A. Proctor, Pres/CEO<br />

3345 Michelson Dr, Suite 100, Irv<strong>in</strong>e, CA 92612-0693<br />

Phone (949) 381-4000 Fax (949) 381-4001<br />

Website<br />

Type Payor Program: Blue Shield-all Com HMO plans<br />

stjhs.org<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 1/1/2012<br />

Medical Director: Khaliq Siddiq, MD, Medical Director<br />

Counties Served:<br />

Los Angeles<br />

Orange<br />

Total Estimated Lives: Total Estimated Physicians 1,951 (1)<br />

32,200<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 15 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

Torrance Memorial Integrated Physicians<br />

(Blue Cross)<br />

John McNamara. MD, SVP Plann<strong>in</strong>g & Development<br />

3330 Lomita Blvd, Torrance, CA 90505-5002<br />

Phone (310) 325-9110 Fax unknown<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

torrancememorial.org<br />

THIS IS THE FINAL UPDATE<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2013<br />

Medical Director: John McNamara. MD, Chief Medical Officer<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 3,500 (2)<br />

Total Estimated Physicians 355 (1)(2)<br />

Torrance Memorial Integrated Physicians<br />

(CMS)<br />

Craig D. Leach, Pres/CEO<br />

3330 Lomita Blvd, Torrance, CA 90505-5002<br />

Phone (310) 325-9110 Fax (310) 784-4801<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

torrancememorial.org<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Operational Date: 1/1/2013<br />

Medical Director: George David Haas, MD, Medical Director<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 15,000<br />

Total Estimated Physicians 355 (1)<br />

UC Davis Health System (Blue Cross)<br />

James E. Goodnight, MD, Executive Director, UCDMG PMP<br />

4610 "X" St, #3127D, Sacramento, CA 95817-2200<br />

Phone (916) 703-5569 Fax (916) 734-5706<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

ucdavis.edu<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 7/1/2013<br />

Medical Director: James E. Goodnight, MD, Medical Director<br />

Counties Served:<br />

Placer<br />

Sacramento<br />

Yolo<br />

Total Estimated Lives: Total Estimated Physicians 865 (1)<br />

3,000<br />

UCLA ACO (CMS)<br />

Medicare ACO-Shared Sav<strong>in</strong>gs Program<br />

(MSSP)<br />

Patrica A. Kuper, MD, ACO Executive<br />

Operational Date: 1/1/2013<br />

10945 Le Conte Ave, Suite 1401, Los Angeles, CA 90095-3000<br />

Phone (310) 794-8883 Fax (310) 206-7975<br />

Medical Director: Samuel A. Skootsky, MD, Medical Director<br />

Website<br />

Type Payor Program: Medicare-FFS<br />

ucla.edu/health-system<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 24,000<br />

Total Estimated Physicians 2,102 (1)<br />

UCLA Medical Group (Blue Cross)<br />

Samuel A. Skootsky, MD, Chief Medical Officer<br />

5767 Century Blvd, Suite 400, Los Angeles, CA 90045-5655<br />

Phone (310) 302-1300 Fax (310) 301-5250<br />

Website<br />

Type Payor Program: Blue Cross-all PPO plans except self-<strong>in</strong>sured<br />

uclahealth.org<br />

Look-alike ACO-Contract w/Health Plan For<br />

Non-State Sponsored Program<br />

Operational Date: 10/1/2013<br />

Medical Director: Samuel A. Skootsky, MD, Chief Medical Officer<br />

Counties Served: Los Angeles<br />

Total Estimated Lives: 19,000<br />

Total Estimated Physicians 2,102 (1)<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 16 of 17


ACO Report <strong>#1</strong> - Summary Data <strong>for</strong> Operational & Closed ACOs <strong>in</strong> Alpha Order<br />

AS OF March 1, 2014<br />

TOTAL ACTIVE & CLOSED ACOs 69<br />

TOTAL KNOWN ESTIMATED LIVES FOR CALIFORNIA 915,285<br />

THIS IS THE FINAL UPDATE<br />

(1) If the ACO has multiple panels, there may be duplication of physician counts. Also, there maybe duplications of<br />

physician counts due to multiple relationships <strong>in</strong> medical groups <strong>in</strong> the same areas.<br />

(2) C&S was unable to obta<strong>in</strong> enrollment and physician counts from the ACO; and there<strong>for</strong>e C&S made its own estimates.<br />

In the case of the CMS ACOs, we mostly used the m<strong>in</strong>imum 5,000 threshold <strong>for</strong> CMS approval (except <strong>for</strong> multi-state<br />

ACOs). For the non-CMS ACOs, we used our market knowledge <strong>for</strong> estimat<strong>in</strong>g the Commercial enrollment.<br />

© <strong>Cattaneo</strong> & <strong>Stroud</strong>, <strong>Inc</strong>., 1601 Old Bayshore Hwy, <strong>#1</strong>07, Burl<strong>in</strong>game, CA 94010<br />

Page 17 of 17

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