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