ACO Name and Location

The Accountable Care Organization, Ltd.
950 N Glebe Rd
Suite 700
Arlington, VA 22203
USA

ACO Primary Contact

Sam Starbuck
Phone: 571-366-8850
Email: sstarbuck@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Adult Medicine Of Lake County INC No
AdventHealth Bond Clinic, INC No
Aegis Medical Center PLLC No
Amm Healthcare, PA No
Amputation Prevention Center Of North Carolina LLC No
Ann H Snyder MD PA No
Anna P Abalos MD INC No
Arcturus Healthcare PLC No
Associated Family Physicians INC No
Auburn Medical Group, INC No
Bay Family Medical Group, INC No
Boice-Willis Clinic PA No
Brian Carreon MD PA No
Camil I. Kreit MD PA No
Capital Family Physicians, PA No
Capitol Internal Medicine Associates No
Carmen Baybayan MD LLC No
Cary Healthcare Associates, P.A. No
Cary Internal Medicine & The Diabetes Center PA No
Clarkston Internal Medicine, P.C. No
Clover Fork Outpatient Medical Project INC No
Cny Family Care LLP No
ConvenientMD LLC No
Coordinated Healthcare Services, P.A. No
Curtis Takemoto-Gentile MD INC No
David M Saito MD LLC No
Delacotera Health Care Association No
Dennis S. Gray, M.D., PSC No
Deyi Zheng M.D., INC No
Doctors In INC No
Douglas Young, M.D., INC No
Dr Russell M Tom LLC No
Drs Borders And Associates, PSC No
Family First Primary Care PLLC No
Family Medical Center Of Georgetown, PA No
Family Medicine INC No
Family Medicine Of South Bend PC No
Family Practice Center PC No
Folsom Lake Primary Care PC No
Foster City Medical Center No
Generations Family Practice PA No
Gill Medical And Geriatrics Associates LLC No
Glatt Medical A Professional Medical Corporation No
Glatt Medical Limited Partnership No
Greater Louisville Internal Medicine PSC No
Greenhaven Family Practice INC No
Greentree Primary Care PLLC No
Imperial Center Family Medicine And Immediate Care PLLC No
Internal Medicine And Pediatrics Associates PA No
Internal Medicine Honolulu LLC No
Jacksonville Children’s And Multispecialty Clinic, PA No
Jacobs And Van Cleeff Internal Medicine, PC No
John Chow No
Joseph A Marotta MD PA No
Kenan & Wang LLC No
Kendall Wong No
Kevin Stephens MD PA No
Kihei-Wailea Medical Center. LLC No
Klein MD Hug MD Sabin MD Maddens MD & Khogali-Jakary DO PC No
Kurtis Fox No
Lagrange Family Care Doctors P.S.C. No
Lakowsky & Batlin Medical Corp. No
Lance Michael Kurata MD INC No
Legends Medical Clinic PLLC No
Lemi Medical Center Professional Corporation No
Leo Toupin, MD PA No
Lily Enayati MD INC No
Lincoln Medical Associates, INC No
M Nadir Alocozy INC No
M-15 Family Medical Center P C No
Manakai O Malama Integrative No
Matt T Rosenberg PC No
Matthew G. Stine DO PA No
Middletown Medical PC No
Monticello Medical Associates, INC No
North Carolina Internal Medicine PC No
Northern Medical Group, PLLC No
Odessa Consultants LLC No
Orion Family Physicians PC No
Pankaj Patel No
Paul Bristol No
Pearl City Medical Associates, INC No
Personal Physician Care P A No
Port Lavaca Clinic Associates PA No
Primary Care Centers Of Eastern Kentucky, LLC No
Procare Medical Group SC No
Progressive Health Care PC No
Providence Family Practice LLC No
Purisima Family Medicine, INC No
Raleigh Family Practice, P.A. No
Raleigh Medical Group, PA No
Rocklin Family Practice And Sports Medicine No
Ronald A,. Morton, M.D., INC No
Sayed A. Hussain M.D. INC No
Sellersburg Internal Medicine & Pediatrics No
Shah And Associates Family Practice No
Shaun Kretzschmar DO PA No
Shroff Cardiology & Internal Medicine Clinic PA No
Shylesh Ganta ,MD , PA No
Silver Pine Medical Group PLC No
Sockolov & Sockolov A Professional Corporation No
South Texas Internal Medicine Associates, P.A. No
Springcrest Family Physicians, P.C. No
St. Francis House Nwa, INC No
Stephens City Family Medicine LLC No
Subodh Mallik No
Sunflower Medical Group PA No
Suresh Prasad MD PA No
Teng Medical Foundation PC No
Texas Alliance Medical Group PA No
Texienne Physicians Medical Association PLLC No
The Vancouver Clinic INC PS No
Thomas K S Tan M D INC No
Tommy Kuo No
Tonda M. Anderson M.D. PLLC No
Versailles Family Medicine, PLLC No
Vikram Vadyala PLLC No
Vista Complete Care, INC No
Vitalmd Group Holding LLC No
Vytalus Medical Group PLLC No
Wake Internal Medicine Consultants, INC No
Welcome Family Medicine PA No
Western Wake Wellness No
Westminster Canterbury Of Winchester INC No
Xin-Nong Li M.D., INC No

ACO Governing Body:

Member First Name Member Last Name Member Title/Position Member’s Voting Power – Expressed as a percentage Membership Type ACO Participant Legal Business Name, if Applicable
Andrew Babcock Board Member 6.25% ACO Participant Representative Raleigh Family Practice, P.A.
Benjamin Williard Board Member 6.25% ACO Participant Representative Family Practice Center PC
Bill Chima Board Member 6.25% ACO Participant Representative Rocklin Family Practice And Sports Medicine
Cynthia Myers Medicare Beneficiary / Community Stakeholder 6.25% Medicare Beneficiary Representative N/A
Darcy Shepard Board Member 6.25% ACO Participant Representative Middletown Medical PC
Elan Neuman Board Member 6.25% ACO Participant Representative Personal Physician Care PA
John Wright Board Member 6.25% ACO Participant Representative Port Lavaca Clinic Associates PA
Joseph Quaranta Managing Director 6.25% Other N/A
Juan Rivera Board Member 6.25% ACO Participant Representative AdventHealth Bond Clinic, Inc.
Martha Chestnutt Board Member 6.25% ACO Participant Representative Boice-Willis Clinic PA
Matt Rosenberg Board Member 6.25% ACO Participant Representative Matt T Rosenberg PC
Michael Harper Board Member 6.25% ACO Participant Representative Sellersburg Internal Medicine & Pediatrics
Robert Montiero Board Member 6.25% ACO Participant Representative Wake Internal Medicine Consultants, Inc.
Sam Starbuck President 6.25% Other N/A
Susan Manella Board Member 6.25% ACO Participant Representative Vitalmd Group Holding LLC
Yvette Guislain Board Member 6.25% ACO Participant Representative Sunflower Medical Group PA

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Sam Starbuck
Medical Director: Douglas Short, MD
Compliance Officer: Stephanie Clark
Quality Assurance/Improvement Officer: Douglas Short, MD

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Deal Committee Sam Starbuck – Chair
Quality Committee Kelly Banning – Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangements
  • Networks of individual practices of ACO professionals

 

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2024, $42,613,982.71
    • Performance Year 2023, $47,640,428.33
    • Performance Year 2022, $40,591,383.00
    • Performance Year 2021, $16,167,038.65
    • Performance Year 2020, $15,769,603.93
  • Second Agreement Period
    • Performance Year 2019, $0.00
    • Performance Year 2018, $0.00
    • Performance Year 2017, N/A
  • First Agreement Period
    • Performance Year 2016, $10,544,665.35
    • Performance Year 2015, N/A
    • Performance Year 2014, $4,439,150.60

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2023
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2022
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2021
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 35%
      • Proportion of distribution to ACO participants: 55%
    • Performance Year 2020
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 35%
      • Proportion of distribution to ACO participants: 55%
  • Second Agreement Period
    • Performance Year 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 50%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure # Measure Title Collection Type Performance Rate Current Year Mean
Performance Rate (Shared
Savings Program ACOs)
321 CAHPS for MIPS CAHPS for MIPS Survey 7.53 6.67
479* Hospital-Wide, 30-Day, All-Cause
Unplanned Readmission (HWR) Rate for
MIPS Groups		 Administrative Claims 0.1471 0.1517
484* Clinician and Clinician Group Risk-
standardized Hospital Admission Rates for
Patients with Multiple Chronic Conditions (MCC)		 Administrative Claims – 37
318 Falls: Screening for Future Fall Risk CMS Web Interface 90.55 88.99
110 Preventative Care and Screening: Influenza
Immunization		 CMS Web Interface 72.12 68.6
226 Preventative Care and Screening: Tobacco
Use: Screening and Cessation Intervention		 CMS Web Interface 72.73 79.98
113 Colorectal Cancer Screening CMS Web Interface 79.09 77.81
112 Breast Cancer Screening CMS Web Interface 80.8 80.93
438 Statin Therapy for the Prevention and
Treatment of Cardiovascular Disease		 CMS Web Interface 83.18 86.5
370 Depression Remission at Twelve Months CMS Web Interface 11.11 17.35
001* Diabetes: Hemoglobin A1c (HbA1c) Poor
Control		 CMS Web Interface 9.23 9.44
134 Preventative Care and Screening:
Screening for Depression and Follow-up Plan		 CMS Web Interface 75.69 81.46
236 Controlling High Blood Pressure CMS Web Interface 83.2 79.49
CAHPS-1 Getting Timely Care, Appointments, and
Information		 CAHPS for MIPS Survey 87.27 83.7
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.48 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 91.42 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 77.12 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 67.03 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 64.41 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 77.09 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 86.44 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.83 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 27.57 26.98

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver
    • Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.