Accountable care organizations are growing in number and importance on the national stage. In the ACO model doctors, hospitals, and others coordinate care to improve quality and cost-effectiveness.
This map shows the evolving distribution of accountable care organizations (ACOs) in California by these four types:
Payor: Medicare FFS
Lives Covered: 500
Physicians: 8
Contact: Lisa Hahn, Director of Client Services
Address: 354 Birnie, Springfield, MA, 01107-1108
Phone: (413) 265-4531
URL: www.acafirst.com
Lives Covered: 2,500
Physicians: 25
Contact: Zahra Movaghar, Administrator
Address: 1025 North Brand Blvd, Suite 100, Glendale, CA 91202-3631
Phone: (818) 265-0800
URL: www.preferredipa.com
Lives Covered: 10,000
Physicians: 75
Contact: Lan Pham, Consulting Administrator
Address: 2360 Huntington Dr, Suite 201, San Marino, CA 91108-2651
Phone: (626) 656-2370
URL: www.msosocal.com
Lives Covered: 5,000
Physicians: 36
Contact: Tien Trinh, MD, ACO Executive
Address: 2425 Samaritan Dr, San Jose, CA 95124-3908
Phone: (408) 371-4714
URL: www.paragonmd.net
Lives Covered: 9,800
Physicians: 125
Contact: Lan Pham, Administrator
Physicians: 130
Contact: Warren Hosseinion, MD, CEO
Address: 700 North Brand Blvd, Suite 450, Glendale, CA 91203-2349
Phone: (818) 396-8050
URL: www.apollomed.net
Lives Covered: 8,000
Physicians: 250
Contact: Vinod B. Jivrajka, MD, President & CEO
Address: 6131 Orangethorpe Ave, Suite 280, Buena Park, CA 90620-1384
Phone: (877) 909-8112
URL: www.applecaremedical.com
Physicians: 215
Contact: Thomas Gordon, ACO Executive
Address: 200 North Roberston Blvd, Suite 101, Los Angeles, CA 90211-6002
Phone: (310) 385-3220
URL: www.cedars-sinai.edu
Lives Covered: 7,000
Physicians: 112
Contact: Lee Huskins, Interim CEO
Address: 1340 Treat Blvd, Suite 450, Walnut Creek, CA 94597-2413
Phone: (925) 952-2880
URL: www.johnmuirhealth.com
Physicians: 13
Contact: Anthony C. Dike, MD, President
Address: 4477 West 118th St, Suite 304, Hawthorne, CA 90250-2255
Phone: (323) 295-5062
URL: www.meho.com
Physicians: 581
Contact: Joel A. Criste, CEO
Address: 4 Hamilton Landing, Suite 100, Novato, CA 94949-8257
Phone: (415) 884-1818
URL: www.meritagemd.com
Lives Covered: 6,800
Physicians: 281
Contact: Wayne Knight, Executive Director
Address: 4002 Vista Way, Oceanside, CA 92056-4506
Phone: (760) 940-3355
URL: www.tricitymed.org
Lives Covered: 8,500
Physicians: 175
Contact: Mansoor Shah, MD, Chair
Address: 4909 Lakewood Blvd, Suite 200, Lakewood, CA 90712-2134
Phone: (562) 602-1563
URL: www.premieraco.com
Physicians: 96
Contact: John Dailey, Executive Director
Address: 10225 Austin Dr, Suite 103, Spring Valley, CA 91978-1521
Phone: (619) 660-5719
URL: www.sdindyaco.com
Lives Covered: 15,000
Physicians: 355
Contact: Craig D. Leach, President & CEO
Address: 3330 Lomita Blvd, Torrance, CA 90505-5002
URL: www.tmmc.org
Phone: (310) 325-9110
Lives Covered: 19,000
Physicians: 1,450
Contact: Patrica A. Kuper, MD, ACO Executive
Address: 10945 Le Conte Ave, Suite 1401, Los Angeles, CA 90095-3000
Phone: (310) 794-8883
URL: www.ucla.edu/health-system
Medicare Shared Savings Program (MSSP) ACOs are designated by Medicare to facilitate coordination and cooperation to improve the quality of care for Medicare fee-for-service beneficiaries. The two MSSP payment model options are: (1) sharing both upside and downside risk; and (2) sharing savings in the first two years, then sharing both savings and losses in the third year.
Payor: Medicare Advanced Payment Model
Lives Covered: 6,000
Physicians: 504
Contact: Gina Hitson, Administrator
Address: 1337 Howe Ave, Suite 201, Sacramento, CA 95825-3397
Phone: (916) 640-1800
URL: none
Lives Covered: 5,600
Physicians: 24
Contact: Andre Berger, MD, CEO
Address: 9400 Brighton Way, Suite 205, Beverly Hills, CA 90210-4709
Phone: (310) 691-1356
URL: www.nationalacollc.com
The Medicare Advanced Payment Model* is an initiative developed by the Innovation Center designed for ACOs participating in the Medicare Shared Savings Program. Through this model, selected physician-based and rural participants in MSSP will receive advance payments that will be repaid from the future shared savings earned. CMS will recoup these advance payments from an ACO's shared savings.
Lives Covered: 17,000
Physicians: 189
Contact: Richard Fish, CEO
Address: 153 Townsend St, Suite 700, San Francisco, CA 94107-1982
Phone: (415) 972-6000
URL: www.brownandtoland.com
Lives Covered: 45,000
Physicians: 418
Contact: Robert Jay Margolis, MD, CEO
Address: 19191 South Vermont Ave, Suite 200, Torrance, CA 90502-1049
Phone: (310) 354-4200
URL: www.healthcarepartners.com
Lives Covered: 68,000
Physicians: 1,981
Contact: Jaya Kurian, CFO
Address: 8510 Balboa Blvd, Suite 285, Reseda, CA 91325-5804
Phone: (818) 654-3461
URL: www.heritageprovidernetwork.com
Lives Covered: 17,500
Physicians: 270
Contact: Bartley S. Asner, MD, CEO
Address: 11 Technology Dr, Irvine, CA 92618-2302
Phone: (949) 923-3200
URL: www.monarchhealthcare.com
Lives Covered: 32,500
Physicians: 1,100
Contact: Alison Fleury, CEO
Address: 8695 Spectrum Center Blvd, 4th Floor, San Diego, CA 92123-1489
Phone: (858) 499-4006
URL: www.sharp.com
Medicare Pioneer ACOs* have significant experience coordinating care and were among the first Medicare-designated ACOs by CMS in December 2011. They will share savings and losses for the first two years in the program and then move from fee-for-service to a population-based payment model. Incentives are aligned to improve quality and health outcomes for patients and to achieve cost savings for Medicare and providers.
Payor: Blue Shield: All HMO Products Including CalPERS
Physicians: 305
Contact: Mukesjh Bhatia, MD, President, Access Medical Group
Address: 4644 Lincoln Blvd, Suite 111, Marina del Rey, CA 90292-6374
Phone: (818) 710-0315
URL: www.accessmedicalgroup.com
Payor: Blue Shield: Select Products
Physicians: 519
Contact: Matthew K. Coury, CEO, AllCare IPA
Address: 3320 Tully Rd, Suite 1, Modesto, CA 95350-0840
Phone: (209) 572-6900
URL: www.allcareipa.com
Payor: CIGNA: HMOs
Physicians: 650
Payor: Blue Shield: HMO with SF City & County Employees Health System
Lives Covered: 23,000
Physicians: 1,491
Contact: Richard Fish, CEO, Brown & Toland Physicians
Lives Covered: 11,000
Physicians: 643
Contact: Diane Laird, CEO, Greater Newport Physicians Medical Group
Address: 330 Placentia Ave, Suite 270, Newport Beach, CA 92663-3309
Phone: (949) 574-4475
URL: www.gnpweb.com
Payor: Blue Cross: ACO Flex 3-tier PPO
Lives Covered: 44,000
Physicians: 3,615
Lives Covered: 40,000
Physicians: 607
Contact: Darryl Cardoza, CEO, Hill Physicians Medical Group
Address: 2409 Camino Ramon, San Ramon, CA 94583-4285
Phone: (800) 445-5747
URL: www.hillphysicians.com
Physicians: 907
Payor: Health Net: HMO UC Employees
Lives Covered: 10,500
Physicians: 823
Contact: Lee Huskins, Interim CEO, John Muir Physician Network
Payor: CIGNA: PPOs
Lives Covered: 21,000
Physicians: 1,163
Contact: Cecilia Montalvo, Vice President
Address: 2350 West El Camino Real, Mountain View, CA 94060-6201
Phone: (650) 691-6201
URL: www.pamf.org
Physicians: 257
Contact: Marvin LaBrie, CEO, Physicians Medical Group of Santa Cruz
Address: 5200 Soquel Ave, Suite 203, Santa Cruz, CA 95062-07804
Phone: (831) 465-7800
URL: www.pmgscc.com
Payor: Aetna: HMO & PPO
Lives Covered: 2,000
Physicians: 3,725
Contact: Leigh Hutchins, COO
Address: 3990 Concours, Suite 500, Ontario, CA 91761-7983
Phone: (909) 605-8000
URL: www.primecare.com
Lives Covered: 25,000
Physicians: 814
Contact: J. Kersten Kraft, MD, President
Address: 1051 East Hillsdale Blvd, Suite 750, Foster City, CA 94404-1603
Phone: (650) 358-5800
URL: www.sccipa.com
Lives Covered: 22,000
Physicians: 1,114
Contact: Stacey Hrountas, CEO, Sharp Rees-Stealy Medical Group
Phone: (858) 616-8013
Payor: Aetna: Com PPO
Lives Covered: 2,200
Physicians: 656
Contact: John E. Jenrette, MD, CEO, Sharp Community Medical Group
Phone: (858) 499-4540
Payor: Blue Shield: Standard HMO & CalPERS
Lives Covered: 37,000
Physicians: 1,318
Contact: Deborah A. Proctor, President & CEO
Address: 500 South Main St, Suite 1000, Orange, CA 92868-4533
Phone: (714) 347-7500
URL: www.stjhs.org
"Look-alike" ACOs, also known as commercial ACOs, contract with health plans in a model similar to those defined in the Medicare program and serve a commercially insured population. In California, these organizations work with a Department of Managed Health Care (DMHC) -licensed health plan and are under DMHC jurisdiction.
Click each entity in the panel at left to see details or pan the map and click on the pushpins. The gray-shaded counties show where the ACOs operate (pan the map to make sure the detail boxes do not obscure the service areas).
The map will be updated when new Medicare contracts are announced (last updated February 2013).
* Initiative of the Center for Medicare & Medicaid Innovation (the Innovation Center); see a map of other Innovation Center grantees.
Accountable Care Organizations
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