The Accountable Care Directory 2018

Transcription

1 Account abl e Car e Di r ect or y 2018 Or gani z at i onaldi r ect or yand Execut i vepr ol esf oracos

2 The Accountable Care Directory 2018 HealthQuest Publishers SM from MCOL 1101 Standiford Avenue Suite C-3 Modesto, CA Phone: Fax: www,healthquestpublishers.com ISBN # Copyright 2018, MCOL All Rights Reserved Please be advised: No part of this directory may be reproduced in any form or incorporated into any information retrieval system, electronic or mechanical, without written permission of the publishers. The publishers of this directory have made every effort to provide complete and accurate information for our readers regarding the individuals and the organizations featured in this Accountable Care Directory. However, the publishers and editors assume no liability for errors, omissions, or damages that may arise from the use of the information provided in this publication. Additionally, the inclusion of a particular individual or organization herein should not be construed as a recommendation or an endorsement by the publishers or the editors of this directory MCOL All Rights Reserved 2

3 Table of Contents I. Overview page 5 II. Organizational Directory. page 7 III. Executive Profiles page 497 IV. Indexes.. page 619 V. About HealthQuest Publishers.. page MCOL All Rights Reserved 3

4 I. OVERVIEW The Accountable Care Directory 2018, compiled by MCOL s HealthQuest Publishers, offers a unique resource for Accountable Care stakeholders and others monitoring the industry. Included is an Organizational Directory of 793 selected Accountable Care Organizations, with all Medicare ACO participants as of the time of publication, as well as a wide range of organizations involved with commercial or other programs. Also included are Executive Profiles of Accountable Care executives and thought leaders, as well as indexes for referencing individuals and organizations included in this Directory. The Organizational Directory includes summary information about the 793 selected ACOs, as well as a listing of 3,901 key persons with leadership or operational involvement with the ACO. Summary information provided for each ACO includes: Mailing Address Phone Fax or (available for 45% of ACOs listed) Web Site Service Area Medicare Program (Standard MSSP with Track, MSSP Advanced with Track, MSSP AIM with Track, MSSP SNF Waiver with Track. or Next Generation when applicable) Medicare Start Date (when applicable) Commercial/Other Programs (when applicable) Provider Affiliations (when applicable and not included in the organization name) Administrative/Other Affiliations (when applicable and not included in the organization name) Number of Physicians (available for 44% of ACOs listed) Estimated Medicare and/or Commercial/Other Members (available for 64% of ACOs listed) For applicable employees listed for each organization, the following information is provided: Employee Name Title Phone (Different line listed for 56% of employees, otherwise main organization phone number) (available for 44% of employees listed) The Organizational Directory is presented alphabetically by state, with the state corresponding to the primary state in which services are rendered. There are organizations which are administered outside the service area state, and in these situations the contact information for the organization will correspond with a different state than the service area state in which the organization is listed. Also, please note listings for each organization are designed to all be provided on the same page. Thus some pages only contain one organization, while other pages may contain two. 793 ACOs were selected for the Organizational Directory, and undoubtedly additional commercial or other ACO programs are under development or potentially operating at this time. While the Organizational Directory lists all Medicare ACOs as of the time of publication, the commercial ACOs included in the Organizational Directory were selected on the basis of prominence and documented evidence of ACO activity, as opposed to inclusion of ACO-like arrangements or past announced potential organizations that do not have current documented activity, which have been included in some third party reports and census on ACO activities. Furthermore, some MSSP and Next Generation contracts changed status from 2017 to 2018 (switching from MSSP to Next Generation, etc.) 2018 MCOL All Rights Reserved 4

5 I. OVERVIEW continued As a result, the total number of new Medicare ACOs listed in this directory for 2018 is different than the total number of new MSSP and Next Generation contracts for 2018 announced by CMS, as the CMS announced number included contract status changes. Some employees are listed in multiple organizations, based upon their simultaneous assumption of responsibilities for applicable organizations. The Accountable Care Directory also includes Executive Profiles of 233 selected executives and thought leaders nationally identified with Accountable Care. The Profiles are provided in alphabetical order by the individual s name. Each Executive Profile includes the following information: Organization and Mailing Address Phone, Fax & (phone available for 100%; fax available for 35%; available for 24% of listings) Executive Bio Education and Affiliations (when available) The following Indexes have been provided in the Accountable Care Directory, which incorporate organizations and individuals listed in both the Organizational Directory and the Executive Profiles; it should be noted that organizations incorporated into the indexes from the Executive Profiles include entities that are not ACOs (and were included because the individual was involved with ACO thought leadership.) Individuals by Organization Individuals by State Organizations by Name Organizations by State Affiliated Providers and Administrative Organizations Listed Organizational Additions and Deletions to the Directory MCOL s HealthQuest Publishers has endeavored to make the Accountable Care Directory has accurate, convenient and useful a resource as possible. Should you have any suggestions for improvement for future editions of this Directory, please do not hesitate to contact MCOL at or mcare@mcol.com at any time MCOL All Rights Reserved 5

6 II. ORGANIZATIONAL DIRECTORY In alphabetical order of primary state of service Organizations are formatted not to continue on separate pages. When space is available, two organizations are listed on a page, otherwise one organization is listed per page MCOL All Rights Reserved 6

7 Primary State: Arizona Scottsdale Health Partners 8901 E. Mountain View Road, Suite 130 Scottsdale, AZ Phone: Web: Medicare Program: MSSP Track 2 Medicare Start Date: 1/1/2014 Commercial/Other Program(s): Cigna Provider Affiliation(s): Scottsdale Healthcare, Scottsdale Physician Organization Plan/Admin Affiliation: Innovation Care Partners Service Area: Northeast Valley Total Physicians: 1,300 Estimated Members: Medicare: 19,216 Commercial/Other: 4,000 Executives Involved with Accountable Care: Employee Title Phone Mallory Cary ACO Analyst x4233 mcary@scottsdalehealthpartners.com Tiffany Nelson, MD Chief Strategy Officer tnelson@scottsdalehealthpartners.com Faron Thompson, MBA Chief Operations Officer Karen Vanaskie, DNP Care Management Program Director James Whitfill ACO Ececutive jw hitfill@scottsdalehealthpartners.com 2018 MCOL, All Rights Reserved. 24

8 ACO Executive Profiles III. EXECUTIVE PROFILES In alphabetical order by name The Executive Profiles contain contact and biographical information for executives and thought leaders involved with Accountable Care Organizations representing a wide range of organizations MCOL, All Rights Reserved.

9 ACO Executive Profiles Profile: Jeffrey Aalberg, MD, MS Chief Medical Officer MaineHealth ACO 110 Free Street Portland, ME Phone: (207) Dr. Jeffrey Aalberg has been serving as a healthcare leader and practicing medicine for nearly 20 years. His deep commitment to promoting patient engagement and experience brings a singular focus to his central leadership role in MaineHealth ACO development and implementation. Jeffrey joined the MaineHealth Accountable Care Organization (formerly the MMC Physician-Hospital Organization) in 2009 and serves the organization as Chief Medical Officer. He is also the Senior Medical Director of Ambulatory Care for the MaineHealth System. In these roles, he oversees programs in care coordination, prevention, chronic disease, advanced primary care, palliative care, behavioral health, elder care, and post-acute care. Prior to 2009, Jeffrey was the Medical Director of a large urban practice and residency training program serving 16,000 patients and overseeing care delivered by 40 physicians. He also served as Medical Consultant for MaineHealth from 2000 to 2009, supporting programs focused on infectious disease, pharmacy and supply chain management. Jeffrey holds an MD degree from the University of Massachusetts, an MS degree from University of Oregon and a BS from Rensselaer Polytechnic Institute. He has completed advanced studies in physician leadership, Integrative Medicine and advanced procedure training and has a 2014 Family Medicine Board Certification. He has served on numerous Boards, and most recently joined the Southern Maine Agency on Agency Board of Directors. Jeffrey also serves as Associate Clinical Professor at Tufts School of Medicine. Education: MD, University of Massachusetts MS, University of Oregon BS, Rensselaer Polytechnic Institute Profile: Karin Abrahim VP of Information Technology (IT) Caravan Health 9450 SW Gemini Dr. #88865 Beaverton, CA Phone: (916) Fax : (916) Karin earned her degree in Information Technology from Duquesne University in Karin has over 14 years of experience in data analytics with a more recent focus on healthcare IT. She was an Interface and Data Analyst at Tahoe Forest Hospital for the past 6 years where she excelled in data mining and interface development for more than 9 Health Information Systems. At the Tahoe Forest, she focused on data migration, business intelligence, HL7 interfaces, report writing and other high level integration development projects at the hospital. Karin joined Caravan Health as the Director of Information Systems and Services in September, Her current focus is the integration of the Medicare claims data from CMS, building clinical interfaces, and optimizing the data warehouse to effectively manage patient populations. Karin is pleased to be a part of this organization to help facilitate providers in improving the quality of care, while reducing unnecessary costs with the use of data. Education: Information Technology from Duquesne University 2018 MCOL, All Rights Reserved. 499

10 IV. INDEXES Individuals by Organization page 621 Individuals by State page 689 Organizations by Name.. page 753 Organizations by State.... page 768 Major Affiliated Providers and.. page 784 Administrative Organizations Listed Organizations Added and Deleted...page MCOL All Rights Reserved

11 V. ABOUT HEALTHQUEST PUBLISHERS HealthQuest Publishers offers critical market intelligence for those doing business with the managed care and health care industries. HealthQuest directories provide leads, contact information, mailing lists, profiles and tools for those involved with marketing, recruitment, business development and others involved with health management and managed care. HealthQuest Publishers has produced key managed care directories since 1994, including the popular "National Managed Care Leadership Directory." MCOL acquired HealthQuest Publishers in 2000, and has expanded HealthQuest offerings to include a number of additional resources. MCOL is the 20+ year-old publisher delivering healthcare business information resources. For more information, or to place orders on these and other HealthQuest publications, go to: or call (209) HQ Online subscriptions provide searchable on-line 24/7 access to Health Care Executive Profiles, The National Managed Care Leadership Directory and more. With a HQ Online Subscription, you can target your information using powerful searches, and access these databases anyplace, any time on the web. An annual on-line subscription is priced at $895, but National Managed Care Leadership Directory customers can receive a significant discount. Corporate pricing is also available MCOL All Rights Reserved 805

12 The National Managed Care Leadership Directory is the ideal tool for networking, recruitment, research, sales prospecting and more! What makes the Directory unique is that it covers multiple industry segments related to managed care and not just health plans; reports on a broader range of staff positions; and categorizes each position by standard job functions. The softcover book is priced at $249; the pdf version is $215. The Directory has 600+ pages with 8,000+ executive listings from 1,000+ companies, with a varying number of key staff positions listed per company. Companies include health plans, provider networks, PBMs, administrative organizations (quality improvement organizations, utilizations and disease management organizations, and TPAs) and specialty organizations (dental, vision and behavioral.) A database/pdf bundle version is also available for $595. The Medicaid Managed Care Directory 2018 is the ideal resource for collaborating, networking, recruiting, marketing or monitoring of Medicaid managed care organizations and state agencies. Included are organizational directories of state and national Medicaid MCOs, as well as state Medicaid agencies. Key staff are listed for each organization. Also included are Executive Profiles of Medicaid managed care thought leaders and national executives, as well as indexes. The Directory is available as a 372 page softcover book for $219, or in electronic pdf format for $178, with 418 Medicaid managed care organizations and 51 state agencies listed, representing 3,114 key staff positions including direct phone and contact information when available. A database/pdf bundle is available for $395. Custom select your healthcare business mailing from the B2B Database. Select from 54,000+ healthcare business professionals. Selections include standardized organization categories and job levels, in addition to state. Selections can also be randomized to fit a specified number of requested records. Your selection is delivered via , in Excel or Text delimited formats. Pricing is based on $95 per 1,000 records, with a minimum order of $ MCOL All Rights Reserved 806