September 28, 2022
| The Honorable Nancy Pelosi Speaker U.S. House of Representatives H-232, The Capitol Washington, DC 20515 The Honorable Charles Schumer Majority Leader U.S. Senate S-221, The Capitol Washington, DC 20510 | The Honorable Kevin McCarthy Republican Leader U.S. House of Representatives H-204, The Capitol Washington, DC 20515 The Honorable Mitch McConnell Republican Leader U.S. Senate S-230, The Capitol Washington, DC 20510 |
Re: Extend Medicare Advanced Alternative Payment Model (APM) Incentive Payments
Dear Speaker Pelosi, Leader McCarthy, Leader Schumer, and Leader McConnell:
On behalf of the over 800 undersigned physician and health care associations, health systems, provider practices, and accountable care organizations (ACOs), thank you for your leadership to ensure physicians and other clinicians have adequate resources to care for the health of the U.S. population. As Congress considers priority end-of-year legislation, we ask that you bolster and advance the ongoing transition to value-based health care by extending Medicare’s 5 percent Advanced Alternative Payment Model (APM) incentive payments authorized under the Medicare Access and CHIP Reauthorization Act (MACRA).
As you know, a key aim of MACRA was to encourage physicians and other health care providers to transition into Advanced APMs. To help achieve this important goal, MACRA provided 5 percent incentive payments to facilitate participation in these models by physicians and other clinicians, including those in primary care, cancer care, kidney disease care, and more. A crucial benefit of Advanced APMs is that they are rooted in the principle of accountability where financial performance is linked to quality and outcomes, rather than volume.
Absent congressional intervention, the ability for clinicians to qualify for the incentive payments is set to expire at end of 2022. This development would reduce reimbursements and serve as a disincentive to nearly 300,000 clinicians working to improve the quality and cost-effectiveness of care for millions of Medicare beneficiaries. These physicians and other health care providers have made laudable efforts to transform and improve the health care system by participating in Advanced APMs. Ending these important incentive payments would discourage future participation in models that have seen growing uptake in recent years.
The incentive payments not only encourage physicians and other health care providers to enter models, but also provide additional resources that can be used to expand services beyond traditional fee-for-service. For example, ACOs, the predominant type of Advanced APM, have used these incentives to fund wellness programs, pay for patient transportation and meals programs, reduce cost sharing for beneficiaries, and hire care coordinators. These are services that are not typically reimbursed through Medicare but improve patient health outcomes and wellbeing.
Successful transition to Advanced APMs means that physicians and other health care providers must invest in workflow improvements, digital health tools, care coordinators, data analytics, quality measurement systems, transitional care services, and innovative patient engagement methods. On average ACOs spend between $1 to $2 million per year on these types of advanced care delivery tools. The Advanced APM incentive payments undoubtedly help them afford some of these investments, allowing them to reinvest in care transformation initiatives to benefit patients.
Advanced APMs are transforming how patients in traditional Medicare receive care. It’s also clear these payment system reforms have been a good financial investment for the government, generating cost savings for the Medicare Trust Funds and improving patient outcomes. In the last decade, ACOs have generated more than $16 billion in gross savings and produced higher quality care for patients. Evidence also shows ACOs participating as Advanced APMs have generated higher net per beneficiary savings compared to those in non-advanced tracks. In 2020 alone, ACOs generated $4.8 billion in gross savings and $2.1 billion in net savings for CMS, which is a strong return on the investment of roughly $613 million CMS paid clinicians in Advanced APM incentive payments. Moreover, the growth of APMs has produced a “spill-over” effect on care delivery across the nation, slowing the overall rate of growth of health care spending.
In recognition of our commitment to advancing Medicare’s transition to value-based care, we urge you to include Section 4 of the Value in Health Care Act (H.R. 4587) in any end-of-year legislative package. This bipartisan legislation would extend the current 5 percent Advanced APM incentive payments and give CMS the authority to adjust the thresholds to qualify for the incentive payments, which are scheduled for steep increases under current law. These two crucial policy changes will better recognize physicians and other health care providers for their Advanced APM arrangements across all payers, including Medicare Advantage plans, and types of models while gradually increasing the qualifications.
We ask you to advance this important legislation, which will give our organizations the flexibility and financial security needed to innovate care, improve the health of our populations, and lower health care costs.
We appreciate your consideration of this matter.
Sincerely,
| Alliance for Technology Driven Health | Middlebrook Family Medicine, Virginia |
| American Academy of Family Physicians | Middletown Medical, pc, New York |
| American College of Physicians | Midlothian Family Medicine Clinic, Texas |
| American Medical Association | Midwest Physician Administrative Services, Illinois |
| AMGA | Millennium Affiliated Physicians (Millennium Medical Group, P.C.), Michigan |
| America’s Essential Hospitals | Millennium Physician Group, Florida |
| America’s Physician Groups | Mission Health Partners, North Carolina |
| Association of American Medical Colleges | Montefiore Health System, New York |
| Association of Community Cancer Centers | Montesano Internal Medicine, Washington |
| Health Care Transformation Task Force | Moon Family Practice, Florida |
| Medical Group Management Association | Mount Carmel Health Partners, Ohio |
| National Association of ACOs | Mount Sinai Health System, New York |
| National Rural Health Association | Mount Vernon Internal Medicine, Virginia |
| Partnership to Empower Physician-Led Care | Mountain Health Network, West Virginia |
| Premier Inc | MultiCare Capital Medical Center, Washington |
| Primary Care Collaborative | MultiCare Connected Care, Washington |
| Value Based Care Coalition | Nebraska Health Network ACO, Nebraska |
| A2ACO Baptist Health UAMS Accountable Care Alliance, Arkansas | Neighborhood Medical Clinic, Texas |
| Acadiana Family Physicians, INC., A.P.M.C., Louisiana | New Era Healthcare, Virginia |
| Abreu Family Practice, PLLC, Texas | New Providence Internal Medicine Associates/Primary Care Partners, New Jersey |
| Access Family Medicine of Sacramento, California | New River Medical Group, LLC, Virginia |
| Accountable Care Coalition of Direct Contracting, LLC, CT, TN, GA, NY, IL, TX, HI, CA, MA, IN, OH, FL, MI | Nguyen Medical Practice, Virginia |
| Accountable Care Coalition of Georgia, LLC | NH Cares ACO, New Hampshire |
| Accountable Care Coalition of Northeast Partners, LLC, Washington, DC, Maryland, Virginia | NOMS ACO, LLC, Ohio |
| Accountable Care Coalition of Southeast Texas, Inc. | Noorani Medical Center, Florida |
| Accountable Care Coalition of Southeast Wisconsin, LLC. | NorCal Endocrinology & Internal Medicine, California |
| Advance Family Practice, LLC, Florida | North Alabama Internal Medicine, PC, Alabama |
| Advanced OB-GYN of Dearborn, PC (Michigan Healthcare Professionals PC) | North Austin Family Medicine, PA, Texas |
| Advanced Women’s Healthcare of Waxahachie, PLLC, Texas | North Berkeley Family Care, South Carolina |
| AdventHealth, Florida | North Carolina Internal Medicine, PC, North Carolina |
| Advocate Aurora Health, Illinois, Wisconsin | North Raleigh Medical Center, North Carolina |
| Aegis Medical Group, LLC, Florida | North Star Family Medicine P.A., Texas |
| Aegis Physician’s Group, LLC, Florida | Northern Medical Group PLLC, New York |
| agilon health, Texas | Northern Virginia family Medicine, Virginia |
| Albany Internal Medicine, Georgia | Northfield Hospital + Clinics, Minnesota |
| Albemarle Center for Family Medicine, Virginia | NorthShore — Edward-Elmhurst Health, Illinois |
| ALC Consulting LLC, Florida | Northwest Momentum Health partners ACO, Washington |
| Aledade ACO Reach 1 | Novello Physicians Organization, Michigan |
| Aledade AL MSSP Enhanced | Oakland Family Practice (Oakland Medical Group, P.C.), Michigan |
| Aledade AR MI UT MSSP Enhanced | Ochsner Health, Louisiana, Mississippi, Texas |
| Aledade AR MSSP 2022 | Odessa Consultants, PLLC, Texas |
| Aledade AR MSSP Community Health Center Enhanced | Office of Aaron M. Roland, California |
| Aledade CA MSSP 2020 Enhanced | Office of Abimbola M. Banjo MD P.A., Texas |
| Aledade CA MSSP 2021 Enhanced | Office of Alicia W. Grossmann MD P.A., Texas |
| Aledade CA MSSP 2023 | Office of Allen Jackson, South Carolina |
| Aledade CA MSSP Community Health Center | Office of Alvaro Puig, MD, PLLC, Virginia |
| Aledade CA MSSP Santa Barbara Enhanced | Office of Ann H. Snyder, MD, PA, Texas |
| Aledade Delaware ACO | Office of Ann Marie D Gordon MD MPH, Washington, DC |
| Aledade Florida Central ACO | Office of Anna Abalos, M.D., California |
| Aledade GA MSSP Enhanced | Office of Beth Hanrahan, MD LLC, Florida |
| Aledade Hill Physicians 2023 MSSP | Office of C. Keith Grisham, M.D., P.A., Texas |
| Aledade Kansas ACO | Office of Camille Goff MD, Texas |
| Aledade KS MSSP Community Health Center Enhanced | Office of Chinmay K Patel, D.O., Illinois |
| Aledade LA MSSP 2022 Enhanced | Office of Christina Myint, M.D., P.A., Texas |
| Aledade Louisiana ACO | Office of Christopher D Naquin MD APMC, Louisiana |
| Aledade MD MSSP Enhanced | Office of Claudia Methvin, MD, PLLC, Virginia |
| Aledade Mississippi ACO | Office of Connie Pham, M.D., PLLC, Texas |
| Aledade MO MSSP 2022 | Office of David A. Francis, MD, Alabama |
| Aledade MS MSSP Community Health Center Enhanced | Office of David Paul Adams, M.D., P.A., North Carolina |
| Aledade NC MSSP 2022 | Office of Dawei Zheng, M.D., California |
| Aledade NJ MSSP Enhanced | Office of Dennis Eisenberg MD PA, Texas |
| Aledade Northeastern/Midwest Region MSSP 2023 | Office of Devamani Gowda, M.D., California |
| Aledade OH MSSP | Office of Dina Sverdlov, California |
| Aledade Opportunity MSSP 2022 | Office of Donna G Chambers MD, Maryland |
| Aledade PA MSSP IMG + PMSI | Office of Dr Ngo Medical Clinic, PA, Florida |
| Aledade PA MSSP Legacy + Gateway Enhanced | Office of Dr. Carpousis, MD, LTS, Virginia |
| Aledade Pacific Northwest MSSP | Office of Dr. John M Wise, Louisiana |
| Aledade Primary Care ACO | Office of Dr. Joseph Saucedo, Texas |
| Aledade Southeast MSSP 2023 | Office of Dr. Meyers (Michigan Healthcare Professionals PC) |
| Aledade TX AZ AR CO UT MSSP Enhanced | Office of Dr. Natalie Hughes, DO,PA, Texas |
| Aledade VA Appalachia MSSP Enhanced | Office of Elizabeth D White MD, Inc, Louisiana |
| Aledade VA MSSP | Office of Emil W. Tajzoy, MD, PLLC, Texas |
| Aledade Valley Health MSSP 2023 | Office of Gary L. Gilcrease, M.D., P.A., Texas |
| Aledade West MSSP 2023 | Office of Gary W, Duncan MDPA, Texas |
| Aledade West Virginia ACO | Office of Glenn Carter, M.D., Georgia |
| Alex Foxman, MD, Inc, California | Office of Howard Ellison MD, Georgia |
| Alief Medical Clinic, Texas | Office of Howard Mangurten MD, SC, Illinois |
| Allay Primary Care, PLLC, Texas | Office of Husna R. Baksh, MD, PC., Maryland |
| Allergy Sinus & Arthritis Clinic, PLLC, Texas | Office of Imad George M.D. (Millennium Medical Group, P.C.), Michigan |
| Allina Health, Minnesota | Office of Issa Yusuf, MD PA, Maryland |
| Altamonte Family Practice, Florida | Office of J. T. Lee MD PA, Maryland |
| Amarillo Legacy Medical ACO, Texas | Office of Jaclyn Harrison, MD PLLC, Texas |
| American Multispecialty Group, Inc dba Esse Health, Missouri, Illinois | Office of James M Bury MD, Wisconsin |
| America’s MDE, Florida | Office of Jay C. Tyroler, MD PC, Virginia |
| Amherst Family Practice, Virginia | Office of Joel D. Meshulam, MD, Maryland |
| AMITA Health ACO, Illinois | Office of John C. Chow, California |
| Annandale Family Medicine, Virginia | Office of John T. Littell M.D. PA, Florida |
| Apex Primary Care Apex Primary Care, Florida | Office of Jorge Amador MD, LLC, Georgia |
| Arbor Medical (Millennium Medical Group, P.C.), Michigan | Office of Jose I Sosa MD, Texas |
| Arkansas Health Network, LLC | Office of Joseph A Marotta MD PA, Texas |
| Arlington Primary Care, Virginia | Office of Joseph P. Behan, M.D., P.A., Texas |
| Art Of Medicine PA, Florida | Office of Juan P. Suarez, MD, Florida |
| Ascension Illinois and AMITA Health Care Network | Office of Julie Tomberlin, M.D., P.A., Texas |
| Ascension, AL, TN, IN, MI, FL, TX, WI, IL, DC, MD, NY, KS, OK | Office of Kaftan Langnas and Stashefsky (Oakland Medical Group, P.C.), Michigan |
| Associated Family Physicians, Inc., California | Office of Karl Spector, MD, Maryland |
| Associates in Internal Medicine, Michigan | Office of Kathryn D. Kelly, MD, PC, Maryland |
| Associates in Internal Medicine, PA, Florida | Office of Kendall Wong M.D., Texas |
| AssociatesMD Medical Group, Florida | Office of Kevin Stephens MD PA, Texas |
| Atlantic Accountable Care Organization, New Jersey | Office of Krzysztof Warszawski M.D. (Michigan Healthcare Professionals PC) |
| Atlantic Health System, New Jersey | Office of Kurtis Fox, M.D., California |
| Atlantic Medical Associates, Virginia | Office of Leo Toupin MD PA, Texas |
| Auburn Hills Medical Clinic (Oakland Medical Group, P.C.), Michigan | Office of Lina Sakr (Oakland Medical Group, P.C.), Michigan |
| Auburn Medical Group, Inc., California | Office of Linda L Casteel, MD, PC, Georgia |
| Austin Medical Associates, Texas | Office of Linda M Lang MD, Maryland |
| Austin Medical Group PLLC, Texas | Office of Mahmoud H. Mustafa, MD, FACP, Washington, DC |
| Avera Health, South Dakota | Office of Manohar Alloju, MD, PA, Texas |
| Azelvandre Family Practice, Florida | Office of Marcelino D. Albuerne, MD, Maryland |
| Bainbridge Medical Associates Pc, Georgia | Office of Marcia J Oliveira MD, PA, Texas |
| Banner Health, AZ, CA, CO, NE, NV and WY | Office of Mark G. Brooks, M.D., P.A., Florida |
| Baptist Health Arkansas | Office of Mary Ferris M.D. (Oakland Medical Group, P.C.), Michigan |
| Baptist Physician Partners ACO, Florida | Office of Michael Grady, MD, Washington, DC |
| Barlas Enterprises, INC DBA FUQUA MEDICAL CTR, Texas | Office of Mohammad N. Alocozy, M.D., California |
| BASS Medical Group, California | Office of Monica Bali, MD, Maryland |
| Battlefield Family Medicine, LLC, Virginia | Office of Morie Mehyou, Arkansas |
| Bay Area House Calls, Texas | Office of Nashaat Ibraheim MD, Texas |
| Bay Crossing Family Medicine, Maryland | Office of Navdeep Mathur, MD, MPH, FACP, Virginia |
| Bay Family Medical Group, California | Office of Neel French MD SC, Illinois |
| Baycare Health Partners, Massachusetts | Office of Neil A. Patterson, M.D., P.A., Florida |
| BayCare Health System, Florida | Office of Nneka Edokpayi, MD PLLC, Texas |
| Bayside Internal Medicine, LLC | Office of Omar Aref MD PLC, Florida |
| Be Well Medical Center (Oakland Medical Group, P.C.), Michigan | Office of Pankaj J Patel M.D., P.A, Texas |
| Beaumont ACO Michigan, Michigan | Office of Paul E. Bristol, M.D., Texas |
| Bedford Family Medicine, Pa, Maryland | Office of Paul R. Ehrmann, DO (Michigan Healthcare Professionals PC) |
| Bel Air Family Care, LLC, Maryland | Office of Raiqa Munis MD PC, Virginia |
| Bellaire MedClinic – Alice A. Lim, MD, Texas | Office of Rajanikant Pandya M.D, Texas |
| Beth Israel Lahey Health Performance Network, Massachusetts | Office of Rajesh J Patel, M.D., P.A., Texas |
| Billings Clinic, Montana | Office of Rakesh Arora, MD, FAAFP, PA, Maryland |
| Blair Family Medicine, Texas | Office of Ramesh P Melvani MD, Illinois |
| Block, Nation, Chase & Smolen Family Medicine, Florida | Office of Randy B Cronic MD, California |
| Bluestone Physician Services, MN, FL, WI | Office of Richard Bernstein, MD, Maryland |
| Bohler Family Practice, Georgia | Office of Robert C Blackwood, M.D., INC., Virginia |
| BoiceWillis Clinic, P.A., North Carolina | Office of Ronald W. Atwood, MD, PC, Virginia |
| Bon Secours Mercy Health, OH, KY, SC, VA | Office of Roya Sedghi MD PC, Virginia |
| Bond Clinic, P.A., Florida | Office of Ruth R. Wiley, D.O., P.A., Texas |
| Bridge Creek Family Medicine, PLLC, Texas | Office of Sally Mcfarland, MD, Virginia |
| Bryan Health Connect, Nebraska | Office of Sammy Lerma III, MD, PA, Texas |
| Buena Vida y Salud, LLC, Texas | Office of Sanjay Pethkar MDSC, Illinois |
| Burke Family Practice, Virginia | Office of Satish Angra MD PC, Maryland |
| Burke Internal Medicine, Virginia | Office of Sayed A. Hussain, M.D., California |
| California Clinical Partners ACO | Office of Scott Hippeard, MD, Virginia |
| CAMC Health Network, LLC, West Virginia | Office of Sergio B Seoane M.D., Florida |
| Capital Family Medicine, North Carolina | Office of Shahid Shamim, MD LLC, Maryland |
| Capital Family Physicians, P.A., North Carolina | Office of Shylesh Ganta M.D., P.A, Texas |
| Capital Heartcare Center, PC, Virginia | Office of Stephen J. Farmer, MD, Texas |
| Capital Medical Partners, Maryland | Office of Stephen J. Shields, MD PA, Florida |
| Capitol Internal Medicine Associates, California | Office of Steven R. Tucker, MD PC, Virginia |
| Capstone Health Alliance, North Carolina | Office of Subodh K Mallik, MD, Texas |
| Capstone Medical Clinic, LLC, Georgia | Office of Suresh Prasad Md PA, Texas |
| Caravan Collaborative Pathways ACO, Missouri | Office of Suzanne L Nunn, MD PC, Georgia |
| Caravan Rural ACO CH43, Missouri, Texas | Office of Ted E. Fogwell, MD, Texas |
| Cardiology and Vascular Associates, P.C. (Michigan Healthcare Professionals PC) | Office of Thomas E Maslen MD, Maryland |
| CareConnectMD, California | Office of Thomas Hopkins, M.D., California |
| Careline Health Group, Michigan | Office of Tommy T. Kuo, MD, California |
| Carilion Clinic, Virginia | Office of Traci Thompson, MD PA, Florida |
| Carlos E Covarrubias, MD and Associates, Maryland | Office of Veronica Villalba, MD, PA, Texas |
| Cary Healthcare Associates, P.A., North Carolina | Office of Vikram Vadyala, MD, Texas |
| Cary Internal Medicine and The Diabetes Center, North Carolina | Office of Vinu Ganti md pc, Maryland |
| Cary Medical Group (Raleigh Family Practice, P.A.), North Carolina | Office of Waleska Galindez, MD PA, Florida |
| Castell, Utah, Idaho, Nevada | Office of William A. Condrell, MD PC, Washington, DC |
| Catonsville Primary Care Center, Maryland | Office of William J. Warren, D.P.M., P.A., Texas |
| CCCN ACO, LLC, Missouri, Texas | Office of William Linthicum, MD, Maryland |
| Centene, Texas | Ogden Clinic, PC, Utah |
| Central MN ACO, Minnesota | Olympia Multi-Specialty Clinic, Washington |
| Central Valley Physician Partners, California | One Medic Lane Physicians PLLC, Texas |
| Central Virginia Family Physicians, Virginia | OneCare Vermont |
| Centreville Medical Practice, Virginia | OneHealth Nebraska |
| Ceptor Consulting, LLC, IN, MI, CO, CA, NY, FL, GA | OneHealth Primary Care DBA Bowman Hampsey Medical Clinic, Florida |
| CH Physician Partners ACO, LLC, New York | Opal Medical Group, Maryland |
| Charlottesville Family Medicine, Virginia | OPN Healthcare, Inc., California |
| Chesapeake Internists Limited, Virginia | Optimus Healthcare Partners, New Jersey |
| CHESS Health Solutions, North Carolina | Orlando Primary Care, PA LLC, Florida |
| CHI Health Partners, Nebraska | Oscar Garza, M.D. PA, Family Medicine Clinic, Texas |
| CHI Saint Joseph Health Partners, Kentucky | Osceola Women & Family Medicine Specialists, Florida |
| CHI St Gabriel’s Health, Minnesota | Oza Family Care and Wellness Center, Texas |
| Chowdhury Medical Associates, LLC, North Dakota | Panther Creek Medical Center, P.A., Texas |
| ChristianaCare, Delaware | Park Nicollet Health Services Accountable Care, Minnesota |
| Churchland Family Medicine, Virginia | PBACO Holding, LLC, Florida |
| Citrus ACO, Florida | Peachtree Cardiology, P.C., Georgia |
| City Healthcare, Florida | Peachtree Medical Center, Georgia |
| CityMD, New York, New Jersey | Peninsula Regional Clinically Integrated Network, LLC, Maryland |
| Clarii Health, Maryland | Perisseia Primary Care and Wellness, Georgia |
| Clarkston Internal Medicine, Michigan | Perry Family Practice, LLC, Georgia |
| Clarkston Medical Group, Michigan | Personalized Women’s Healthcare, Texas |
| Clermont Medical Center, Florida | Physician Partners, Florida |
| Cleveland Clinic, Ohio, Florida, Nevada | Physician Performance LLC, Massachusetts |
| Clinical Renal Associates, Pennsylvania | Physician Quality Partners, North Carolina |
| Clover Health, NJ, KS, NY, GA, IL, FL, OK, MO, NM, TX, IN, PA, VT, SC, MT, MS, TN, AZ, OH, AR, KY, CO | Physicians ACO, LLC, Florida |
| CN Internal Medicine, Virginia | Physicians Group Of The Woodlands, Texas |
| CNY AIM, New York | Physicians of Central Florida, LLC |
| Coastal Carolina Quality Care, Inc., North Carolina | Physicians Treatment Center, Virginia |
| Coastal Medical, Rhode Island | Pinellas County Primary Care & Hospitalists, PLLC, Florida |
| Collaborative Health Systems, AR, CA, CT, FL, GA, HI, IL, IN, IA, KS, MI, MO, NJ, NY, OH, SC, TN, TX | Pleasanton Family Medicine, PLLC, Texas |
| CommonSpirit Health, AR, AZ, CA, CO, GA, IA, IN, KS, KY, MN, NE, NM, ND, NV, OH, OR, PA, TN, TX, WA, WI | PMA Health, Virginia |
| Commonwealth Family Practice, Virginia | Port Lavaca Clinic Associates, P.A., Texas |
| Commonwealth Primary Care ACO LLC, Arizona | Potomac Internal Medicine, Virginia |
| Community Care Collaborative of PA & NJ | Precision Health Care, LLC, Maryland |
| Community Care of Brooklyn IPA, Inc., New York | Preferred Medical Group (Michigan Healthcare Professionals PC) |
| Community Healthcare Partners ACO, Inc., Indiana | Premier Internists (Millennium Medical Group, P.C.), Michigan |
| Community Memorial Health System, California | Premier Primary Care Physicians PC, Virginia |
| Complete Care Family Medicine Associates, Florida | PremierMED, Florida |
| Complete Care OB/GYN and Family Medicine, PLLC, Texas | Preston Hollow Women’s Healthcare, Texas |
| Complete Health Accountable Care LLC, Alabama, Florida | Prevention Plus Clinic LLC, Louisiana |
| Core Primary Care, PLLC, Texas | Prima Medicine, Virginia |
| Country Way Family Practice, Georgia | Primary Care Alliance, LLC, Florida |
| Covenant ACO, Texas | Primary Care Center of Clear Lake, Texas |
| CP & RP McManus, MD LTD, Virginia | Primary Care Development Corporation, New York, California |
| CPC Needville, PLLC, Texas | Primary Care Partners, Nebraska |
| Cullen Umosella Cullen & Cullen, Maryland | Primary Care Specialists of Orlando – Orange Avenue, Florida |
| Cumberland Center for Healthcare Innovation, Tennessee | Primary Partners Alliance, Florida |
| CyFair Family Practice & Geriatrics, Texas | Primary Partners, Florida |
| Daniel Serives LLC, Louisiana | Prime Care Managers, LLC, Texas |
| Danville Internal Medicine Inc, Virginia | Prime Care Medical Services, LLC, Georgia |
| Das Medical Associates, New Jersey | Prime MD of Naples PLLC, Florida |
| David Family Medicine & Telehealth, Maryland | Primecare Medical Center, Texas |
| Deaconess Care Integration LLC, Indiana | Prisma Health Upstate Network, South Carolina |
| Deep Risk Management, New Jersey | Privia Health |
| Delaware Valley ACO, Pennsylvania | Privia Medical Group Central Florida |
| Delikat Family Practice, Florida | Privia Medical Group Georgia |
| Desai & Holmes MD LLC, Maryland | Privia Medical Group Gulf Coast |
| Dobbs Family Health and Wellness Center LLC, Georgia | Privia Medical Group Maryland |
| Doc ACO Gulf Coast, Florida, South Carolina | Privia Medical Group Montana |
| Doctors ACO, LLC, Georgia | Privia Medical Group North Texas |
| Dominion Family Healthcare, Virginia | Privia Medical Group Tennessee |
| Dominion Medical Associates, P.A., Texas | Privia Medical Group Virginia |
| Douglas Young, MD Inc., California | Privia Medical Group West Texas |
| Dover Shores Family Practice, LLC, Florida | Privia Quality Network Central Florida |
| Downtown Baltimore Family Care, Maryland | Privia Quality Network Central Texas |
| Downtown Family Health Care, Inc, Virginia | Privia Quality Network Georgia |
| Dr. Koslow and Associates, LTD, Virginia | Privia Quality Network Gulf Coast, Texas |
| Dr. Monique Y. Langston & Associates PA, Virginia | Privia Quality Network Maryland |
| Dr. Pace & Associates, P.C., Maryland | Privia Quality Network Tennessee |
| Dr. Phillips Medical Wellness Center, LLC., Florida | Privia Quality Network, Virginia |
| Drajayreddyllc, Maryland | Professional Park Medical Services, Georgia |
| Draper Clinic – Draper (Granger Medical Clinic, PC), Utah | Progressive Health Care, P.C., Michigan |
| Drs. McMackin & Zimnoch PC, Washington, DC | ProHealth Care, Wisconsin |
| DTHealth, PLLC, Texas | Prospect Medical Group, Inc., California |
| Duke Connected Care, LLC, North Carolina | Providence, Washington |
| Dulles Health, Virginia | PSW, Washington |
| Duly Health and Care, Illinois | Pucillo Family Practice PA, Texas |
| Dupage Internal Medicine of IL, LLC, Illinois | Purisima Family Medicine, California |
| Dupont Circle Physicians Group, Washington, DC | Quality Reviews, New York |
| Dycus Family Medicine, Florida | Quince Orchard Psychotherapy, LLC, Maryland |
| Eastern Shore Internal Medicine, Alabama | Raleigh Adult Medicine (Raleigh Family Practice, P.A.), North Carolina |
| Eastpointe Family Physicians (Oakland Medical Group, P.C.), Michigan | Raleigh Medical Group (Raleigh Family Practice, P.A.), North Carolina |
| Eclinical Consulting LLC, Florida | Rancho Health MSO, California |
| Elite Providers III, New York, Pennsylvania | Redford Clinic (Oakland Medical Group, P.C.), Michigan |
| Endo-Med Clinic SC, Illinois | Reliance ACO LLC, Michigan |
| Essentia Health, Minnesota, Wisconsin, North Dakota | Revere Health, Utah |
| Evolent Care Partners/ The Accountable Care Organization, Ltd., CA, FL, IN, KS, MI, NC, NY, TX, UT | Rhome Family Practice Clinic, Texas |
| Fairbourne Station – West Valley (Granger Medical Clinic, PC), Utah | Ridgeline Physician Services, LLC, Virginia |
| Fairfax Clinic, LLC, Virginia | Rio Grande Health Alliance, Texas |
| Fairfield Medical Center, LLP, Texas | Riverton Clinic – Riverton (Granger Medical Clinic, PC), Utah |
| Fairhope Internal Medcine, P.C., Alabama | Roanoke Partners In Health Pc, Virginia |
| Family First Primary Care, PLLC, North Carolina | Robertson Family Medicine, PLLC, Texas |
| Family Health Care Center (Millennium Medical Group, P.C.), Michigan | Robin Dale, M.D., L.L.C., Louisiana |
| Family Medical Care Clinic, LLC, Washington | Rochester Medical Group (Oakland Medical Group, P.C.), Michigan |
| Family Medical Care Inc, Virginia | Rockbridge Health, Virginia |
| Family Medical Center of Georgetown, P.A., Texas | Rocklin Family Practice & Sports Medicine, California |
| Family Medical Center of Lagrange, Illinois | Rockville Internal Medicine Group, Maryland |
| Family Medical Center, Florida | Rockville Medical care, Maryland |
| Family Medical Specialist of Florida, PLC, Florida | Rockwell Physicians of Salisbury PLLC, Virginia |
| Family Medicine Specialists P.C., Georgia | Rose Hill Family Physicians, Maryland |
| Family Practice (Oakland Medical Group, P.C.), Michigan | Ryan Medical Associates, P.C. (Oakland Medical Group, P.C.), Michigan |
| Family Practice Associates of Tiftarea LLC, Georgia | San Marcos Family Medicine, Texas |
| Family Practice St Cloud Inc, Florida | Sarasota Primary Care LLC, Florida |
| Fignar Family Practice, Connecticut | Savii Health, Georgia |
| First Colonial Family Practice and Urgent Care Center, Virginia | Screven Primary Care, LLC, Georgia |
| First Georgia Physician Group, Georgia | Scripps Health, California |
| Five Star ACO, Florida | Select Physicians Associates, LLC, FL, GA, AL, SC, MI, IL, MS, TN |
| Florida Accountable Care Services, LLC | Seven Corners Medical Center, Virginia |
| Florida Healthcare of Orlando | Shah And Associates Family Practice, North Carolina |
| Folsom Lake Primary Care, California | Shaun Kretzschmar, D.O., P.A., Aledo Family Medicine, Texas |
| Fork Union Family Medicine, PLLC, Virginia | Shepherd Health Management, Texas |
| Foundation Accountable Care Network ACO, California | Shroff Cardiology & Internal Medicine Clinic, P.A., Texas |
| Franciscan Missionaries of Our Lady Health System, Louisiana, Mississippi | Signify Health |
| Frederick Primary Care Associates, Maryland | Silver Pine Medical Group – Sterling Heights Office, Michigan |
| Freedom Healthcare Alliance, South Carolina | Silver Spring Medical Center, LLC, Maryland |
| Frekko Primary Care, Maryland | Silver State ACO, Nevada |
| Gammons Medical (Oakland Medical Group, P.C.), Michigan | Simple Medicine, South Carolina |
| Generations Family Practice, P.A. – Andre K.S. Tse, M.D. PA, North Carolina | Singing River Health System, Louisiana |
| Generations Family Practice, P.A. – Carrboro Family Medicine Center, PA, North Carolina | Slidell Memorial Hospital, Louisiana |
| Generations Family Practice, P.A. – Rocky Mount Family Medical Center, P.A., North Carolina | Snow Family Medicine Inc., Florida |
| Generations Family Practice, P.A. – RSI Medical, North Carolina | SoNE Health, Connecticut |
| Generations Family Practice, P.A. – Triad Primary Care, PLLC, North Carolina | Sookdeo Family Medicine PLLC, Florida |
| Generations Family Practice, P.A., North Carolina | South Macomb Internal Medicine (Oakland Medical Group, P.C.), Michigan |
| Gilberto Martinez, Family Medicine & Ambulatory Care Center, California | South Shore Health, Massachusetts |
| Grace Family Practice, Virginia | South Texas ACO Clinical Partners, Texas |
| Great Falls Clinic, Montana | South Texas Internal Medicine Associates, Texas |
| Great Plains Health Innovation Network, Nebraska | SouthCoast Health, Georgia |
| Greenhaven Family Practice, California | Southeast Health Statera Network, Alabama |
| Greer Healthcare Associates, LLC, Florida | Southeast Primary Care Partners, LLC, Georgia |
| Griffin Health, Connecticut | Southern Practitioner, Florida |
| Grove Avenue Primary Care, Virginia | Southside Medical Management, Virginia |
| Guidry, Brown and Rosson, LLC, Louisiana | Southwest Internal Medicine Specialists, Florida |
| Gulf Coast Physician Partners PA, Florida | St. Elizabeth Urgent Care & Family Practice, Texas |
| Gundersen Health System, Wisconsin, Minnesota, Iowa | St. Joseph’s Health, New York |
| Hamtramck Medical Urgent Care (Oakland Medical Group, P.C.), Michigan | St. Louis Physicians Collaborative, Missouri, Illinois |
| Hattiesburg Clinic, Pennsylvania | St. Tammany Emergency Physicians Group LLC, Louisiana |
| Hazel Park Medical Center (Oakland Medical Group, P.C.), Michigan | St. Tammany Parish Hospital Service District No 1, Louisiana |
| Health Alliance ACO d/b/a GW Health Network, Washington, DC, Maryland, Virginia | Star Family Medicine, Virginia |
| Health First Medical Group, Florida | Steck Medical Clinic, Washington |
| Healthcall primary care center, Connecticut | Stephenville Medical And Surgical Clinic, P.A., Texas |
| Healthcare Partners of the North Country ACO, New York | Sterling Physicians (Oakland Medical Group, P.C.), Michigan |
| Healthy Texan Pediatrics and Family Medicine, Texas | Stone Ridge Family Medicine PLLC, Virginia |
| Heartland Health Accountable Care Organization, Iowa | Stratum ACO, Missouri, Texas |
| Heartland Primary Care, Illinois | Sullivan County Community Hospital, Indiana |
| Hector E Guevara-Garay (Primary Medical Care Rina Ayala MD PA), Florida | Summit Health, New Jersey, New York, Pennsylvania, Connecticut, Oregon |
| High Mountain Healthcare LLC, Georgia | Summit Medical Group, Tennessee |
| Hill Family Medicine & Skin Care, P.A. | Sunflower Medical Group P.A., Kansas |
| Holladay Clinic – Holladay (Granger Medical Clinic, PC), Utah | Sunmed Group LLC, Florida |
| Honeycomb Clinic, LLC, Texas | Sunshine Family Medicine Center, Florida |
| Houston Methodist Coordinated Care ACO, Texas | Suture Health, Inc., Alabama |
| Hugo Gonzalez MD & Associates PA, Texas | Tarrant Medical Associates, LLC, Texas |
| Ideal Family Care, Washington | Tate Medical Associates, LLC, Georgia |
| IHANY, New York | TC2, Georgia |
| IHCI ACO LLC, Indiana | Texas Health Care, PLLC |
| ilumed, Florida, Texas, New Jersey, Kentucky | Texas Health Resources |
| Imperial Center Family Medicine and Immediate Care, North Carolina | Texas Panhandle Clinical Partners ACO, Texas, New Mexico, Oklahoma |
| Indiana Lakes ACO, LLC | Texas Premier Physicians, P.A. |
| Indigo Family Health, LLC, Georgia | Texoma ACO, Texas |
| Innovare Health Advocates, Missouri, Illinois | Texoma Clinical Partners ACO, Texas, Oklahoma |
| Innovation Care Partners, Arizona | The Center for Health Affairs, Ohio |
| Innovative Healthcare Collaborative of Indiana, LLC, Indiana | The Doctor’s In, Inc., California |
| Inspira Health Network Medical Group P.C., New Jersey | The Family Doctors of Shreveport, Louisiana |
| InspireIM LLC, Maryland | The Medical Office of Maximilian Oshalim, MD PLLC, Washington, DC |
| Integra Community Care Network, LLC, Rhode Island | The MetroHealth System, Ohio |
| Integrated Family Medical Center, Florida | The South Bend Clinic, Indiana |
| Integrated Health Collaborative, LLC, Ohio | ThedaCare ACO LLC, Wisconsin |
| INTEGRIS Health, Oklahoma | Think ACO, LLC, Nebraska |
| Intermountain Healthcare, Utah, Nevada, Idaho, Colorado, Montana | Think Whole Person Healthcare, Nebraska |
| Internal Medicine & Cardiology Associates, Florida | Thomasville Family Medicine, Georgia |
| Internal Medicine Associates of Reston, Virginia | Thrive Family Clinic, LLC, Texas |
| Internal Medicine Group, INC., Virginia | Thrive Primary Care, LLC, Maryland |
| Internal Medicine of Marietta, Georgia | Tidewater Accountable Care Organization, Virginia |
| Internal Medicine Pediatrics Associates, P.A., North Carolina | Titus County Hospital District, Texas |
| Internal Medicine Physicians (Millennium Medical Group, P.C.), Michigan | Tony Varghese MD PA LLC, Maryland |
| Internal Medicine Primary Care Physicians (Michigan Healthcare Professionals PC) | Tooele Clinic – Tooele (Granger Medical Clinic, PC), Utah |
| Internal Medicine Specialists (Millennium Medical Group, P.C.), Michigan | Torrance Memorial Integrated Physicians, California |
| IPW/Medpoint Family Care Center, Wisconsin | Torrance Memorial IPA, California |
| IRCCO, Illinois | Total Family Care LLC, Maryland |
| IU Health, Indiana | Total Family Healthcare, Florida |
| Jacksonville Children’s and Multispecialty Clinic, PA, North Carolina | Touchstone Internal Medicine & Pediatrics, Texas |
| Jacksonville Primary Care PA, Florida | Triad HealthCare Network, North Carolina |
| Jacob Medical Associates, LLC, Florida | Tri-County Health Care, Minnesota |
| Jacobs And Van Cleeff Internal Medicine, PC, North Carolina | Trinity Health, MI, OH, NY, IN, ID, PA, DE, IL, CT, FL, MA |
| Jasmine Moghissi, MD PC, Virginia | TruCare Medical Practice, LLC, Virginia |
| Jennifer Gwozdz MD PA, Texas | Tufts Medicine, Massachusetts |
| Jennifer s ito md llc, Hawaii | Tumwater Family Practice Clinic, Washington |
| JinCare Medical LLC, Virginia | UC Davis Medical Center, California |
| John R Medical Center (Oakland Medical Group, P.C.), Michigan | UC San Diego Health, California |
| Kenan & Wang, LLC, California | UHS, NV, CA, FL, TX, DC, SC |
| Kenner Physician Associates, LLC, Louisiana | UMass Memorial Health, Massachusetts |
| Kingswood Internal Medicine (Michigan Healthcare Professionals PC) | UNC Senior Alliance/UNC Health, North Carolina |
| Kolender Medical (Millennium Medical Group, P.C.), Michigan | UnityPoint Accountable Care, Iowa |
| Lacey Medical Clinic, Washington | University Internal Medicine, Inc., Rhode Island |
| Lake Howell Health Center (Hoffman), Florida | University of Chicago Medicine, Illinois |
| Lake Pointe Women’s Center, PA, Texas | UpStream Healthcare, North Carolina, South Carolina, Virginia |
| Lakes Internal Medicine (Michigan Healthcare Professionals PC) | UVAACO, Missouri, Texas |
| Lakeview Healthcare Systems, LLC, Florida | UW Health, Wisconsin |
| Lakowsky and Batlin Medical Corp., California | VA Health and Wellness, LLC, Virginia |
| Lawrence A. Adjei APMC INC., Georgia | Valley Family Practice, LLC, Virginia |
| Legends Medical Clinic PLLC, Texas | Vanderbilt University Medical Center, Tennessee |
| LeHealth, LLC, Texas | Veranda Medical Group, LLC, Georgia |
| Lewerenz Medical Center & Longevity Health Institute (Oakland Medical Group, P.C.), Michigan | Vibrant Family Medicine, P.C., Georgia |
| Liberty Doctors, South Carolina | Vicinia Health, Missouri, Illinois |
| Lifetime Family Care (Oakland Medical Group, P.C.), Michigan | VillageMD, AZ, CO, FL, GA, IL, IN, KY, MA, MI, NH, NJ, NV, RI, TX |
| Lifetime Family Medicine, Virginia | Virginia Family Medicine |
| Lifetime Medical Center, Georgia | Vista Complete Care |
| Lincoln Medical Associates, California | Vital Medicine PC (Michigan Healthcare Professionals PC), Michigan |
| Lisa Kim Medical Associates, S.C., Illinois | Vraj Medical LLC, Florida |
| Loomis Medical Clinic, California | Vytalize Health, New Jersey |
| Louis J Radnothy, D.O., P.A. DBA Umatilla Family Health Center, Florida | Wake Internal Medicine Consultants, Inc., North Carolina |
| Loyola Physician Partners, Illinois | Waldorf Primary Care, Maryland |
| LTC ACO, LLC, National | Wasatch Clinic – Millcreek (Granger Medical Clinic, PC), Utah |
| Lumeris Healthcare Outcomes, LLC, Missouri | Washington Regional Medical System, Arkansas |
| Luminis Health, Maryland | Weirsdale Family Health Center, Inc, Florida |
| Mahoney Family Medicine, Virginia | WellFamily Medicine, Virginia |
| MaineHealth Accountable Care Organization, Maine | Wellspring Family Medicine, P.C., Maryland |
| Martinsville Family Medicine, Virginia | West Florida ACO |
| Mary Washington Health Alliance LLC., Virginia | West Jordan Clinic, Bldg. A – West Jordan (Granger Medical Clinic, PC), Utah |
| Mass General Brigham, Massachusetts | West Texas Health, PLLC |
| Matcare, LLC, Maryland | Westchester Medical Group, New York |
| Matthew G. Stine, D.O., P.A., Medical Associates at Willow Park, Texas | Western ACO, Colorado, Utah |
| Mayo Clinic, Minnesota, Arizona, Florida, Wisconsin | Western Wake Wellness, North Carolina |
| McAuley Health Partners ACO, LLC, Michigan | Westfield Associates in Internal Medicine and Gastroenterology, New Jersey |
| Mcintosh Clinic, P.C., Georgia | Westland Clinic (Millennium Medical Group, P.C.), Michigan |
| Mcintosh Trail Family Practice Associates, Georgia | Westland Healthcare (Millennium Medical Group, P.C.), Michigan |
| McIntyre Family Medicine, Illinois | WholeHealth Medical, Virginia |
| McKinney Medical Center, Georgia | Wilems Resource Group, LLC, Texas |
| McLean Internal Medicine, Virginia | Winchester Internal Medicine, Inc, Virginia |
| MD Value Care, Virginia | Winchester Medical Consultants, Virginia |
| Med Institute, Inc, California | Wingard Urgent Care and Wellness, Georgia |
| Medical Associates Of Central Virginia | Winter Park Family Practice, Florida |
| Memorial Health And Wellness, Texas | Wong Family Medicine, Maryland |
| Menocal Family Practice, Maryland | Xin-Nong Li M.D., Inc., California |
| Menon Medical Center, Maryland | Yankton Medical Clinic, P.C., South Dakota, Nebraska |
| Mercyhealth, Wisconsin, Illinois | Yee Medicine & Pediatric Associates, New Jersey |
| MercyOne PHSO, Iowa | YELM Family Medicine, Washington |
| Metroplex Womens Care, PLLC, Texas | You and Your Health Family Care, Florida |
| MHC Holdings Inc, Florida | Your MD LLC, Maryland |
| Michigan Premier Internists (Millennium Medical Group, P.C.), | Zeus Primary Care Associates llc, Maryland |
| Mid-Atlantic Collaborative Care, Washington, DC, Maryland, Pennsylvania, Virginia | Zia ACO, New Mexico |
| Middle Georgia Family Health, LLC, Georgia |