Accountable Care Directory

Transcription

1 Accountable Care Directory OrganizationalDirectoryand ExecutivePro lesforacos 2015 version2

2 The Accountable Care Directory 2015 Version 2 HealthQuest Publishers SM from MCOL 1101 Standiford Avenue Suite C-3 Modesto, CA Phone: Fax: www,healthquestpublishers.com ISBN # Copyright 2015, 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

4 I. OVERVIEW The Accountable Care Directory 2015, 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 552 selected Accountable Care Organizations, with all Medicare Shared Savings Program and Pioneer 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 552 selected ACOs, as well as a listing of 2,617 key persons with leadership or operational involvement with the ACO. Summary information provided for each ACO includes: Mailing Address Phone Fax or (available for 56% of ACOs listed) Web Site Summary Description Service Area Estimated Medicare and/or Commercial/Other Members (available for 43% of ACOs listed) Number of Physicians (available for 58% of ACOs listed) Medicare Program (MSSP, Advanced or Pioneer when applicable) Commercial/Other Programs (when applicable) Provider Affiliations (when applicable and not included in the organization name) Administrative/Other Affiliations (when applicable) For applicable employees listed for each organization, the following information is provided: Employee Name Title Phone (Direct line listed for 56% of employees, otherwise main org number) (available for 48% 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 another state than the service area state order in which the organization is listed. 552 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 have not experienced documented recent progress, which have been included in some reports and census on ACO activities. Furthermore, multiple MSSP contracts with the same provider organization and service areas have been combined for one listing. However, MSSP contracts with the same organization that involve different service areas are listed separately MCOL All Rights Reserved 5

5 I. OVERVIEW continued 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 43%; available for 23% 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 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 6

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 7

7 Primary State: Arizona Accountable Care Directory 2015 Arizona Care Network, LLC 3030 North Central Avenue, Suite 1000 Phoenix, AZ Phone: Fax/ Web: Medicare Program: Commercial/Other Program(s): Provider Affiliation(s): Service Area: MSSP Aetna, UnitedHealthcare Dignity Health; Abrazo Health Greater Phoenix area Description: Arizona Care Network is a clinical integration network established by Dignity Health in collaboration with the Arizona State Physicians Association, serving the Medicare MSSP program effective January 2013, an accountable care arrangement with Aetna effective January 2014 and with UnitedHealthcare effective June Dignity Health Arizona is comprised of three acute care hospitals, Chandler Regional Medical Center, Mercy Gilbert Medical Center and St. Joseph s Hospital and Medical Center. It also includes the St. Joseph s Medical Group, three urgent care centers in the East Valley, a new hospital to be developed in the West Valley and co-ownership of Mercy Care Plan Total Physicians: 2,300 Estimated Members: Medicare: 25,000 Commercial Other: 15,000 Executives Involved with Accountable Care: Employee Title Phone William Ellert, MD Chief Medical Officer Mark Hillard CEO mark.hillard@dignityhealth.org Christina Mencuccini Marketing Manager Christina.mencuccini@dignityhealth.org Todd Ricotta todd.ricotta@dignityhealth.org Mitchell Ross, MD Board Chair Liz Watte ACN Program Mgr, Data & Analytics MCOL All Rights Reserved 10

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: Steve Ahnen President New Hampshire Hospital Association 125 Airport Road Concord, NH Phone: (603) Fax : (603) Steve Ahnen, President, joined NHHA in October 2008 after 16 years at the American Hospital Association in Washington, D.C. He was most recently senior vice president for AHA's association development, providing leadership on a variety of internal organizational and policy matters, and was responsible for the strategic and operational oversight of the AHA s human resources efforts. Steve also led the association s outreach efforts to the business community and to state, regional and metropolitan hospital associations across the country. Prior positions at AHA include seven years as senior vice president in the Office of the President, vice president and special assistant to the president, and lobbyist. He holds a Bachelor of Arts degree in political science from the University of Kansas in Lawrence, and an executive MBA in health administration from the University of Colorado in Denver. Education: MBA, health administration, University of Colorado, Denver Bachelor of Arts Degree, Political science, University of Kansas, Lawrence Profile: Douglas Allen, MD, MMM Vice President Integration Davita Healthcare Partners S. Vermont Ave., Suite 200 Torrance, CA Phone: (310) Dr. Allen joined Davita HealthCare Partners April 2013 as VP Integration, accountable for integrating DHCP s national clinical organizations. In addition to 20 years of management experience, he also has five plus years of clinical practice as a board certified internist. Before joining DHCP, Dr Allen was 2 ½ years Chief Medical Officer Optum Collaborative Care, a 4.5 Billion dollar division of United and Optum, serving over 2 million patients in 32 states. Collaborative Care partnered with 7 groups in 8 states, employed 1,000 NPs visiting patients at home or in facilities, and owned 22 hospices. Prior to this, Dr. Allen served 3 years as Vice President Clinical Services for CareMore Health Plan, a combined senior health plan and IPA. There he had accountability for UM/QM/Credentialing, Pharmacy, EMR, HCC coding, STAR rating, clinical analytics and program support. Dr. Allen was also past Chief Medical Officer of Greater Newport Physicians IPA, a large IPA in Southern California. In this role, Dr. Allen oversaw all clinical costs and quality associated with this IPA, which was affiliated with Hoag Hospital in Newport Beach, and served over 125,000 members. Dr. Allen was also the first national medical director of Prescription Solutions, a pharmacy benefit management company, and was for three years a regional medical director for PacifiCare of California. He has also served as a corporate medical director for other medical groups and IPAs, in addition to a hospital and skilled nursing facility. Dr. Allen earned his bachelor's degree in chemistry from Eastern Oregon University. He received his MD degree at Oregon Health Sciences University in Portland, and completed an internal medicine residency in Fresno, CA. In 1998, Dr. Allen completed a Masters in Medical Management at Tulane School of Public Health. Education: Masters, Medical Management, Tulane School of Public Health 2015 MCOL, All Rights Reserved. 469

10 Indexes IV. INDEXES Individuals by Organization page 595 Individuals by State page 639 Organizations by Name.. page 682 Organizations by State.... page 694 Affiliated Providers and.. page 706 Administrative Organizations Listed 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 fifteen-year-old health care company delivering business to business health management and managed care resources. For more information, or to place orders on these and other HealthQuest publications, go to: HQ Online subscriptions provide searchable on-line 24/7 access to three continually updated databases: Health Care Executive Profiles, The National Managed Care Leadership Directory and MCOL's Health Plan Directory. 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 715

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 534 pages with 7,909 executive listings from 926 companies, with a varying number of key executive positions listed per company. Companies reported 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. Custom Select your Health Care Business Mailing from the B2B Database. Select from 51,000+ professionals from health management and managed care. 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 CD or , in Excel or Text delimited formats. Pricing is based on $95 per 1,000 records, with a minimum order of $ MCOL All Rights Reserved 716

13 The ideal resource for collaborating, networking, recruiting, marketing or monitoring of Health Insurance Marketplaces that encompasses for 2015: Organizational Directory of 104 selected HIXs, including public exchanges, private exchanges and exchange platform companies, with 814 executives and staff listed with these organizations Executive Profiles providing contact and bio info for 103 executives and thought leaders involved with Health Insurance Exchanges Indexes for convenient navigation and reference Order Information You can order any HealthQuest Publishers products the following ways: By phone at (209) By fax at (209) , order forms can be downloaded online Or Online at MCOL All Rights Reserved 717