Accountable Care

Welcome to MedStar Accountable Care, an Accountable Care Organization

MedStar Accountable Care is an Accountable Care Organization (ACO) led by doctors affiliated with MedStar Health, as well as members of the community. MedStar Accountable Care will work to improve health of the communities we serve by providing high-quality, coordinated care. Our goal is to lower the cost of healthcare, provide a better beneficiary experience and improve beneficiary outcomes.


What is an ACO?

An Accountable Care Organization (ACO) is a group of doctors and other healthcare providers who agree to work together with Medicare to give you the best possible care. ACOs may take different approaches to giving you coordinated care. Some ACOs may have special nurses that help you set up appointments or make sure your medications are in order when you enter or leave a hospital. Other ACOs may help your doctors get you equipment for monitoring your medical conditions better at home, if you need it. Most ACOs use advanced systems that let them more carefully coordinate your care, and make sure your doctor has the most up-to-date information about your health.

The goal of the ACO is to support your doctor in caring for you by making sure they have the most up-to-date information about your health and your care. For you, this means your doctors communicate better with each other, and you avoid having duplicate tests or answering the same questions over and over. Working together, your doctors can do more to follow your health, make sure you get the best possible care, and may hire additional staff to help meet your unique care needs, depending on what works best for you.

Doctors and other healthcare providers choose to participate in an ACO because they’re committed to providing you with a better care experience. They may also be financially rewarded for offering you better, more coordinated care. If your doctor chooses to participate in an ACO, you’ll see a poster with information displayed in the office or hospital.

An ACO isn’t a Medicare Advantage Plan or Health Maintenance Organization (HMO). You’re still in Original Medicare, and your Medicare benefits, services, rights and protections won’t change. And you still have the right to use any doctor or hospital that accepts Medicare at any time, the same way you do now.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.

You may also call the MedStar Health Integrity Hotline at 1-877-811-3411 to report any compliance issues or concerns, 24 hours a day, 7 days a week. All calls may be placed anonymously. You may also email compliance issues or concerns to privacyofficer@medstar.net


ACO Name and Location

MedStar Accountable Care, LLC
10980 Grantchester Way
Columbia, MD 21044

 

ACO Primary Contact

Eric Wagner

Eric.R.Wagner@MedStar.net 


Organizational Information


ACO Participants:

  1. MMG-Georgetown Family Practice, LLC
  2. MedStar Urgent Care, LLC
  3. MedStar Southern Maryland Physicians, LLC
  4. MedStar Medical Group II, LLC
  5. MedStar Medical Group – Southern Maryland, LLC
  6. MedStar Franklin Square Physicians, LLC
  7. MedStar Good Samaritan Physicians, LLC
  8. MedStar Harbor Hospital Physicians, LLC
  9. MedStar Union Memorial Physicians, LLC
  10. Harbor Hospital
  11. The Good Samaritan Hospital of MD, Inc
  12. The Union Memorial Hospital
  13. Franklin Square Hospital Center, Inc
  14. MedStar Physician Partners, Inc
  15. MedStar Georgetown Medical Center, Inc
  16. MGMC, LLC

 

ACO participants in joint ventures between ACO professionals and hospitals:

  1. No participants are involved in a joint venture between ACO professionals and hospitals.

 

ACO Governing Body

  1. Eric R. Wagner, Voting Member and Chair, ACO Organization Representative, President of MedStar Accountable Care LLC
  2. Bradley Chambers, Voting Member, ACO Participant Representative, President of the Union Memorial Hospital & The Good Samaritan Hospital of MD, Inc
  3. Richard Goldberg, MD, Voting Member, ACO Participant Representative, President of MedStar of MedStar Georgetown Medical Center, Inc.
  4. Stuart Bell, MD, Voting Member, ACO Participant Representative, Vice President of Medical Affairs, The Union Memorial Hospital
  5. Maryellen Goodell, MD, Voting Member, ACO Participant Representative, Chair of Family Medicine, MedStar Franklin Square Medical Center, Member of the MedStar Medical Group Governing Council
  6. John Martin, MD, Voting Member, ACO Participant Representative, Vice President of MedStar Medical Group II, LLC
  7. Les Matthews, MD, Voting Member, ACO Participant Representative, Medical Director of MedStar Sports Orthopedics, Chief of Orthopedics at MedStar Union Memorial Hospital, Member of the MedStar Medical Group Governing Council
  8. Bonnie Peaker, Voting Member, Medicare Beneficiary Representative


Key ACO Clinical and Administrative Leadership

  1. ACO Executive: Eric R. Wagner
  2. Medical Director: Patryce Toye, MD
  3. Compliance Official: Lesley Wallace
  4. Quality Assurance/Improvement Officer: Patryce Toye, MD
  5. Financial Contact: Michael Walter
  6. Medical Operations: John Dell’Erba
  7. Director of Technology/Data: John McLendon
  8. Provider Relations and Network Liaison: Debora Kuchka-Craig


Associated Committees and Committee Leadership

  1. Quality Improvement Committee: Maryellen Goodell, MD., Chair
  2. Compliance Committee: Bradley Chambers, Chair


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

  1. Hospital employing ACO professionals

 

Shared Savings and Losses

 

Amount of Shared Savings/Losses

  • To be completed after the conclusion of the performance year.


Shared Savings Distribution 

  • To be completed after the conclusion of the performance year.


Payment Rule Waivers 

Yes, our ACO uses the SNF 3-Day Rule Waiver.

  1. Heartland of Hyattsville MD, LLC
  2. ManorCare of Wheaton MD, LLC
  3. ManorCare-Largo MD, LLC
  4. ManorCare of Bethesda MD, LLC
  5. ManorCare of Chevy Chase MD, LLC
  6. ManorCare of Potomac MD, LLC
  7. DCA Hadley SNF, LLC
  8. Brinton Woods Health Care Center, LLC
  9. Brinton Woods of Frankford, LLC
  10. Brinton Woods of Rock Creek, LLC
  11. Genesis- Perring Parkway Center
  12. Genesis- Multi-Medical Center
  13. Genesis- Woodside Center
  14. Genesis- La Plata Center
  15. Genesis- Franklin Woods Center
  16. Genesis- Waldorf Center
  17. Genesis- Fox Chase Rehab & Nursing Center
  18. FutureCare Canton Harbor
  19. FutureCare Charles Village
  20. FutureCare Cherrywood
  21. FutureCare Lochearn
  22. FutureCare Old Court
  23. FutureCare Irvington
  24. FutureCare North Point
  25. FutureCare Sandtown
  26. FutureCare Homewood
  27. FutureCare at Good Samaritan

Quality Performance Results

  • To be completed after the conclusion of the performance year.