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Medicare Shared Savings Plan (MSSP) Enhanced ACO Model

About the MSSP Enhanced Model

The Centers for Medicare & Medicaid Services (CMS) founded the Medicare Shared Savings Plan (MSSP) Enhanced Model as an opportunity for healthcare providers who share a common vision work together to further improve the healthcare provided to Medicare beneficiaries. The healthcare providers who participate in Arizona Care Network are voluntarily taking part in this Model with the goal of providing better quality care for our Medicare fee-for-service patients. All healthcare providers participating in our MSSP Enhanced Model have joined with CMS in committing to your needs and preferences, and to emphasize the coordination of your care. You can learn more about this Model by clicking here. As always, you can contact Medicare directly at 1-800-MEDICARE (1-800-633-4227; TTY users can call 1-877-486-2048).

About Our Organization

Organizational Information

Legal Name and Location

Arizona Care Network – Next, LLC
4222 E. Thomas Road #400
Phoenix, AZ 85018

Primary Contact

Jonee Christensen, VP of Provider Network and Government Relations
info@azcarenetwork.org
602.406.7226

Hours of Operation

8 a.m. to 5 p.m. Monday-Friday, excluding Holidays

MSSP Enhanced Participants

A list of provider organizations participating in our MSSP Enhanced Model in 2023 is available here. A list of all provider organizations participating with ACN is available here. A list of ACN-participating facilities is available here.

Joint Ventures between ACN and its MSSP Enhanced Participants

No joint ventures exist between ACN and any of its MSSP Enhanced Model Participants.

ACO Entity Type(s):

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Federally Qualified Health Center (FQHC)

Key ACO Clinical and Administrative Leadership:*

*Chief Executive Officer – Todd Ricotta, MHSA, MBA
*Chief Financial Officer – Dan LeClair, CPA
*Compliance Officer – Cindy Simmonds
*Quality Assurance and Improvement – Jason Kwan, PharmD
Medical Director – Dr. Kevin Theodorou, Internal Medicine of the Valley (Chair, ACO Medical Director)
* Administrative leaders who are employees of CommonSpirit Health and Tenet Healthcare

MSSP Enhanced ACO Governing Body

Name Title/ Position Voting Power Membership Type ACO Participant Business Name
Dr. Kevin Theodorou Physician Manager and Chair 5% ACO Participant Representative Internal Medicine of the Valley
Dr. Deepanshu Garg Physician Manager and Vice Chair 5% ACO Participant Representative Med-Cure Internal Medicine
Dr. Monte Swarup Physician Manager 5% Non-ACO Participant Representative Arizona OBGYN Affiliates
Dr. William Ellert Hospital Manager 5% ACO Participant Representative Abrazo Health
Brian Elisco Hospital Manager 5% ACO Participant Representative Abrazo Health
Tim Bricker Hospital Manager 5% ACO Participant Representative Dignity Health
Dr. Brian Tiffany Hospital Manager 5% ACO Participant Representative CommonSpirit Health
Todd Ricotta Chief Executive Officer 0% ACO Participant Representative Arizona Care Network
Gary Addis Medicare Beneficiary Representative 5% Medicare Beneficiary Representative N/A
Dr. Linda Brown Physician Manager 5% ACO Participant Representative Abrazo Health
Dr. Michael Newcomb Physician Manager 5% ACO Participant Representative ASAP Health Solutions
Dr. Tiffany Nunnelley Physician Manager 5% ACO Participant Representative Abrazo Health
Dr. Dana Seltzer Physician Manager 5% Non-ACO Participant Representative AZ Sports Clinic
Dr. Edward Tokatlian Physician Manager 5% ACO Participant Representative Associated Internists of Ahwatukee
Dr. Sunita Gupta Physician Manager 5% ACO Participant Representative East Valley Family Practice
Dr. Kenneth Paige Physician Manager 5% ACO Participant Representative Sun Lakes Family Physicians
Dr. Chris Pruitt Physician Manager 5% Non-ACO Participant Representative Sound Physicians
Dr. Robert Babyar Physician Manager 5% ACO Participant Representative Adelante Healthcare
Dr. Pankaj Jain Physician Manager 5% Non-ACO Participant Representative Arizona Urology
Dr. M. Randy Keller Physician Manager 5% ACO Participant Representative Integrated Medical Services
Dr. Srivani Srikantiah Physician Manager 5% ACO Participant Representative Srivani Srikantiah, MD, PLLC

ACN Committees and Committee Leadership

Quality and Payer Contracting Committee: Dr. Dana Seltzer, Co-Chair; Dr. Edward Tokatlian, Co-Chair
Network Committee: Dr. Pankaj Jain, Chair
Post-Acute Committee: Dr. Mike Newcomb, Chair

Shared Savings

Shared Savings Earnings/Losses
Performance Year 1 (2023): N/A

Shared Savings Distribution
First Agreement Period (2023): N/A

  • Proportion invested in infrastructure, redesigned care processes and other resources: 50%
  • Proportion of distribution to MSSP Enhanced Model participants: 50%

Quality Performance

  • Agreement period for Performance Year 1 (2023): Quality performance for the first performance year (2023) will be calculated and published by the end of 2024.

Privacy and Information Sharing

We put safeguards in place to protect your medical information because your privacy is important to us. Arizona Care Network is required to comply with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). If you have questions about the information Medicare can share with us regarding the health care services you receive under the Medicare program, or if you’d like to decline to have this information shared with us, please call us at 602-406-7226. You may also call Medicare directly at 1-800-MEDICARE (1-800-633-4227).

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