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Next Generation ACO

About the Next Generation Accountable Care Organization (ACO) Model

The Next Generation ACO is a Model where health care providers who share a common vision work together to improve the health care provided to Medicare beneficiaries.  The health care 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 of the health care providers participating in our Next Generation ACO have joined with the Centers for Medicare & Medicaid Services (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 Next Generation ACO

Organizational Information

ACO Legal Name and Location

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

ACO Primary Contact

Todd Ricotta, Chief Operating Officer

ACO Hours of Operation

8:00 a.m. to 5:00 p.m. Monday-Friday, excluding Holidays

Next Generation ACO Participants & Preferred Providers

A list of the physicians, nurse practitioners, physician assistants and other clinicians participating in our Next Generation ACO in 2020 is available here. A list of other provider organizations (Skilled Nursing Facilities, Home Health Agencies, etc.) and individuals participating in our Next Generation ACO in 2020 as Preferred Providers is available here.

Joint Ventures between the ACO and its Next Generation Participants or Preferred Providers

No joint ventures exist between the ACO and any of its Next Generation Participants or Preferred Providers.

Administrative Leadership *

Chief Executive Officer – Conley Cervantes
Chief Operating Officer – Todd Ricotta, MHSA, MBA
Chief Financial Officer – Dan LeClair, CPA
Executive Director, Operations – Jami Berger, BSN, RN, MBA
Compliance Officer – Lisa Crutchfield, CPC, CHC
* All administrative leaders are employees of CommonSpirit Health and Tenet Healthcare

Next Generation ACO Governing Body *

Dr. Ishlam Abujubara, Integrated Medical Services
Mr. Gary Addis, Medicare Beneficiary Representative, Consumer Advocate
Dr. Robert Babyar, Adelante Healthcare
Dr. Bruce Bethancourt, Dignity Health
Dr. Natasha Bhuyan, One Medical Group
Dr. Linda Brown, Abrazo Health
Ms. Conley Cervantes, Arizona Care Network
Dr. William Ellert, Abrazo Health
Dr. Deepanshu Garg, Med-Cure Internal Medicine
Dr. Sunita Gupta, East Valley Family Practice
Ms. Linda Hunt, Dignity Health
Dr. Pankaj Jain, Arizona Urology
Dr. Michael Newcomb, ASAP Health Solutions
Dr. Tiffany Nunnelley, Abrazo Health
Ms. Christina Oh, Abrazo Health
Dr. Kenneth Paige, Sun Lakes Family Physicians
Dr. Chris Pruitt, Sound Physicians
Mr. Todd Ricotta, Arizona Care Network (Secretary)
Dr. Dana Seltzer, AZ Sports Clinic
Dr. Monte Swarup, Arizona OBGYN Affiliates (Board Chair)
Dr. Kevin Theodorou, Internal Medicine of the Valley
Dr. Edward Tokatlian, Associated Internists of Ahwatukee
* all Governing Body members have equal voting power

ACO Committees and Committee Leadership

Quality & Performance Management Committee: Dr. Dana Seltzer, Chair
Compliance Committee: Dr. Monte Swarup, Chair
Finance and Payer Contracting Committee: Dr. Edward Tokatlian, Chair
Network Committee: Dr. Pankaj Jain, Chair
Post-Acute Committee: Dr. Mike Newcomb, Chair

Shared Savings and Losses

Amount of Shared Savings & Losses

  • Agreement period beginning 2017, Performance Year 1: $382,373
  • Agreement period beginning 2018, Performance Year 2: $3,772,283
  • Agreement period beginning 2019, Performance Year 3: TBD*

* shared savings or losses will be calculated for our third performance year (2019) and published by the end of 2020.

How Shared Savings are Distributed

  • Proportion invested in infrastructure, redesigned care processes and other resources: 50%
  • Proportion of distribution to Next Generation ACO Participants: 50%

Quality Performance

  • Agreement period beginning 2017, Performance Year 1: Arizona Care Network received a quality score of 100%. Detailed information on our quality performance can be viewed here.
  • Agreement period beginning 2018, Performance Year 2: Arizona Care Network received a quality score of 98.15%. Detailed information on our quality performance can be viewed here.
  • Agreement period beginning 2019, Performance Year 3: Our quality performance for our third performance year (2019) will be calculated and published by the end of 2020.

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).

Benefit Enhancements and Model Waivers

Medicare 3-day Skilled Nursing Facility (SNF) Rule Waiver

Under current Medicare law, Medicare only covers care in a SNF if a patient has a prior 3-day inpatient hospital stay. The Rule Waiver available under the Next Generation ACO Model may allow beneficiaries to receive Medicare-covered SNF services at a participating SNF without a mandatory 3-day inpatient hospital stay. Below is a list of the Arizona Care Network SNFs that were approved by CMS for the 3-day waiver:

Advanced Health Care of Glendale
Advanced Health Care of Mesa
Advanced Health Care of Scottsdale
Bella Vita Health & Rehabilitation Center
Citadel Post Acute
Desert Terrace Healthcare Center
Freedom Plaza Care Center
Horizon Post Acute And Rehabilitation Center
Montecito Post Acute Care And Rehabilitation
North Mountain Medical & Rehabilitation Center
Osborn Health And Rehabilitation
Plaza Healthcare
Santé of Chandler
Santé of Mesa
Santé of North Scottsdale
Santé of Surprise
South Mountain Post Acute
Sunview Health & Rehab
The Rehabilitation Center at The Palazzo
Wellsprings Therapy Center of Gilbert

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