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ACO Reach

Nivano Physicians ACO REACH is a leading accountable care organization serving Medicare beneficiaries across Sacramento and Northern California. Through the ACO REACH Model, we advance coordinated, patient-centered care that improves outcomes, promotes health equity, and reduces costs. In 2023, our program achieved over $3.1 million in savings while maintaining exceptional quality performance—demonstrating the success of our value-based care approach.

Understanding Accountable Care Organizations and the ACO REACH Model

An Accountable Care Organization (ACO) is a network of healthcare providers—including primary care physicians, specialists, hospitals, and other medical providers—who work together to give coordinated, high-quality care to Medicare beneficiaries. The ACO REACH Model, created by the Centers for Medicare & Medicaid Services (CMS), gives healthcare providers tools and resources to improve quality of care for people with Traditional Medicare while addressing health disparities in underserved communities.

In 2023, the ACO REACH program saved $694.6 million for CMS, a 2.6% savings rate. Nivano Physicians ACO saved $3,104,401.28 in gross savings, resulting in $2,370,765.45 in net shared savings for our organization. This success shows how value-based care models can improve patient outcomes and reduce healthcare costs through better care coordination and preventive services.

ACO REACH participants focus on preventive care and better health outcomes, greatly reducing hospital visits and emergency room visits. Medicare ACOs nationwide have saved billions of dollars while making real improvements in chronic disease management, quality metrics, and patient-centered care. For providers interested in joining this healthcare model, contact Nivano Physicians ACO to learn more about participation opportunities.

2023 Quality Measure Results
Public Reporting: Full List
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Why Choose Us?

Why Partner with Nivano ACO REACH Sacramento

Nivano Physicians aligns provider success with patient outcomes through a value-based care model that rewards quality, coordination, and equity for Medicare beneficiaries across Sacramento. As an Independent Physician Association, we pair hands-on support with real-time quality metrics, helping primary care physicians and specialists deliver patient-centered care while reducing avoidable utilization.

With proven shared savings performance and a robust care coordination infrastructure, we make value-based participation practical—not burdensome. Providers retain clinical independence while gaining data tools, compliance guidance, and health-equity resources that improve outcomes, strengthen patient relationships, and grow sustainable practices.

Highly-Qualified Professionals

Board-certified physicians committed to exceptional patient care.

Top-of-the-line Equipment

Advanced medical technology for accurate diagnosis and treatment.

Fast and affordable services

Efficient scheduling with competitive pricing and quality care.

Satisfaction Guaranteed

High patient satisfaction through personalized, responsive service.

How Nivano Physicians ACO Serves Medicare Patients in Sacramento

Nivano Physicians ACO serves Medicare beneficiaries throughout Sacramento County and Northern California through a network of participating providers and preferred providers.

Our accountable care organization works with primary care physicians, specialists, and healthcare facilities across the region to give coordinated care that improves patient outcomes while controlling costs.

We focus on preventive services, chronic disease management, and care coordination to help Medicare patients stay healthy and avoid unnecessary hospital stays.

Our ACO REACH program works with Traditional Medicare patients, giving care coordination support, health screenings, and chronic disease management.

Medicare beneficiaries in our network get coordinated care across different healthcare settings, with their primary care physicians working closely with specialists, hospitals, and other providers.

Key ACO Reach Administrative Leadership and Committee Structure

This team approach ensures that all providers have the information they need to make good treatment decisions and avoid duplicate tests or conflicting medications.

Nivano Physicians ACO focuses on preventive care including cancer screenings, diabetes management, blood pressure control, and other services that help people stay healthy.

Our care coordination staff helps Medicare beneficiaries get transportation, connect with community resources, and handle care transitions between hospitals and home.

This complete support system helps seniors manage their health needs while getting the most from their Medicare coverage. Contact us to learn more about how we can support your healthcare needs.

(916) 407-2000

Don't Miss Your Medicare Enrollment Deadline!

Explore Medicare Advantage plans that include Nivano Physicians—an Independent Physician Association with 400+ primary care physicians, 1,200+ specialists, and 89 urgent care centers across Northern California.

Annual Enrollment Period ends Dec. 7th.

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Benefits of Value-Based Care for Medicare Patients and Providers

Value-based care through ACO REACH changes how healthcare is given and paid for, focusing on patient outcomes rather than just service volume. This model rewards healthcare providers who keep patients healthy and out of the hospital, rather than just treating them when they’re sick. For Medicare beneficiaries, value-based care means more preventive services, better care coordination, and more attention to their overall health and well-being.

Healthcare providers in the Nivano ACO REACH network get shared savings payments when they meet quality benchmarks and reduce costs through better care. In 2023, our ACO earned $2,370,765.45 in net shared savings, with 30% going directly to participating providers who helped improve quality metrics and reduce costs. This payment model rewards doctors and other providers for keeping patients healthy, catching problems early, and avoiding emergency situations.

The value-based care model benefits everyone in the healthcare system. Medicare patients get more coordinated care and better health outcomes. Providers earn financial rewards while building stronger relationships with their patients. Medicare saves money that can be used to improve coverage and benefits for all beneficiaries. This three-way benefit makes ACO REACH a smart approach to healthcare in the Sacramento region. Contact us to learn more about how value-based care can benefit you.

How Can We Help

Join the Nivano Physicians ACO REACH Network

Nivano Physicians ACO invites primary care physicians, specialists, and other healthcare providers in the Sacramento area to join our ACO REACH network. Gain access to advanced data tools, care coordination support, and financial rewards through the Medicare Shared Savings Program — all while keeping your clinical independence.

We provide real-time data insights, population health tools, and dedicated staff to support high-quality, value-based care. Providers also receive training in health equity, cultural competency, and evidence-based practices.

Our team makes the transition to value-based care simple with full onboarding, technical assistance, and ongoing support.

Learn More About Us
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Medicare Annual Enrollment is Open Now!

Don’t wait until the last minute—compare Medicare Advantage plans that include access to Nivano Physicians’ network of 400+ primary care doctors, 1,200+ specialists, and 89 urgent care centers across Northern California. Enrollment ends December 7th.
Compare Plans
Or Call (916) 407-2000 ext. 2512

Nivano ACO’s Commitment to Health Equity and Community Health

Our ACO Reach quality performance shows strong results across key Medicare quality measures, with 100% scores in All-Condition Readmission (ACR), Unplanned Admissions for Multiple Chronic Conditions (UAMCC), Timely Follow-Up after acute exacerbations, and Consumer Assessment of Healthcare Research and Quality (CAHPS) measures. These scores show our focus on evidence-based care, care coordination, and patient-centered outcomes.

Nivano Physicians has compliance monitoring through our 2023 Compliance Plan, following all Medicare ACO Reach requirements, quality reporting standards, and beneficiary protection measures. Our quality improvement initiatives focus on reducing hospital readmissions, managing chronic conditions, and improving patient satisfaction across all participating provider locations.

For quality performance information or compliance support, contact us to learn more about our programs and services.

Nivano Physicians Patient Testimonials

Hear directly from Medicare beneficiaries who’ve experienced the difference Nivano Physicians’ ACO Reach program makes. From coordinated care to home visits, these stories highlight real improvements in health and peace of mind.

Taking Control of My Health at Home

“Before joining Nivano’s ACO Reach program, I was overwhelmed managing my diabetes and high blood pressure. Now, I get regular follow-ups and even had a nurse visit me at home after a hospital stay. They’ve helped me feel in control of my health again.”

Maria L.

Telehealth That Truly Cares

“I never thought I’d be this impressed with Medicare services. The telehealth appointments are so convenient, and my care team is always checking in. Nivano Physicians truly listens and responds to my needs—they’ve earned my trust.”

Thomas J.

Support When It Matters Most

“My husband and I both receive care through the ACO Reach program, and it’s been life-changing. They coordinated all his specialists after his stroke and helped us avoid a second hospital stay. It’s comforting knowing we have a full team looking out for us.”

Eleanor M.

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Success Stories: Nivano ACO REACH Performance and Results

Nivano Physicians ACO continues to deliver strong results in the ACO REACH Model and Medicare Shared Savings Program. In 2023 alone, we achieved $3.1 million in gross savings and $2.37 million in net shared savings, placing us among the top-performing ACO REACH participants. These results reflect effective care coordination, strong provider partnerships, and our ongoing investment in health equity and advanced technology.

Beyond financial success, our patients experience real health improvements. We’ve exceeded CMS quality benchmarks in diabetes control, blood pressure management, cancer screenings, and preventive care. Our Medicare members have fewer hospital readmissions, reduced ER visits, and better chronic condition management than national averages—proof that coordinated, patient-centered care works.

Led by primary care physicians, Nivano’s model consistently outperforms traditional systems, combining better outcomes with meaningful financial rewards.

Contact us to learn more about our ACO REACH performance and success stories.

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GOT QUESTIONS?

Check Out Our FAQs

What is ACO REACH and how does it differ from other Medicare programs?

ACO REACH (Realizing Equity, Access, and Community Health) is a Medicare program where healthcare providers work together to give coordinated, high-quality care to Traditional Medicare patients. Unlike regular Medicare fee-for-service, which pays providers for each service they give, ACO REACH rewards providers for keeping patients healthy and controlling costs. The model focuses on health equity, serving underserved communities, and addressing social determinants of health that affect patient outcomes.

ACO REACH participants take on more financial responsibility than traditional Medicare Shared Savings Program ACOs, with higher savings rates and enhanced options. The model includes tools for primary care investment, health equity planning, and innovative payment arrangements. Nivano Physicians ACO uses these tools to serve Medicare beneficiaries throughout Sacramento with coordinated care, preventive services, and care coordination support. For more information about how ACO REACH works and benefits to Medicare patients, reach out to us to learn more.

Medicare beneficiaries can check if their primary care physician or specialist participates in Nivano Physicians ACO by reviewing our Participant Provider List and Preferred Provider List, available on our website or by contacting our office directly. These lists show all healthcare providers who are part of our accountable care organization network, including primary care physicians, specialists, hospitals, and other medical providers across Sacramento and Northern California.

If your current doctor participates in Nivano ACO REACH, you’ll continue seeing them as usual while getting the extra benefits of coordinated care and care coordination support. If your doctor doesn’t currently participate, you can encourage them to join our network or contact us for more information about participation opportunities.

Medicare beneficiaries enrolled in Traditional Medicare keep their freedom to choose any Medicare provider, whether or not they participate in an ACO. ACO participation doesn’t limit your provider choices but does offer better coordination when you see participating providers. For help understanding ACO participation and benefits, reach out to our member services team.

Nivano Physicians ACO gives extensive support including advanced data analytics for identifying high-risk Medicare beneficiaries, real-time quality metrics tracking, and predictive tools for preventing hospital admissions. We offer evidence-based clinical protocols, care coordination staff, and complete training on value-based care strategies, cultural competency, and health equity initiatives. Participating providers get ongoing education about CMS quality measures, performance standards, and regulatory requirements.

Our infrastructure investments include health information technology platforms, population health management tools, and dedicated care coordination personnel. We also give support for addressing social determinants of health and connecting Medicare enrollees with community resources. Financial rewards through shared savings payments recognize providers who achieve quality benchmarks and cost savings targets. Contact us to schedule a meeting and learn about our complete provider support services.

Nivano Physicians ACO works to improve health equity and reduce health disparities throughout Sacramento and Northern California. The ACO REACH Model requires all participating organizations to create strong plans for serving underserved populations, and we take this seriously through targeted community outreach, culturally competent care, and partnerships with social service organizations. Our programs address barriers to healthcare including transportation problems, language differences, cultural factors, and money challenges. Participating providers get complete training on recognizing and addressing social determinants of health, connecting Medicare beneficiaries with community resources, and giving respectful, culturally appropriate care.

We invest in preventive services for vulnerable populations and care coordination that reduces health disparities. Nivano Physicians ACO is committed to giving accessible services to all individuals, including those with disabilities or limited English skills. Contact us to learn more about our health equity work and how we support diverse communities.

Participating providers in Nivano Physicians ACO can earn large shared savings payments by giving high-quality, cost-effective care to Medicare beneficiaries. In 2023, our ACO saved $3,104,401.28 in gross savings, resulting in $2,370,765.45 in net shared savings given to stakeholders. Medicare ACOs together earned $3.1 billion in performance payments in 2023, with successful ACOs achieving large financial rewards while improving patient outcomes.

Our clear distribution model gives 30% of shared savings directly to participating providers who help improve quality metrics and reduce costs. The value-based payment model rewards preventive care, chronic disease management, care coordination, and efforts to reduce hospital visits and emergency room visits. Unlike traditional fee-for-service models, ACO REACH aligns financial incentives with patient outcomes, creating lasting rewards for giving excellent care. Contact us to learn about projected shared savings opportunities.

Care coordination is key to the ACO REACH Model’s success in improving patient outcomes and reducing healthcare costs. Nivano Physicians ACO employs dedicated care coordination staff who work directly with participating providers to support complex care management for Medicare beneficiaries with chronic conditions. Our care coordinators help with communication between primary care physicians and specialists, arrange transitions between care settings, schedule follow-up appointments, coordinate medication management, and connect patients with community resources addressing social determinants of health.

Advanced data analytics identify Medicare enrollees at high risk for hospitalization, enabling early interventions. Care coordination reduces fragmented care, prevents medical errors, eliminates duplicate testing, and improves medication adherence. This complete approach helps primary care physicians give patient-centered care without being overwhelmed by paperwork while improving outcomes for Medicare beneficiaries throughout Sacramento and Northern California. Contact us to learn how our care coordination team can support your practice.

The Centers for Medicare & Medicaid Services evaluates ACO REACH participants using complete quality measures across multiple areas including patient outcomes, preventive services, chronic disease management, patient experience, and care coordination. Key quality metrics include diabetes control (blood sugar management), hypertension control (blood pressure management), cancer screenings (breast cancer, colorectal cancer), cardiovascular disease prevention (statin therapy), depression screening with follow-up, fall risk screening, and medication management.

CMS also tracks healthcare use patterns including hospital readmission rates, emergency department visits, and skilled nursing facility use. Nivano Physicians ACO achieved excellent performance on these quality measures in 2023, showing real improvements in patient outcomes and preventive care. Participating providers get real-time data on quality performance, allowing continuous improvement. Our quality improvement team gives training and support to help providers meet CMS standards and maximize shared savings opportunities. Contact us for detailed information about quality metrics and performance expectations.