ACO Reach
Welcome ACO Reach Providers!
Nivano Physicians, Inc.
1420 River Park Drive #200
Sacramento, CA 95815
ACO Reach Primary Contract
Primary Contact: Heather Hughes
Phone Number: 916.407.2000
Toll Free: 844.889.2273
Email Address: ACOReach@NivanoPhysicians.com
Organizational Information
| ACO Reach Participants | Joint Venture Y or N |
|---|---|
| Li Li | N |
| Rasklal Patel | N |
| Mikhail Palatnik | N |
| William Ta | N |
| Sunil Patel | N |
| Pranjalkumar Patel | N |
ACO Governing Body
| Title | Member | Voting Power | Employer |
|---|---|---|---|
| Executive Officer | Venu Kondle | 16% | Nivano Physicians, Inc. |
| Medicare Beneficiary Representative | Stanley Takahashi | 2% | N/A |
| Consumer Advocate | Eva Ussher | 2% | N/A |
| Participating Provider | Rasiklal Patel | 18.76% | RASIK A. PATEL, MD |
| Participating Provider | Sunil Patel | 28.12% | PREMIERCARE PHYSICIANS |
| Participating Provider | Pranjalkumar Patel | 28.12% | PREMIERCARE PHYSICIANS |
Key ACO Reach Administrative Leadership
| Person | Title | Employer |
|---|---|---|
| Jared Turley | Chief Financial Officer | Nivano Physicians, Inc. |
| Heather Hughes | Personnel - Director of Organizational QIT | Nivano Physicians, Inc. |
| Heather Hughes | Director of Care Coordination | Nivano Physicians, Inc. |
Associated Committees and Committee Leadership
| Committee Name | Leader Name |
|---|---|
| Quality and Performance | Venu Kondle M.D. |
| Compliance | Damitria Malone Interim Acting Compliance Officer |
| Care Coordination and Performance | Heather Hughes |
| Finance and Payer Contracting | Jared Turley |
| Network Management | Heather Hughes |
Types of ACO Reach Participants That Formed the ACO
- ACO Professionals in a group practice arrangement
- Networks of individual practices of ACO professionals
ACO REACH Participating and Preferred Providers (PY 2024)
Participating Providers:
| Participant Provider | Address |
|---|---|
| ABID HUSSAIN | 255 N Gilbert St Bldg B4 Hemet CA 92543 |
| ANITA JACKSON | 44274 George Cushman Ct Ste 212 Temecula CA 92592 |
| DONALD CASSADAY | 2390 E Florida Ave Ste 101 Hemet CA 92543 |
| EDIVINA GONZALES | 29798 Huan Rd Menifee CA 92586 |
| FRANCES BATIN | 2390 E Florida Ave Ste 101 Hemet CA 92544 |
| HEATHER HICKS | 4020 W Florida Ave Hemet CA 92545 |
| IGLAL EL HENAWI | 4020 W Florida Ave Hemet CA 92545 |
| JASON BLACK | 24680 Jefferson Ave Murrieta CA 92562 |
| JEFFERY MULLER | 2815 S Main St Ste 210 Corona CA 92882 |
| JOHN SCHOONMAKER | 29826 Haun Rd Ste300 Menifee CA 92586 |
| JORGE MARTINEZ | 39755 Murrieta Hot Springs Rd Ste E120 Murrieta CA 92562 |
| LARRY HUGHES | 4020 W Florida Ave Hemet CA 92545 |
| MANIKANDA RAJA | 1701 E Florida Ave Hemet CA 92544 |
| MIA CARSON | 949 Calhoun Pl Ste G Hemet CA 92543 |
| MICHAEL CURLEY | 25109 Jefferson Ave Ste 100 Murrieta CA 92562 |
| MICHAEL VARGAS | 27555 Ynez Rd Temecula CA 92591 |
| MICHAEL VARGAS | 27555 Ynez Rd Temecula CA 92591 |
| NATHAN HOWARD | 850 E Latham Ave Hemet CA 92543 |
| NEEL SHAH | 1470 Bessie Avenue Tracy CA 95376 |
| PATRICK GONZALES | 29798 Huan Rd Menifee CA 92586 |
| PRANJALKUMAR PATEL | 1470 Bessie Avenue Tracy CA 95376 |
| Rasiklal Patel | 1600 Creekside Dr Suite 2800 Folsom CA 95630 |
| RICHARD REYNOLDS | 25109 Jefferson Ave Ste 100 Murrieta CA 92562 |
| RICHARD REYNOLDS | 25109 Jefferson Ave Ste 100 Murrieta CA 92562 |
| SHITAL HUBLI | 1470 Bessie Avenue Tracy CA 95376 |
| SUNIL PATEL | 1470 Bessie Avenue Tracy CA 95376 |
| TOMAS ARANETA | 26960 Cherry Hills Blvd Ste B Sun City CA 92586 |
| WEILEE YEH | 41511 E Florida Ave Hemet CA 92544 |
| WILLIAM CHERRY | 25109 Jefferson Ave Ste 100 Murrieta CA 92562 |
Preferred Providers
| Preferred Providers | Address |
|---|---|
| CenterWell Home Health: Gentiva Certified Healthcare Corp | 10100 Trinity Parkway 425 Stockton CA 95219 |
| CenterWell Home Health: Gentiva Certified Healthcare Corp | 805 Aerovista Place 204 San Luis Obispo CA 93401 |
| CenterWell Home Health: Gentiva Certified Healthcare Corp | 4030 Moorpark Ave. 251 San Jose CA 95117 |
| CenterWell Home Health: Gentiva Certified Healthcare Corp | 5341 Old Redwood Highway 350 Petaluma CA 94954 |
| CenterWell Home Health: Gentiva Certified Healthcare Corp | 2525 Camino Del Rio South 220 San Diego CA 92108 |
Shared Savings and Loses
First Agreement Period
- Performance Year 2021- (-1433353.28)
- Proportion invested in infrastructure- N/A
- Proportion invested in redesigned care process/ resources to improve outcomes/ reduce Medicare cost for beneficiaries- N/A
- Proportion of distribution to Next Generation ACO Participants - N/A
Quality Performance Results
- 2021 Quality Performance Rates- 100%
Payment Rule Waivers
Benefit Enhancement
- Care management home visit
- Concurrent care for hospice beneficiaries
- Cost sharing for part B services (BEI)
- Home health homebound waiver
- Post discharge home visit
- Skilled Nursing Facility (SNF) 3 day waiver
- Telehealth
Compliance
Quality Measures Performance PY2022
| Measure | Measure Set | Nivano Physician DCE Quality Measure Score | P4P Percentile Ranl | P4P Component Quality Score | Total Quality Score |
|---|---|---|---|---|---|
| ACR | Risk-Standardized, All-Condition Readmission (a lower (↓) score indicates better performance) | 14.80 | 100% | 100% | 100% |
| UAMCC | Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (a lower (↓) score indicates better performance) | 31.66 | 100% | 100% | 100% |
| Timely Follow-Up | Timely Follow-Up After Acute Exacerbations of Chronic Conditions (a higher (↑) score indicates better performance) | 65.05 | N/A | 100% | 100% |
| CAHPS | Consumer Assessment of Healthcare Research and Quality (a higher (↑) score indicates better performance) | N/A | N/A | 100% | 100% |
DCE PY2022 Shared Savings or (Losses): ($2,452,612.03)
