Download as PDF

September 28, 2022

The Honorable Nancy Pelosi
U.S. House of Representatives
H-232, The Capitol
Washington, DC 20515

The Honorable Charles Schumer
Majority Leader
U.S. Senate
S-221, The Capitol
Washington, DC 20510
The Honorable Kevin McCarthy
Republican Leader 
U.S. House of Representatives
H-204, The Capitol
Washington, DC 20515

The Honorable Mitch McConnell
Republican Leader
U.S. Senate
S-230, The Capitol
Washington, DC 20510

Re: Extend Medicare Advanced Alternative Payment Model (APM) Incentive Payments

Dear Speaker Pelosi, Leader McCarthy, Leader Schumer, and Leader McConnell:  

On behalf of the over 800 undersigned physician and health care associations, health systems, provider practices, and accountable care organizations (ACOs), thank you for your leadership to ensure physicians and other clinicians have adequate resources to care for the health of the U.S. population. As Congress considers priority end-of-year legislation, we ask that you bolster and advance the ongoing transition to value-based health care by extending Medicare’s 5 percent Advanced Alternative Payment Model (APM) incentive payments authorized under the Medicare Access and CHIP Reauthorization Act (MACRA).  

As you know, a key aim of MACRA was to encourage physicians and other health care providers to transition into Advanced APMs. To help achieve this important goal, MACRA provided 5 percent incentive payments to facilitate participation in these models by physicians and other clinicians, including those in primary care, cancer care, kidney disease care, and more. A crucial benefit of Advanced APMs is that they are rooted in the principle of accountability where financial performance is linked to quality and outcomes, rather than volume.  

Absent congressional intervention, the ability for clinicians to qualify for the incentive payments is set to expire at end of 2022. This development would reduce reimbursements and serve as a disincentive to nearly 300,000 clinicians working to improve the quality and cost-effectiveness of care for millions of Medicare beneficiaries. These physicians and other health care providers have made laudable efforts to transform and improve the health care system by participating in Advanced APMs. Ending these important incentive payments would discourage future participation in models that have seen growing uptake in recent years.

The incentive payments not only encourage physicians and other health care providers to enter models, but also provide additional resources that can be used to expand services beyond traditional fee-for-service. For example, ACOs, the predominant type of Advanced APM, have used these incentives to fund wellness programs, pay for patient transportation and meals programs, reduce cost sharing for beneficiaries, and hire care coordinators. These are services that are not typically reimbursed through Medicare but improve patient health outcomes and wellbeing.  

Successful transition to Advanced APMs means that physicians and other health care providers must invest in workflow improvements, digital health tools, care coordinators, data analytics, quality measurement systems, transitional care services, and innovative patient engagement methods. On average ACOs spend between $1 to $2 million per year on these types of advanced care delivery tools. The Advanced APM incentive payments undoubtedly help them afford some of these investments, allowing them to reinvest in care transformation initiatives to benefit patients.   

Advanced APMs are transforming how patients in traditional Medicare receive care. It’s also clear these payment system reforms have been a good financial investment for the government, generating cost savings for the Medicare Trust Funds and improving patient outcomes. In the last decade, ACOs have generated more than $16 billion in gross savings and produced higher quality care for patients. Evidence also shows ACOs participating as Advanced APMs have generated higher net per beneficiary savings compared to those in non-advanced tracks. In 2020 alone, ACOs generated $4.8 billion in gross savings and $2.1 billion in net savings for CMS, which is a strong return on the investment of roughly $613 million CMS paid clinicians in Advanced APM incentive payments. Moreover, the growth of APMs has produced a “spill-over” effect on care delivery across the nation, slowing the overall rate of growth of health care spending.

In recognition of our commitment to advancing Medicare’s transition to value-based care, we urge you to include Section 4 of the Value in Health Care Act (H.R. 4587) in any end-of-year legislative package. This bipartisan legislation would extend the current 5 percent Advanced APM incentive payments and give CMS the authority to adjust the thresholds to qualify for the incentive payments, which are scheduled for steep increases under current law. These two crucial policy changes will better recognize physicians and other health care providers for their Advanced APM arrangements across all payers, including Medicare Advantage plans, and types of models while gradually increasing the qualifications.

We ask you to advance this important legislation, which will give our organizations the flexibility and financial security needed to innovate care, improve the health of our populations, and lower health care costs. 

We appreciate your consideration of this matter.


Alliance for Technology Driven HealthMiddlebrook Family Medicine, Virginia
American Academy of Family PhysiciansMiddletown Medical, pc, New York 
American College of PhysiciansMidlothian Family Medicine Clinic, Texas 
American Medical AssociationMidwest Physician Administrative Services, Illinois 
AMGAMillennium Affiliated Physicians (Millennium Medical Group, P.C.), Michigan 
America’s Essential HospitalsMillennium Physician Group, Florida 
America’s Physician GroupsMission Health Partners, North Carolina 
Association of American Medical CollegesMontefiore Health System, New York 
Association of Community Cancer CentersMontesano Internal Medicine, Washington 
Health Care Transformation Task ForceMoon Family Practice, Florida 
Medical Group Management AssociationMount Carmel Health Partners, Ohio 
National Association of ACOsMount Sinai Health System, New York 
National Rural Health AssociationMount Vernon Internal Medicine, Virginia 
Partnership to Empower Physician-Led CareMountain Health Network, West Virginia 
Premier IncMultiCare Capital Medical Center, Washington 
Primary Care CollaborativeMultiCare Connected Care, Washington 
Value Based Care Coalition Nebraska Health Network ACO, Nebraska 
A2ACO Baptist Health UAMS Accountable Care Alliance, Arkansas Neighborhood Medical Clinic, Texas 
Acadiana Family Physicians, INC., A.P.M.C., Louisiana New Era Healthcare, Virginia 
Abreu Family Practice, PLLC, TexasNew Providence Internal Medicine Associates/Primary Care Partners, New Jersey 
Access Family Medicine of Sacramento, California New River Medical Group, LLC, Virginia 
Accountable Care Coalition of Direct Contracting, LLC, CT, TN, GA, NY, IL, TX, HI, CA, MA, IN, OH, FL, MINguyen Medical Practice, Virginia 
Accountable Care Coalition of Georgia, LLCNH Cares ACO, New Hampshire 
Accountable Care Coalition of Northeast Partners, LLC, Washington, DC, Maryland, Virginia NOMS ACO, LLC, Ohio 
Accountable Care Coalition of Southeast Texas, Inc.Noorani Medical Center, Florida 
Accountable Care Coalition of Southeast Wisconsin, LLC.NorCal Endocrinology & Internal Medicine, California 
Advance Family Practice, LLC, Florida North Alabama Internal Medicine, PC, Alabama 
Advanced OB-GYN of Dearborn, PC (Michigan Healthcare Professionals PC)North Austin Family Medicine, PA, Texas 
Advanced Women’s Healthcare of Waxahachie, PLLC, TexasNorth Berkeley Family Care, South Carolina 
AdventHealth, Florida North Carolina Internal Medicine, PC, North Carolina 
Advocate Aurora Health, Illinois, Wisconsin North Raleigh Medical Center, North Carolina 
Aegis Medical Group, LLC, Florida North Star Family Medicine P.A., Texas 
Aegis Physician’s Group, LLC, Florida Northern Medical Group PLLC, New York
agilon health, Texas Northern Virginia family Medicine, Virginia 
Albany Internal Medicine, GeorgiaNorthfield Hospital + Clinics, Minnesota 
Albemarle Center for Family Medicine, VirginiaNorthShore — Edward-Elmhurst Health, Illinois 
ALC Consulting LLC, Florida Northwest Momentum Health partners ACO, Washington 
Aledade ACO Reach 1Novello Physicians Organization, Michigan 
Aledade AL MSSP EnhancedOakland Family Practice (Oakland Medical Group, P.C.), Michigan 
Aledade AR MI UT MSSP EnhancedOchsner Health, Louisiana, Mississippi, Texas 
Aledade AR MSSP 2022Odessa Consultants, PLLC, Texas 
Aledade AR MSSP Community Health Center EnhancedOffice of Aaron M. Roland, California 
Aledade CA MSSP 2020 EnhancedOffice of Abimbola M. Banjo MD P.A., Texas 
Aledade CA MSSP 2021 EnhancedOffice of Alicia W. Grossmann MD P.A., Texas 
Aledade CA MSSP 2023Office of Allen Jackson, South Carolina 
Aledade CA MSSP Community Health CenterOffice of Alvaro Puig, MD, PLLC, Virginia
Aledade CA MSSP Santa Barbara EnhancedOffice of Ann H. Snyder, MD, PA, Texas 
Aledade Delaware ACO Office of Ann Marie D Gordon MD MPH, Washington, DC 
Aledade Florida Central ACOOffice of Anna Abalos, M.D., California 
Aledade GA MSSP EnhancedOffice of Beth Hanrahan, MD LLC, Florida 
Aledade Hill Physicians 2023 MSSPOffice of C. Keith Grisham, M.D., P.A., Texas
Aledade Kansas ACOOffice of Camille Goff MD, Texas
Aledade KS MSSP Community Health Center EnhancedOffice of Chinmay K Patel, D.O., Illinois 
Aledade LA MSSP 2022 EnhancedOffice of Christina Myint, M.D., P.A., Texas
Aledade Louisiana ACOOffice of Christopher D Naquin MD APMC, Louisiana 
Aledade MD MSSP EnhancedOffice of Claudia Methvin, MD, PLLC, Virginia
Aledade Mississippi ACOOffice of Connie Pham, M.D., PLLC, Texas
Aledade MO MSSP 2022Office of David A. Francis, MD, Alabama 
Aledade MS MSSP Community Health Center EnhancedOffice of David Paul Adams, M.D., P.A., North Carolina 
Aledade NC MSSP 2022Office of Dawei Zheng, M.D., California 
Aledade NJ MSSP EnhancedOffice of Dennis Eisenberg MD PA, Texas
Aledade Northeastern/Midwest Region MSSP 2023 Office of Devamani Gowda, M.D., California 
Aledade OH MSSPOffice of Dina Sverdlov, California 
Aledade Opportunity MSSP 2022Office of Donna G Chambers MD, Maryland
Aledade PA MSSP IMG + PMSIOffice of Dr Ngo Medical Clinic, PA, Florida 
Aledade PA MSSP Legacy + Gateway EnhancedOffice of Dr. Carpousis, MD, LTS, Virginia 
Aledade Pacific Northwest MSSPOffice of Dr. John M Wise, Louisiana 
Aledade Primary Care ACO Office of Dr. Joseph Saucedo, Texas
Aledade Southeast MSSP 2023Office of Dr. Meyers (Michigan Healthcare Professionals PC)
Aledade TX AZ AR CO UT MSSP EnhancedOffice of Dr. Natalie Hughes, DO,PA, Texas
Aledade VA Appalachia MSSP EnhancedOffice of Elizabeth D White MD, Inc, Louisiana 
Aledade VA MSSPOffice of Emil W. Tajzoy, MD, PLLC, Texas
Aledade Valley Health MSSP 2023Office of Gary L. Gilcrease, M.D., P.A., Texas
Aledade West MSSP 2023Office of Gary W, Duncan MDPA, Texas
Aledade West Virginia ACOOffice of Glenn Carter, M.D., Georgia
Alex Foxman, MD, Inc, California Office of Howard Ellison MD, Georgia
Alief Medical Clinic, Texas Office of Howard Mangurten MD, SC, Illinois 
Allay Primary Care, PLLC, TexasOffice of Husna R. Baksh, MD, PC., Maryland
Allergy Sinus & Arthritis Clinic, PLLC, TexasOffice of Imad George M.D. (Millennium Medical Group, P.C.), Michigan 
Allina Health, Minnesota Office of Issa Yusuf, MD PA, Maryland
Altamonte Family Practice, Florida Office of J. T. Lee MD PA, Maryland
Amarillo Legacy Medical ACO, TexasOffice of Jaclyn Harrison, MD PLLC, Texas
American Multispecialty Group, Inc dba Esse Health, Missouri, Illinois Office of James M Bury MD, Wisconsin 
America’s MDE, Florida Office of Jay C. Tyroler, MD PC, Virginia
Amherst Family Practice, VirginiaOffice of Joel D. Meshulam, MD, Maryland
AMITA Health ACO, Illinois Office of John C. Chow, California 
Annandale Family Medicine, VirginiaOffice of John T. Littell M.D. PA, Florida 
Apex Primary Care Apex Primary Care, Florida Office of Jorge Amador MD, LLC, Georgia
Arbor Medical (Millennium Medical Group, P.C.), Michigan Office of Jose I Sosa MD, Texas 
Arkansas Health Network, LLCOffice of Joseph A Marotta MD PA, Texas 
Arlington Primary Care, VirginiaOffice of Joseph P. Behan, M.D., P.A., Texas
Art Of Medicine PA, FloridaOffice of Juan P. Suarez, MD, Florida 
Ascension Illinois and AMITA Health Care NetworkOffice of Julie Tomberlin, M.D., P.A., Texas 
Ascension, AL, TN, IN, MI, FL, TX, WI, IL, DC, MD, NY, KS, OKOffice of Kaftan Langnas and Stashefsky (Oakland Medical Group, P.C.), Michigan 
Associated Family Physicians, Inc., California Office of Karl Spector, MD, Maryland
Associates in Internal Medicine, Michigan Office of Kathryn D. Kelly, MD, PC, Maryland
Associates in Internal Medicine, PA, FloridaOffice of Kendall Wong M.D., Texas 
AssociatesMD Medical Group, Florida Office of Kevin Stephens MD PA, Texas 
Atlantic Accountable Care Organization, New Jersey Office of Krzysztof Warszawski M.D. (Michigan Healthcare Professionals PC)
Atlantic Health System, New Jersey Office of Kurtis Fox, M.D., California 
Atlantic Medical Associates, VirginiaOffice of Leo Toupin MD PA, Texas 
Auburn Hills Medical Clinic (Oakland Medical Group, P.C.), Michigan Office of Lina Sakr (Oakland Medical Group, P.C.), Michigan 
Auburn Medical Group, Inc., California Office of Linda L Casteel, MD, PC, Georgia
Austin Medical Associates, TexasOffice of Linda M Lang MD, Maryland
Austin Medical Group PLLC, TexasOffice of Mahmoud H. Mustafa, MD, FACP, Washington, DC 
Avera Health, South Dakota Office of Manohar Alloju, MD, PA, Texas 
Azelvandre Family Practice, Florida Office of Marcelino D. Albuerne, MD, Maryland 
Bainbridge Medical Associates Pc, GeorgiaOffice of Marcia J Oliveira MD, PA, Texas 
Banner Health, AZ, CA, CO, NE, NV and WYOffice of Mark G. Brooks, M.D., P.A., Florida 
Baptist Health ArkansasOffice of Mary Ferris M.D. (Oakland Medical Group, P.C.), Michigan 
Baptist Physician Partners ACO, Florida Office of Michael Grady, MD, Washington, DC 
Barlas Enterprises, INC DBA FUQUA MEDICAL CTR, Texas Office of Mohammad N. Alocozy, M.D., California 
BASS Medical Group, CaliforniaOffice of Monica Bali, MD, Maryland 
Battlefield Family Medicine, LLC, VirginiaOffice of Morie Mehyou, Arkansas
Bay Area House Calls, TexasOffice of Nashaat Ibraheim MD, Texas 
Bay Crossing Family Medicine, MarylandOffice of Navdeep Mathur, MD, MPH, FACP, Virginia 
Bay Family Medical Group, California Office of Neel French MD SC, Illinois 
Baycare Health Partners, Massachusetts Office of Neil A. Patterson, M.D., P.A., Florida 
BayCare Health System, Florida Office of Nneka Edokpayi, MD PLLC, Texas
Bayside Internal Medicine, LLCOffice of Omar Aref MD PLC, Florida 
Be Well Medical Center (Oakland Medical Group, P.C.), Michigan Office of Pankaj J Patel M.D., P.A, Texas 
Beaumont ACO Michigan, Michigan Office of Paul E. Bristol, M.D., Texas 
Bedford Family Medicine, Pa, MarylandOffice of Paul R. Ehrmann, DO (Michigan Healthcare Professionals PC)
Bel Air Family Care, LLC, MarylandOffice of Raiqa Munis MD PC, Virginia 
Bellaire MedClinic – Alice A. Lim, MD, TexasOffice of Rajanikant Pandya M.D, Texas 
Beth Israel Lahey Health Performance Network, Massachusetts Office of Rajesh J Patel, M.D., P.A., Texas 
Billings Clinic, Montana Office of Rakesh Arora, MD, FAAFP, PA, Maryland
Blair Family Medicine, TexasOffice of Ramesh P Melvani MD, Illinois 
Block, Nation, Chase & Smolen Family Medicine, Florida Office of Randy B Cronic MD, California
Bluestone Physician Services, MN, FL, WIOffice of Richard Bernstein, MD, Maryland
Bohler Family Practice, GeorgiaOffice of Robert C Blackwood, M.D., INC., Virginia
BoiceWillis Clinic, P.A., North Carolina Office of Ronald W. Atwood, MD, PC, Virginia
Bon Secours Mercy Health, OH, KY, SC, VA Office of Roya Sedghi MD PC, Virginia 
Bond Clinic, P.A., Florida Office of Ruth R. Wiley, D.O., P.A., Texas
Bridge Creek Family Medicine, PLLC, TexasOffice of Sally Mcfarland, MD, Virginia
Bryan Health Connect, Nebraska Office of Sammy Lerma III, MD, PA, Texas 
Buena Vida y Salud, LLC, Texas Office of Sanjay Pethkar MDSC, Illinois 
Burke Family Practice, VirginiaOffice of Satish Angra MD PC, Maryland 
Burke Internal Medicine, VirginiaOffice of Sayed A. Hussain, M.D., California 
California Clinical Partners ACOOffice of Scott Hippeard, MD, Virginia 
CAMC Health Network, LLC, West Virginia Office of Sergio B Seoane M.D., Florida 
Capital Family Medicine, North Carolina Office of Shahid Shamim, MD LLC, Maryland 
Capital Family Physicians, P.A., North Carolina Office of Shylesh Ganta M.D., P.A, Texas 
Capital Heartcare Center, PC, VirginiaOffice of Stephen J. Farmer, MD, Texas 
Capital Medical Partners, MarylandOffice of Stephen J. Shields, MD PA, Florida 
Capitol Internal Medicine Associates, California Office of Steven R. Tucker, MD PC, Virginia 
Capstone Health Alliance, North Carolina Office of Subodh K Mallik, MD, Texas 
Capstone Medical Clinic, LLC, GeorgiaOffice of Suresh Prasad Md PA, Texas 
Caravan Collaborative Pathways ACO, Missouri Office of Suzanne L Nunn, MD PC, Georgia 
Caravan Rural ACO CH43, Missouri, Texas Office of Ted E. Fogwell, MD, Texas 
Cardiology and Vascular Associates, P.C. (Michigan Healthcare Professionals PC)Office of Thomas E Maslen MD, Maryland 
CareConnectMD, California Office of Thomas Hopkins, M.D., California 
Careline Health Group, Michigan Office of Tommy T. Kuo, MD, California 
Carilion Clinic, Virginia Office of Traci Thompson, MD PA, Florida 
Carlos E Covarrubias, MD and Associates, MarylandOffice of Veronica Villalba, MD, PA, Texas 
Cary Healthcare Associates, P.A., North Carolina Office of Vikram Vadyala, MD, Texas 
Cary Internal Medicine and The Diabetes Center, North Carolina Office of Vinu Ganti md pc, Maryland 
Cary Medical Group (Raleigh Family Practice, P.A.), North Carolina Office of Waleska Galindez, MD PA, Florida 
Castell, Utah, Idaho, Nevada Office of William A. Condrell, MD PC, Washington, DC 
Catonsville Primary Care Center, MarylandOffice of William J. Warren, D.P.M., P.A., Texas 
CCCN ACO, LLC, Missouri, Texas Office of William Linthicum, MD, Maryland 
Centene, Texas Ogden Clinic, PC, Utah 
Central MN ACO, Minnesota Olympia Multi-Specialty Clinic, Washington
Central Valley Physician Partners, California One Medic Lane Physicians PLLC, Texas 
Central Virginia Family Physicians, VirginiaOneCare Vermont 
Centreville Medical Practice, VirginiaOneHealth Nebraska 
Ceptor Consulting, LLC, IN, MI, CO, CA, NY, FL, GAOneHealth Primary Care DBA Bowman Hampsey Medical Clinic, Florida 
CH Physician Partners ACO, LLC, New York Opal Medical Group, Maryland 
Charlottesville Family Medicine, VirginiaOPN Healthcare, Inc., California 
Chesapeake Internists Limited, VirginiaOptimus Healthcare Partners, New Jersey 
CHESS Health Solutions, North Carolina Orlando Primary Care, PA LLC, Florida 
CHI Health Partners, Nebraska Oscar Garza, M.D. PA, Family Medicine Clinic, Texas 
CHI Saint Joseph Health Partners, KentuckyOsceola Women & Family Medicine Specialists, Florida
CHI St Gabriel’s Health, Minnesota Oza Family Care and Wellness Center, Texas 
Chowdhury Medical Associates, LLC, North Dakota Panther Creek Medical Center, P.A., Texas
ChristianaCare, DelawarePark Nicollet Health Services Accountable Care, Minnesota 
Churchland Family Medicine, VirginiaPBACO Holding, LLC, Florida 
Citrus ACO, Florida Peachtree Cardiology, P.C., Georgia
City Healthcare, Florida Peachtree Medical Center, Georgia
CityMD, New York, New Jersey Peninsula Regional Clinically Integrated Network, LLC, Maryland 
Clarii Health, MarylandPerisseia Primary Care and Wellness, Georgia
Clarkston Internal Medicine, Michigan Perry Family Practice, LLC, Georgia
Clarkston Medical Group, Michigan Personalized Women’s Healthcare, Texas
Clermont Medical Center, Florida Physician Partners, Florida 
Cleveland Clinic, Ohio, Florida, Nevada Physician Performance LLC, Massachusetts 
Clinical Renal Associates, Pennsylvania Physician Quality Partners, North Carolina 
Clover Health, NJ, KS, NY, GA, IL, FL, OK, MO, NM, TX, IN, PA, VT, SC, MT, MS, TN, AZ, OH, AR, KY, COPhysicians ACO, LLC, Florida 
CN Internal Medicine, VirginiaPhysicians Group Of The Woodlands, Texas
CNY AIM, New York Physicians of Central Florida, LLC
Coastal Carolina Quality Care, Inc., North Carolina Physicians Treatment Center, Virginia
Coastal Medical, Rhode Island Pinellas County Primary Care & Hospitalists, PLLC, Florida 
Collaborative Health Systems, AR, CA, CT, FL, GA, HI, IL, IN, IA, KS, MI, MO, NJ, NY, OH, SC, TN, TXPleasanton Family Medicine, PLLC, Texas 
CommonSpirit Health, AR, AZ, CA, CO, GA, IA, IN, KS, KY, MN, NE, NM, ND, NV, OH, OR, PA, TN, TX, WA, WIPMA Health, Virginia 
Commonwealth Family Practice, VirginiaPort Lavaca Clinic Associates, P.A., Texas 
Commonwealth Primary Care ACO LLC, Arizona Potomac Internal Medicine, Virginia
Community Care Collaborative of PA & NJPrecision Health Care, LLC, Maryland
Community Care of Brooklyn IPA, Inc., New York Preferred Medical Group (Michigan Healthcare Professionals PC)
Community Healthcare Partners ACO, Inc., Indiana Premier Internists (Millennium Medical Group, P.C.), Michigan 
Community Memorial Health System, California Premier Primary Care Physicians PC, Virginia
Complete Care Family Medicine Associates, Florida PremierMED, Florida
Complete Care OB/GYN and Family Medicine, PLLC, TexasPreston Hollow Women’s Healthcare, Texas
Complete Health Accountable Care LLC, Alabama, Florida Prevention Plus Clinic LLC, Louisiana 
Core Primary Care, PLLC, TexasPrima Medicine, Virginia
Country Way Family Practice, GeorgiaPrimary Care Alliance, LLC, Florida 
Covenant ACO, Texas Primary Care Center of Clear Lake, Texas 
CP & RP McManus, MD LTD, VirginiaPrimary Care Development Corporation, New York, California 
CPC Needville, PLLC, TexasPrimary Care Partners, Nebraska 
Cullen Umosella Cullen & Cullen, MarylandPrimary Care Specialists of Orlando – Orange Avenue, Florida 
Cumberland Center for Healthcare Innovation, Tennessee Primary Partners Alliance, Florida 
CyFair Family Practice & Geriatrics, TexasPrimary Partners, Florida 
Daniel Serives LLC, Louisiana Prime Care Managers, LLC, Texas 
Danville Internal Medicine Inc, VirginiaPrime Care Medical Services, LLC, Georgia
Das Medical Associates, New Jersey Prime MD of Naples PLLC, Florida 
David Family Medicine & Telehealth, MarylandPrimecare Medical Center, Texas
Deaconess Care Integration LLC, Indiana Prisma Health Upstate Network, South Carolina 
Deep Risk Management, New Jersey Privia Health
Delaware Valley ACO, Pennsylvania Privia Medical Group Central Florida
Delikat Family Practice, Florida Privia Medical Group Georgia
Desai & Holmes MD LLC, Maryland Privia Medical Group Gulf Coast
Dobbs Family Health and Wellness Center LLC, GeorgiaPrivia Medical Group Maryland
Doc ACO Gulf Coast, Florida, South Carolina Privia Medical Group Montana
Doctors ACO, LLC, Georgia Privia Medical Group North Texas
Dominion Family Healthcare, VirginiaPrivia Medical Group Tennessee
Dominion Medical Associates, P.A., Texas Privia Medical Group Virginia
Douglas Young, MD Inc., California Privia Medical Group West Texas
Dover Shores Family Practice, LLC, Florida Privia Quality Network Central Florida
Downtown Baltimore Family Care, Maryland Privia Quality Network Central Texas
Downtown Family Health Care, Inc, VirginiaPrivia Quality Network Georgia
Dr. Koslow and Associates, LTD, VirginiaPrivia Quality Network Gulf Coast, Texas 
Dr. Monique Y. Langston & Associates PA, VirginiaPrivia Quality Network Maryland
Dr. Pace & Associates, P.C., MarylandPrivia Quality Network Tennessee
Dr. Phillips Medical Wellness Center, LLC., FloridaPrivia Quality Network, Virginia 
Drajayreddyllc, Maryland Professional Park Medical Services, Georgia 
Draper Clinic – Draper (Granger Medical Clinic, PC), Utah Progressive Health Care, P.C., Michigan 
Drs. McMackin & Zimnoch PC, Washington, DCProHealth Care, Wisconsin 
DTHealth, PLLC, TexasProspect Medical Group, Inc., California 
Duke Connected Care, LLC, North Carolina Providence, Washington 
Dulles Health, Virginia PSW, Washington 
Duly Health and Care, Illinois Pucillo Family Practice PA, Texas
Dupage Internal Medicine of IL, LLC, Illinois Purisima Family Medicine, California 
Dupont Circle Physicians Group, Washington, DC Quality Reviews, New York 
Dycus Family Medicine, Florida Quince Orchard Psychotherapy, LLC, Maryland 
Eastern Shore Internal Medicine, Alabama Raleigh Adult Medicine (Raleigh Family Practice, P.A.), North Carolina 
Eastpointe Family Physicians (Oakland Medical Group, P.C.), Michigan Raleigh Medical Group (Raleigh Family Practice, P.A.), North Carolina 
Eclinical Consulting LLC, Florida Rancho Health MSO, California 
Elite Providers III, New York, Pennsylvania Redford Clinic (Oakland Medical Group, P.C.), Michigan 
Endo-Med Clinic SC, Illinois Reliance ACO LLC, Michigan 
Essentia Health, Minnesota, Wisconsin, North Dakota Revere Health, Utah 
Evolent Care Partners/ The Accountable Care Organization, Ltd., CA, FL, IN, KS, MI, NC, NY, TX, UTRhome Family Practice Clinic, Texas
Fairbourne Station – West Valley (Granger Medical Clinic, PC), Utah Ridgeline Physician Services, LLC, Virginia
Fairfax Clinic, LLC, VirginiaRio Grande Health Alliance, Texas 
Fairfield Medical Center, LLP, TexasRiverton Clinic – Riverton (Granger Medical Clinic, PC), Utah 
Fairhope Internal Medcine, P.C., Alabama Roanoke Partners In Health Pc, Virginia
Family First Primary Care, PLLC, North Carolina Robertson Family Medicine, PLLC, Texas
Family Health Care Center (Millennium Medical Group, P.C.), Michigan Robin Dale, M.D., L.L.C., Louisiana 
Family Medical Care Clinic, LLC, Washington Rochester Medical Group (Oakland Medical Group, P.C.), Michigan 
Family Medical Care Inc, VirginiaRockbridge Health, Virginia
Family Medical Center of Georgetown, P.A., Texas Rocklin Family Practice & Sports Medicine, California 
Family Medical Center of Lagrange, Illinois Rockville Internal Medicine Group, Maryland
Family Medical Center, Florida Rockville Medical care, Maryland 
Family Medical Specialist of Florida, PLC, Florida Rockwell Physicians of Salisbury PLLC, Virginia
Family Medicine Specialists P.C., GeorgiaRose Hill Family Physicians, Maryland 
Family Practice (Oakland Medical Group, P.C.), Michigan Ryan Medical Associates, P.C. (Oakland Medical Group, P.C.), Michigan 
Family Practice Associates of Tiftarea LLC, GeorgiaSan Marcos Family Medicine, Texas 
Family Practice St Cloud Inc, Florida Sarasota Primary Care LLC, Florida 
Fignar Family Practice, Connecticut Savii Health, Georgia 
First Colonial Family Practice and Urgent Care Center, VirginiaScreven Primary Care, LLC, Georgia 
First Georgia Physician Group, GeorgiaScripps Health, California 
Five Star ACO, Florida Select Physicians Associates, LLC, FL, GA, AL, SC, MI, IL, MS, TN
Florida Accountable Care Services, LLCSeven Corners Medical Center, Virginia 
Florida Healthcare of OrlandoShah And Associates Family Practice, North Carolina 
Folsom Lake Primary Care, California Shaun Kretzschmar, D.O., P.A., Aledo Family Medicine, Texas 
Fork Union Family Medicine, PLLC, VirginiaShepherd Health Management, Texas 
Foundation Accountable Care Network ACO, California Shroff Cardiology & Internal Medicine Clinic, P.A., Texas 
Franciscan Missionaries of Our Lady Health System, Louisiana, Mississippi Signify Health
Frederick Primary Care Associates, MarylandSilver Pine Medical Group – Sterling Heights Office, Michigan 
Freedom Healthcare Alliance, South Carolina Silver Spring Medical Center, LLC, Maryland 
Frekko Primary Care, MarylandSilver State ACO, Nevada 
Gammons Medical (Oakland Medical Group, P.C.), Michigan Simple Medicine, South Carolina 
Generations Family Practice, P.A. – Andre K.S. Tse, M.D. PA, North Carolina Singing River Health System, Louisiana 
Generations Family Practice, P.A. – Carrboro Family Medicine Center, PA, North Carolina Slidell Memorial Hospital, Louisiana 
Generations Family Practice, P.A. – Rocky Mount Family Medical Center, P.A., North Carolina Snow Family Medicine Inc., Florida 
Generations Family Practice, P.A. – RSI Medical, North Carolina SoNE Health, Connecticut 
Generations Family Practice, P.A. – Triad Primary Care, PLLC, North Carolina Sookdeo Family Medicine PLLC, Florida
Generations Family Practice, P.A., North Carolina South Macomb Internal Medicine (Oakland Medical Group, P.C.), Michigan 
Gilberto Martinez, Family Medicine & Ambulatory Care Center, California South Shore Health, Massachusetts 
Grace Family Practice, VirginiaSouth Texas ACO Clinical Partners, Texas 
Great Falls Clinic, MontanaSouth Texas Internal Medicine Associates, Texas 
Great Plains Health Innovation Network, Nebraska SouthCoast Health, Georgia 
Greenhaven Family Practice, California Southeast Health Statera Network, Alabama 
Greer Healthcare Associates, LLC, Florida Southeast Primary Care Partners, LLC, Georgia 
Griffin Health, Connecticut Southern Practitioner, Florida 
Grove Avenue Primary Care, VirginiaSouthside Medical Management, Virginia 
Guidry, Brown and Rosson, LLC, Louisiana Southwest Internal Medicine Specialists, Florida 
Gulf Coast Physician Partners PA, Florida St. Elizabeth Urgent Care & Family Practice, Texas 
Gundersen Health System, Wisconsin, Minnesota, Iowa St. Joseph’s Health, New York 
Hamtramck Medical Urgent Care (Oakland Medical Group, P.C.), Michigan St. Louis Physicians Collaborative, Missouri, Illinois 
Hattiesburg Clinic, Pennsylvania St. Tammany Emergency Physicians Group LLC, Louisiana 
Hazel Park Medical Center (Oakland Medical Group, P.C.), Michigan St. Tammany Parish Hospital Service District No 1, Louisiana 
Health Alliance ACO d/b/a GW Health Network, Washington, DC, Maryland, Virginia Star Family Medicine, Virginia 
Health First Medical Group, FloridaSteck Medical Clinic, Washington 
Healthcall primary care center, Connecticut Stephenville Medical And Surgical Clinic, P.A., Texas 
Healthcare Partners of the North Country ACO, New York Sterling Physicians (Oakland Medical Group, P.C.), Michigan 
Healthy Texan Pediatrics and Family Medicine, TexasStone Ridge Family Medicine PLLC, Virginia 
Heartland Health Accountable Care Organization, Iowa Stratum ACO, Missouri, Texas 
Heartland Primary Care, Illinois Sullivan County Community Hospital, Indiana 
Hector E Guevara-Garay (Primary Medical Care Rina Ayala MD PA), Florida Summit Health, New Jersey, New York, Pennsylvania, Connecticut, Oregon 
High Mountain Healthcare LLC, GeorgiaSummit Medical Group, Tennessee 
Hill Family Medicine & Skin Care, P.A.Sunflower Medical Group P.A., Kansas
Holladay Clinic – Holladay (Granger Medical Clinic, PC), Utah Sunmed Group LLC, Florida 
Honeycomb Clinic, LLC, TexasSunshine Family Medicine Center, Florida 
Houston Methodist Coordinated Care ACO, Texas Suture Health, Inc., Alabama 
Hugo Gonzalez MD & Associates PA, TexasTarrant Medical Associates, LLC, Texas 
Ideal Family Care, Washington Tate Medical Associates, LLC, Georgia 
IHANY, New York TC2, Georgia 
IHCI ACO LLC, Indiana Texas Health Care, PLLC
ilumed, Florida, Texas, New Jersey, Kentucky Texas Health Resources
Imperial Center Family Medicine and Immediate Care, North Carolina Texas Panhandle Clinical Partners ACO, Texas, New Mexico, Oklahoma 
Indiana Lakes ACO, LLCTexas Premier Physicians, P.A.
Indigo Family Health, LLC, GeorgiaTexoma ACO, Texas 
Innovare Health Advocates, Missouri, Illinois Texoma Clinical Partners ACO, Texas, Oklahoma 
Innovation Care Partners, Arizona The Center for Health Affairs, Ohio 
Innovative Healthcare Collaborative of Indiana, LLC, Indiana The Doctor’s In, Inc., California 
Inspira Health Network Medical Group P.C., New Jersey The Family Doctors of Shreveport, Louisiana 
InspireIM LLC, MarylandThe Medical Office of Maximilian Oshalim, MD PLLC, Washington, DC 
Integra Community Care Network, LLC, Rhode Island The MetroHealth System, Ohio 
Integrated Family Medical Center, Florida The South Bend Clinic, Indiana 
Integrated Health Collaborative, LLC, Ohio ThedaCare ACO LLC, Wisconsin 
INTEGRIS Health, Oklahoma Think ACO, LLC, Nebraska 
Intermountain Healthcare, Utah, Nevada, Idaho, Colorado, Montana Think Whole Person Healthcare, Nebraska 
Internal Medicine & Cardiology Associates, Florida Thomasville Family Medicine, Georgia 
Internal Medicine Associates of Reston, VirginiaThrive Family Clinic, LLC, Texas 
Internal Medicine Group, INC., VirginiaThrive Primary Care, LLC, Maryland 
Internal Medicine of Marietta, GeorgiaTidewater Accountable Care Organization, Virginia 
Internal Medicine Pediatrics Associates, P.A., North Carolina Titus County Hospital District, Texas 
Internal Medicine Physicians (Millennium Medical Group, P.C.), Michigan Tony Varghese MD PA LLC, Maryland 
Internal Medicine Primary Care Physicians (Michigan Healthcare Professionals PC)Tooele Clinic – Tooele (Granger Medical Clinic, PC), Utah 
Internal Medicine Specialists (Millennium Medical Group, P.C.), Michigan Torrance Memorial Integrated Physicians, California 
IPW/Medpoint Family Care Center, Wisconsin Torrance Memorial IPA, California 
IRCCO, Illinois Total Family Care LLC, Maryland 
IU Health, Indiana Total Family Healthcare, Florida 
Jacksonville Children’s and Multispecialty Clinic, PA, North Carolina Touchstone Internal Medicine & Pediatrics, Texas 
Jacksonville Primary Care PA, Florida Triad HealthCare Network, North Carolina 
Jacob Medical Associates, LLC, Florida Tri-County Health Care, Minnesota 
Jacobs And Van Cleeff Internal Medicine, PC, North Carolina Trinity Health, MI, OH, NY, IN, ID, PA, DE, IL, CT, FL, MA
Jasmine Moghissi, MD PC, Virginia TruCare Medical Practice, LLC, Virginia 
Jennifer Gwozdz MD PA, TexasTufts Medicine, Massachusetts 
Jennifer s ito md llc, Hawaii Tumwater Family Practice Clinic, Washington 
JinCare Medical LLC, VirginiaUC Davis Medical Center, California 
John R Medical Center (Oakland Medical Group, P.C.), Michigan UC San Diego Health, California 
Kenan & Wang, LLC, California UHS, NV, CA, FL, TX, DC, SC
Kenner Physician Associates, LLC, Louisiana UMass Memorial Health, Massachusetts 
Kingswood Internal Medicine (Michigan Healthcare Professionals PC)UNC Senior Alliance/UNC Health, North Carolina 
Kolender Medical (Millennium Medical Group, P.C.), Michigan UnityPoint Accountable Care, Iowa 
Lacey Medical Clinic, Washington University Internal Medicine, Inc., Rhode Island 
Lake Howell Health Center (Hoffman), Florida University of Chicago Medicine, Illinois 
Lake Pointe Women’s Center, PA, TexasUpStream Healthcare, North Carolina, South Carolina, Virginia 
Lakes Internal Medicine (Michigan Healthcare Professionals PC)UVAACO, Missouri, Texas 
Lakeview Healthcare Systems, LLC, Florida UW Health, Wisconsin 
Lakowsky and Batlin Medical Corp., California VA Health and Wellness, LLC, Virginia 
Lawrence A. Adjei APMC INC., GeorgiaValley Family Practice, LLC, Virginia 
Legends Medical Clinic PLLC, Texas Vanderbilt University Medical Center, Tennessee 
LeHealth, LLC, TexasVeranda Medical Group, LLC, Georgia 
Lewerenz Medical Center & Longevity Health Institute (Oakland Medical Group, P.C.), Michigan Vibrant Family Medicine, P.C., Georgia 
Liberty Doctors, South Carolina Vicinia Health, Missouri, Illinois 
Lifetime Family Care (Oakland Medical Group, P.C.), Michigan VillageMD, AZ, CO, FL, GA, IL, IN, KY, MA, MI, NH, NJ, NV, RI, TX
Lifetime Family Medicine, VirginiaVirginia Family Medicine
Lifetime Medical Center, GeorgiaVista Complete Care
Lincoln Medical Associates, California Vital Medicine PC (Michigan Healthcare Professionals PC), Michigan 
Lisa Kim Medical Associates, S.C., Illinois Vraj Medical LLC, Florida 
Loomis Medical Clinic, California Vytalize Health, New Jersey 
Louis J Radnothy, D.O., P.A. DBA Umatilla Family Health Center, Florida Wake Internal Medicine Consultants, Inc., North Carolina 
Loyola Physician Partners, Illinois Waldorf Primary Care, Maryland 
LTC ACO, LLC, National Wasatch Clinic – Millcreek (Granger Medical Clinic, PC), Utah 
Lumeris Healthcare Outcomes, LLC, Missouri Washington Regional Medical System, Arkansas 
Luminis Health, Maryland Weirsdale Family Health Center, Inc, Florida 
Mahoney Family Medicine, Virginia WellFamily Medicine, Virginia 
MaineHealth Accountable Care Organization, Maine Wellspring Family Medicine, P.C., Maryland 
Martinsville Family Medicine, VirginiaWest Florida ACO
Mary Washington Health Alliance LLC., Virginia West Jordan Clinic, Bldg. A – West Jordan (Granger Medical Clinic, PC), Utah 
Mass General Brigham, Massachusetts West Texas Health, PLLC
Matcare, LLC, Maryland Westchester Medical Group, New York 
Matthew G. Stine, D.O., P.A., Medical Associates at Willow Park, Texas Western ACO, Colorado, Utah 
Mayo Clinic, Minnesota, Arizona, Florida, Wisconsin Western Wake Wellness, North Carolina 
McAuley Health Partners ACO, LLC, Michigan Westfield Associates in Internal Medicine and Gastroenterology, New Jersey 
Mcintosh Clinic, P.C., GeorgiaWestland Clinic (Millennium Medical Group, P.C.), Michigan 
Mcintosh Trail Family Practice Associates, GeorgiaWestland Healthcare (Millennium Medical Group, P.C.), Michigan 
McIntyre Family Medicine, Illinois WholeHealth Medical, Virginia 
McKinney Medical Center, Georgia Wilems Resource Group, LLC, Texas 
McLean Internal Medicine, VirginiaWinchester Internal Medicine, Inc, Virginia 
MD Value Care, Virginia Winchester Medical Consultants, Virginia 
Med Institute, Inc, California Wingard Urgent Care and Wellness, Georgia 
Medical Associates Of Central Virginia Winter Park Family Practice, Florida 
Memorial Health And Wellness, TexasWong Family Medicine, Maryland 
Menocal Family Practice, MarylandXin-Nong Li M.D., Inc., California 
Menon Medical Center, Maryland Yankton Medical Clinic, P.C., South Dakota, Nebraska 
Mercyhealth, Wisconsin, Illinois Yee Medicine & Pediatric Associates, New Jersey 
MercyOne PHSO, Iowa YELM Family Medicine, Washington 
Metroplex Womens Care, PLLC, Texas You and Your Health Family Care, Florida 
MHC Holdings Inc, Florida Your MD LLC, Maryland 
Michigan Premier Internists (Millennium Medical Group, P.C.), Zeus Primary Care Associates llc, Maryland 
Mid-Atlantic Collaborative Care, Washington, DC, Maryland, Pennsylvania, Virginia Zia ACO, New Mexico
Middle Georgia Family Health, LLC, Georgia