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December 2, 2020

The Honorable Mitch McConnell
Majority Leader
United States Senate
United States Capitol Building S-230
Washington, DC 20510
The Honorable Nancy Pelosi
United States House of Representatives
United States Capitol Building H-232
Washington, DC 20515
The Honorable Charles E. Schumer
Minority Leader
U.S. Senate
United States Capitol Building S-255
Washington, DC 20510
The Honorable Kevin McCarthy
Minority Leader
United States House of Representatives
United States Capitol Building H-204
Washington, DC 20515

Re: Advanced Alternative Payment Model Thresholds 

Dear Senate Majority Leader McConnell, Speaker Pelosi, Senate Minority Leader Schumer, and House Minority Leader McCarthy: 

On behalf of the 501 undersigned health care practices and accountable care organizations (ACOs), we thank you for your continued leadership during the COVID-19 public health emergency. As you know, practices taking performance-based risk in advanced alternative payment model (APM) arrangements continue to fight on the pandemic’s frontlines. We have deployed vital care coordination and management services that enhance patient care while reducing health care costs. We have taken innovative actions to advance public health in our local communities, such as scheduling telehealth visits for patients with chronic conditions; setting up drive-through COVID-19 testing centers; and helping patients access the appropriate level of care based on their symptoms. 

As Congress considers future health care legislation that will continue to bolster and advance the care delivery system, we urge you to take action to ensure that value-based care providers can continue to provide these important services by modifying the unrealistic threshold tests included in the bipartisan Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. 

To incentivize providers to switch from traditional fee-for-service Medicare to advanced APMs, MACRA provided a 5% bonus payment to qualifying participants in advanced APMs. The bonus was intended to move clinicians and practices into risk-bearing models that control costs and improve quality, and therefore, contribute to a more sustainable future for traditional Medicare. To be eligible for the bonus, an APM entity must satisfy either a revenue or a patient count threshold. The thresholds are intended to measure whether the APM entity is sufficiently increasing its participation, measured by revenue or patients, in the APM over time. In 2020, the revenue threshold is 50% and the patient count threshold is 35%. 

In 2021, both threshold tests are scheduled to increase sharply. The revenue threshold will jump to 75% and the patient participation threshold will jump to 50%. As a result, many practices who have assumed considerable financial risk and who have invested significant resources into advancing the value-based care movement will not receive their incentive payments. If providers cannot count on receiving these bonus payments, due to unrealistic thresholds, fewer providers will be willing to participate in APMs in the future, exactly the opposite of what MACRA’s authors intended when they drafted the threshold tests. This would represent an unfortunate set- back in the progress we have made in advancing the value movement and would undermine Medicare’s long-term transition to greater levels of performance-based risk. 

We ask that you recognize our commitment to advancing Medicare’s transition to value-based care by freezing the MACRA thresholds at the 2020 levels for the next two performance years (2021 and 2022). This freeze will give us the flexibility and financial security we need to continue to innovate and improve population health for our patients, as well as to continue to drive forward models that create a fiscally healthy future for the Medicare program. 

We appreciate your consideration of this matter.

21st Century Oncology, Farmington Hills, Macomb, Troy, Clarkston, Pontiac, MILoyola Physician Partners, Maywood, IL
Abimbola M. Banjo MD P.A., Pleasanton, TXLTC ACO, Kennett Square, PA
Access Family Medicine of Sacramento, Sacramento, CALuminis Health Collaborative Care Network, Annapolis, MD
AccoCare, Sioux Falls, SD Main Line Health Physician Partners, Bryn Mawr, PA
Accountable Care Coalition of Georgia, Houston, TXMaine Medical Partners, Portland, ME
Accountable Care Coalition of New Jersey, NJMary Washington Health Alliance LLC, Fredericksburg, VA
Accountable Care Coalition of Northeast Georgia, Houston, TXMaryland Collaborative Care Transformation Organization, Houston, TX
Accountable Care Coalition of Northeast Partners, Houston, TXMaryland Primary Care Program, Baltimore, MD
Accountable Care Coalition of Southeast Partners, Houston, TXMass General Brigham, Boston, MA
Accountable Care Coalition of Southeast Texas, Houston, TXMayo Clinic, Rochester, MN
Accountable Care Coalition of Southeast Wisconsin, Milwaukee, WIMcAuley Health Partners ACO, LLC, Ann Arbor, MI
Accountable Care Coalition of Tennessee, Houston, TXMcAuley Health Partners, Ann Arbor, MI
ACO Clinical Partners, LLC, Louisville, KYMD Valuecare, Richmond, VA
ACO HealthPartners, Jacksonville, FLMeadville Medical Center, Meadville, PA
Adirondacks ACO, Plattsburgh, NYMercy Accountable Care, Conshohocken, PA
Advanced Allergy and Asthma, Clarkston, MIMercyOne ACO I LLC, Clive, IA
Advanced Doctors ACO, LLC, West Palm Beach, FLMercyOne ACO II LLC, Clive, IA
AdvantagePoint Health Alliance – Blue Ridge, Brentwood, TNMercyOne ACO III LLC, Clive, IA
AdvantagePoint Health Alliance – Great Lakes, Brentwood, TNMercyOne ACO IV LLC, Clive, IA
AdvantagePoint Health Alliance – Laurel Highlands, Brentwood, TNMercyOne ACO V LLC, Clive, IA
Advent Health, Altamonte Springs, FLMercyOne PHSO, Clive, IA
Advocate Aurora Health, Milwaukee, WIMichael Laffer, D.O. & Gary Berg, D.O., Madison Heights, MI
Affinia Health Network, Muskegon, MIMichiana Ob/GYN, South Bend, IN
Aledade, Bethesda, MDMichigan Center for Rural Health, East Lansing, MI
Alicia W Grossmann Md Pa, Austin, TXMichigan Healthcare Professionals Dermatology, Rochester Hills, MI
AllCare Health Alliance, Camden, NJMichigan Hernia Surgery, Royal Oak, MI
Allied Bone and Joint, South Bend, INMichigan Premier Internists, Southfield, MI
Allied ENT Specialty Center, South Bend, INMichigan Women’s Health, Farmington Hills, Clawson, MI
Allied Physcial Therapy, South Bend, INMid-Atlantic Accountable Care, Morristown, NJ
Alpine Medical Center Pllc, Alpine, TXMillennium Affiliated Physicians, Farmington Hills, MI
Alta View Sports Medicine – Sandy, Sandy, UTMillennium Cardiology, Farmington Hills, MI
Amarillo Legacy Medical ACO, Amarillo, TXMillennium Diagnostic Center, Farmington Hills, Westland, MI
AMITA Health Accountable Care Organization, LLC, Chicago, ILMillennium Orthopaedics, Farmington Hills, MI
Andre K.S. Tse, M.D. PA, Jacksonville, NCMillennium Pulmonary & Sleep Clinic, Farmington Hills, MI
Anna Abalos, M.D., Family Medicine, Roseville, CAMitchell Folbe MD PC, Troy, MI
Arbor Medical, Livonia, MIMohammad N. Alocozy, M.D., Sacramento, CA
Ascension Care Management Health Partners Evansville, LLC, Evansville, INMount Carmel Health Partners, Columbus, OH
Ascension Care Management Health Partners Indianapolis, LLC, Indianapolis, INMount Sinai, New York City, NY
Ascension Care Management Health Partners Tennessee, Nashville, TNMountainview Family Practice, Grants Pass, OR
Ascension Health System, St. Louis, MOMultiCare, Tacoma, WA
Ascension Medical Group, St. Louis, MONatomas Family Practice, Sacramento, CA
Associated Endocrinologists, Farmington Hills, MINephrology Associates of Syracuse, Syracuse, NY
Associated Family Physicians, Inc., Sacramento, CANephrology Hypertension Associates of CNY, North Syracuse, NY
Associated Rheumatology Consultants, Farmington Hills, MINEQCA Accountable Care, Inc., Braintree, MA
Associates for Women’s Medicine, North Syracuse, NYNeurological Consultants, Southfield, MI
Asthma and Allergy, Farmington Hills, MINJPACO R, LLC, Palm Springs, FL
Atlantic ACO, Morristown, NJNOMS ACO, LLC, Sandusky, OH
Auburn Hills Medical Clinic, Auburn Hills, MINorCal Endocrinology & Internal Medicine, Roseville, CA
Auburn Medical Group, Inc., Auburn, CANorth Austin Family Medicine, PA, Austin, TX
Austin Adult GeriMed Associates, Austin, TXNorth Carolina Internal Medicine, PC, Cary, NC
Avera Medical Group, Sioux Falls, SDNorth Central Arizona Accountable Care, Prescott, AZ
Banner Health Network, Phoenix, AZNorth Raleigh Endocrinology & Diabetes Center, Raleigh, NC
Banner Network Colorado, Greeley, CONorth Raleigh Medical Center, Raleigh, NC
Baptist Health Care Partners LLC, Louisville, KYNorth Star Family Medicine P.A., Round Rock, TX
Bastrop County Medical Associates, PA, Bastrop, TXNorthwest Brain and Spine (Caravan Health ACO), Bend, OR
Baycare Health Partners, Springfield, MANorthwest Florida Health Partners, Pensacola, FL
BayCare Physician Partners ACO, Clearwater, FLNorthwest Medical Specialties, Tacoma, WA
Baylor Scott & White Quality Alliance, Dallas, TXNorthwest Ohio ACO, Toledo, OH
Bayview Physicians Group, Chesapeake, VANovant Health, Charlotte, NC
Be Well Medical Center, Berkley, MINW Momentum Health Partners, Olympia, WA
Berkshire Medical Center, Pittsfield, MAOakland Family Practice, Madison Heights, MI
Best Care Collaborative, Fort Myers, FLOakland Imaging and Diagnostic Center, Madison Heights, MI
Beth Israel Lahey Health Performance Network, Wakefield, MAOakland Lung & Sleep Specialists, Auburn Hills, MI
Billings Clinic, Billings, MTOakland Macomb Surgical Group, Madison Heights, MI
BJC HealthCare Accountable Care Organization, St. Louis, MOOakland Medical Group, Royal Oak, MI
BoiceWillis Clinic, P.A., Rocky Mount, Spring Hope, Nashville, NCOakland Neurologists, Troy, MI
Bon Secours Medical Group, Cincinnati, OHOakland Neurology Center, Rochester Hills, MI
Botsford Cancer Center, Farmington Hills, MIOakland Orthopedic Institute, Pontiac, MI
Bull City Family Medicine And Pediatrics, Durham, NCOB/GYN of Northern Indiana, South Bend, IN
California Clinical Partners (ACO), Palm Springs, FLOdessa Consultants, PLLC, Odessa, TX
Cancer & Hematology Centers of Western Michigan, Grand Rapids, MIOffice of David L. Benkoff M.D., Southfield, MI
Cancer & Leukemia Center, Sterling Heights, MIOffice of Dr. Florek & Dr. Meyers, Bloomfield Hills, MI
Cancer Care Associates, Royal Oak, MIOffice of Felicia A. Ivascu M.D., Royal Oak, MI
Capital Family Medicine, Raleigh, NCOffice of Geoffrey Saham M.D., Rochester Hills, MI
Capital Family Physicians, P.A., Raleigh, NCOffice of Imad George M.D., Livonia, MI
Capitol Internal Medicine Associates, Carmichael, CAOffice of James Robbins M.D., Royal Oak, MI
Capstone Health Alliance, Fletcher, NCOffice of Jimmi Mangla, M.D., Royal Oak, MI
Caravan Health ACO 31, LLC, Kansas City, MOOffice of Kaftan Langnas and Stashefsky, Madison Heights, MI
Caravan Health ACO 32, LLC, Kansas City, MOOffice of Kathryn Zeigler M.D., Royal Oak, MI
Caravan Health ACO 33, LLC, Kansas City, MOOffice of Krzysztof Warszawski M.D., Garden City, MI
Caravan Health ACO 34, LLC, Kansas City, MOOffice of Lina Sakr, Troy, MI
Cardiology and Vascular Associates, P.C., Waterford, Bloomfield Hills, Clarkston, Commerce, MIOffice of Mario R. Villalba, Royal Oak, MI
Cardiology Consultants of Philadelphia, Philadelphia, PAOffice of Mary Ferris M.D., Sterling Heights, MI
Cardiovascular Medicine, P.C., Davenport, IAOffice of Pamela Benitez M.D., Royal Oak, MI
CareConnectMD ACO, Inc., Huntington Beach, CAOffice of Pamela Johnson M.D., Detroit, MI
CareMount, Chappaqua, NYOffice of Raina Ernstoff M.D., Royal Oak, MI
Carilion Clinic, Roanoke, VAOffice of Richard Keidan M.D, Royal Oak, MI
Cary Healthcare Associates, P.A., Cary, NCOffice of Sheila Simpson M.D., Madison Heights, MI
Cary Internal Medicine And The Diabetes Center, Cary, NCOffice of Vandad Raofi, M.D., Royal Oak, MI
Cary Medical Group, Cary, NCOffice of Wesley R. Barnes M.D., Royal Oak, MI
CentraCare Health, St. Cloud, MN Ogden Clinic, PC, Ogden, UT
Central Minnesota ACO, LLC, St. Cloud, MN OH, Berkeley Heights, NJ
Central Oregon IPA, Bend, OROklahoma Cancer Specialists and Research Institute, Tulsa, OK
Central Virginia Coalition of Healthcare Providers, LLC, Hampton, VAOklahoma Health Initiatives (SJFI, LLC), Tulsa, OK
Chesapeake IPA, Baltimore, MDOneCare Vermont ACO, Colchester, VT
CHESS Health Solutions, High Point, NCOptimus Healthcare Partners, Summit, NJ
CHI Saint Joseph Health Partners, Lexington, KYOrlando Health Collaborative Care, Orlando, FL
Chippewa County War Memorial Hospital, Sault Sainte Marie, MIPalm Beach ACO, West Palm Beach, FL
CHRISTUS Health, Irving, TXPankaj J Patel M.D., P.A, Midland, TX
Chrysalis, an Accountable Care Organization, Houston, TXPark Place Family Practice, Taylor, MI
CHSPSC ACO 1, LLC, Franklin, TNParkway Primary Care, Austin, TX
CHSPSC ACO 2, LLC, Franklin, TNPartnership for Health in the Berkshires, Pittsfield, MA
CHSPSC ACO 6, LLC, Franklin, TNParvez Islam, M.D., Roseville, CA
CHSPSC ACO 7, LLC, Franklin, TNPathfinderHealth, LLC, Flagstaff, AZ
CHSPSC ACO 8, LLC, Franklin, TNPatient Care Network of Oklahoma, Oklahoma City, OK
CHSPSC ACO 9, LLC, Franklin, TNPaul E. Bristol, M.D., Austin, TX
CHSPSC ACO 10, LLC, Franklin, TNPediatrics Associates, South Bend, IN
CHSPSC ACO 12, LLC, Franklin, TNPhysicians Accountable Care of Utah, LLC, West Jordan, UT
CHSPSC ACO 13, LLC, Franklin, TNPhysician’s Medical Clinic, McMinnville, OR
CHSPSC ACO 14, LLC, Franklin, TNPhysicians of Southwest Washington, Olympia, WA
CHSPSC ACO 15, LLC, Franklin, TNPiedmont HealthCare Alliance ACO, Statesville, NC
CHSPSC ACO 16, LLC, Franklin, TNPleasanton Family Medicine, PLLC, Pleasanton, TX
CHSPSC ACO 17, LLC, Franklin, TNPort Lavaca Clinic Associates, P.A., Port Lavaca, TX
CHSPSC ACO 19, LLC, Franklin, TNPQN – Central Texas, LLC, Arlington, VA
CHSPSC ACO 21, LLC, Franklin, TNPreferred Medical Group, Madison Heights, MI
Circle Health Alliance, LLC, Lowell, MAPreferred Women’s Health, Bingham Farms, MI
Clarkston Internal Medicine, Clarkston, MIPremier Internists, Farmington Hills, MI
Clarkston Medical Group, Clarkston, MIPrimaria, Indianapolis, IN
Clarkston Medical Group, Oxford, MIPrivia Quality Network Central Texas, LLC, Arlington, VA
Cleveland Clinic, Cleveland, OHPrivia Quality Network Georgia, LLC, Tyrone, GA
CNY Accountable Integrated Medicine, Syracuse, NYPrivia Quality Network Gulf Coast II, LLC, Houston, TX
Coastal Carolina Health Care, P.A., New Bern, NCPrivia Quality Network, LLC, Arlington, VA
Coastal Carolina Quality Care, Inc., New Bern, NCProgressive Health Care, P.C., Taylor, Berkley, Livonia, MI
Colon Rectal and General Surgery, West Bloomfield, MIProminence Health Plan, Reno, NV
CommonSpirit Health, Chicago, ILPulmonary Sleep & Wellness Center, Pontiac, MI
Community Care Collaborative of Pennsylvania and New Jersey, Doylestown, PAQuality Health Alliance, Langhorne, PA
Community Care Partnership of Maine, Bangor, MEQuality Independent Physicians, Louisville, KY
Complete Health, Jacksonville, FLRajanikant Pandya M.D, Midland, TX
Comprehensive Breast Care, Troy, MIRajesh J Patel, M.D., P.A., Odessa, TX
Comprehensive Urology – Affiliates in Urology, Westland, MIRaleigh Adult Medicine, Raleigh, NC
Comprehensive Urology – Grosse Pointe Urology, Roseville, MIRaleigh Family Practice, P.A., Raleigh, NC
Comprehensive Urology – Jeffrey Weingarten MD PC, Rochester Hills, MIRaleigh Medical Group, Raleigh, NC
Comprehensive Urology – Michigan Urological Institute, Southfield, MIRedford Clinic, Redford, MI
Comprehensive Urology – Oakland County Urologists, Waterford, MIReliance ACO, Farmington Hills, MI
Comprehensive Urology – Sabry Mansour MD, Lapeer, MIReliance Next Gen ACO, Farmington Hills, MI
Comprehensive Urology, Royal Oak, Macomb, Farmington Hills, Sterling Heights, Pontiac, Troy, Garden City, Clarkston, MIRigoberto Barba, M.D., Woodland, CA
Covenant ACO, Lubbock, TXRio Grande Valley Health Alliance, McAllen, TX
Cumberland Center for Healthcare Innovation, Cookeville, TNRiverton Clinic – Riverton, Riverton, UT
David Paul Adams, M.D., P.A., Cary, NCRochester Medical Group, Rochester Hills, MI
Dawei Zheng, M.D., Sacramento, CARocklin Family Practice & Sports Medicine, Rocklin, CA
Deaconess Care Integration, Evansville, INRocky Mount Famlily Medical Center, P.A., Rocky Mount, NC
Delaware Care Collaboration, Wilmington, DERonald Rasansky, D.O. & Stephen Hoffman, D.O., Madison Heights, MI
Delaware Valley ACO, Radnor, PARush Health ACO, Chicago, IL
Devamani Gowda, M.D., Roseville, CARyan Medical Associates, P.C., Warren, MI
Dignity Health Care Network, San Francisco, CASaint Alphonsus Health Alliance, Boise, ID
DOC ACO, Palm Springs, FLSammyy Lerma III, MD, PA, Bastrop, TX
DocACO, Gulf Coast, LLCSayed A. Hussain, M.D., Roseville, CA
Doctors ACO, LLC, Athens, GASBMACO, LLC, Jonesboro, AR
Dominion Medical Associates, P.A., Austin, TXScripps Accountable Care Organization, San Diego, CA
Douglas Young, MD Inc., Sacramento, CASelect Health Network, Mishawaka, IN
Downriver Oncology Center, Brownstown, MISelect Physicians Associates ACO, Tampa, FL
Draper Clinic – Draper, Draper, UTSERPA ACO, LLC, Crete, NE
Duke Connected Care, Durham, NCSeton Accountable Care Organization, Inc., Austin, TX
Durham Family Medicine, Durham, NCShah And Associates Family Practice, Cary, NC
E.N.T. Surgical Associates, Farmington Hills, Madison Heights, MIShroff Cardiology & Internal Medicine Clinic Pa, Big Spring, TX
Eastpointe Family Physicians, Eastepoint, MIShylesh Ganta M.D., P.A, Midland, TX
Essentia Health, Duluth, MNSignify Health, Dallas, TX
Every Woman OB/GYN, Rochester Hills, MISilver Pine Medical Group – Chesterfield Office, Chesterfield, Romeo Plank Office (Macomb), Sterling Heights, MI
Fairbourne Station – West Valley, West Valley City, UTSilver State (ACO), Las Vegas, NV
Family Dermatology, Raleigh, Apex, NCSockolov & Sockolov, Sacramento, CA
Family First Primary Care, PLLC, Wake Forest, NCSouth Macomb Internal Medicine, Warren, MI
Family Health Care Center, Royal Oak, MISouth Macomb Internists, Warren, MI
Family Medical Center of Georgetown, P.A., Georgetown, TXSouth San Antonio Medical Associates, San Antonio, TX
Family Medicine & Ambulatory Care Center, Fair Oaks, CASouth Texas Clinical Partners (ACO), McAllen, TX
Family Medicine Clinic, Pearsall, TXSouth Texas Internal Medicine Associates, San Antonio, TX
Family Practice, Warren, MISouthern Kentucky Health Care Alliance, Smiths Grove, KY
Federation ACO, Portage, MISouthern New England Healthcare Organization, Hartford, CT
Five Star ACO, Tampa, FLSt Joseph Regional Health Partners ACO, Bryan, TX
Flora Medical Clinic, PLLC, Austin, TXSt Vincent’s Accountable Care Organization LLC, Jacksonville, FL
Folsom Lake Primary Care, Folsom, CASt. Elizabeth Physicians, Edgewood, KY
Franciscan Northwest Physicians Health Network (d.b.a. Rainier Health Network), Tacoma, WASterling Physicians, Sterling Heights, MI
Franklin Neurology, Farmington Hills, MISubodh K Mallik, MD, Ft. Stockton, TX
Gammons Medical, Royal Oak, MISumant A Kumar M.D, Weatherford, TX
Gammons Medical, Warren, MISumma Health, Akron, OH
Gammons Wellness and Dermatology, Royal Oak, MISummit Medical Group- NJ/CityMD, Berkeley Heights, NJ
General and Vascular Surgery, Elkhart, Mishawaka, South Bend, INSuresh Prasad Md PA, Odessa, TX
Generations Family Practice, P.A., Cary, NCSutter Health, Sacramento, CA
Genesis Physician Services, Kennett Square, PASyracuse ENT Surgeons, Dewitt, NY
Genesys PHO LLC, Burton, MISyracuse Orthopedic Specialists, PC, Syracuse, NY
Golden Triangle Physician Association, Nederland, TXTC2, Macon, GA
Grants Pass Clinic, Grants Pass, ORTexas Panhandle Clinical Partners (ACO), King of Prussia, PA
Greater Regional Medical Center, Creston, IATexoma Clinical Partners (ACO), King of Prussia, PA
Greenhaven Family Practice, Sacramento, CAThe Center for Cancer and Blood Disorders, Fort Worth, TX
GW Health Network (ACO), King of Prussia, PAThe Doctor’s In, Inc., Roseville, CA
Hamtramck Medical Urgent Care, Hamtramck, MIThe MetroHealth System, Cleveland, OH
Hattiesburg Clinic, Hattiesburg, MSThe South Bend Clinic Allergy and Immunology, South Bend, IN
Hattiesburg Clinic ACO, Hattiesburg, MSThe South Bend Clinic at Granger, Granger, IN
Hazel Park Medical Center, Hazel Park, MIThe South Bend Clinic Audiology, South Bend, IN
Health Leaders Network, Baton Rouge, LAThe South Bend Clinic Cardiology, South Bend, IN
Healthcare Quality Partners, Morristown, NJThe South Bend Clinic Day Road, Mishawaka, IN
Helen Newberry Joy Hospital & Healthcare Center, Newberry, MIThe South Bend Clinic Dermatology, Mishawaka, South Bend, IN
Hematology Oncology Consultants, Royal Oak, MIThe South Bend Clinic Dietician, South Bend, IN
Heritage Physician Network, Northridge, CAThe South Bend Clinic Endo, South Bend, IN
Hillsdale Hospital, Hillsdale, MIThe South Bend Clinic ENT, South Bend, IN
Holladay Clinic – Holladay, Holladay, UTThe South Bend Clinic Gen Surg & Vascular, South Bend, IN
Holy Cross Physician Partners, Fort Lauderdale, FLThe South Bend Clinic GI, South Bend, IN
Horizon Family Medicine, Clayton, Smithfield, Four Oaks, NCThe South Bend Clinic Granger Family Medicine, Granger, IN
Hospital Physicians Network, Farmington Hills, MIThe South Bend Clinic Immediate Care, South Bend, IN
Houston Methodist Coordinated Care, Houston, TXThe South Bend Clinic Internal Medicine, South Bend, Granger, IN
Hudson Accountable Care, Houston, TXThe South Bend Clinic Ironwood, South Bend, IN
Imperial Center Family Medicine And Immediate Care, Durham, NCThe South Bend Clinic New Carlisle, New Carlisle, IN
Imperium Health, Louisville, KYThe South Bend Clinic OBGYN, South Bend, Granger, IN
Innovation Care Partners, Scottsdale, AZThe South Bend Clinic Ophthalmology, South Bend, IN
Innovative Health Alliance of NY (IHANY), Albany, NYThe South Bend Clinic Ortho, South Bend, IN
Inspira Health Center, Woodbury, NJThe South Bend Clinic Pediatrics, South Bend, Granger, IN
Institute of Neuromuscular Medicine, Detroit, MIThe South Bend Clinic Physical Therapy, South Bend, IN
Integra Community Care Network, Providence, RIThe South Bend Clinic PMR, South Bend, IN
Intermountain Healthcare, Salt Lake City, UTThe South Bend Clinic Podiatry, Mishawaka, IN
Internal Medicine Pediatrics Associates, P.A., Cary, NCThe South Bend Clinic Portage, South Bend, IN
Internal Medicine Physicians, Farmington Hills, MIThe South Bend Clinic Radiology, South Bend, IN
Internal Medicine Primary Care Physicians, Bloomfield Hills, MIThe South Bend Clinic Rheumatology, South Bend, IN
Internal Medicine Specialists, West Bloomfield, MIThe South Bend Clinic Urology, South Bend, IN
IU Health ACO, Indianapolis, INThe South Bend Clinic, South Bend, IN
Jacobs and Van Cleeff Internal Medicine, PC, Cary, NCThedaCare, Appleton, WI
JCMC Allergy and Asthma, Jacksonville, NCThomas Hopkins, M.D., Roseville, CA
JCMC Behavioral and Mental Health, Jacksonville, NCThree Rivers Health, Three Rivers, MI
JCMC Cape Carteret, Cape Carteret, NCTooele Clinic – Tooele, Tooele, UT
JCMC Family Care Clinic, Jacksonville, NCTorrance Memorial Integrated Physicians, Torrance, CA
JCMC Gastroenterology, Jacksonville, NCTriad HealthCare Network, Greensboro, NC
JCMC Richlands, Richlands, NCTrinity Health Accountable Care Organization, Livonia, MI
JCMC Sick Clinic, Jacksonville, NCTrinity Health of New England ACO, Hartford, CT
JCMC Sneads Ferry, Sneads Ferry, NCTrinity Integrated Care, Livonia, MI
JCMC Swansboro, Swansboro, NCUC San Diego Health Accountable Care Network, La Jolla, CA
JCMC Urgent Care, Jacksonville, NCUMass Memorial Accountable Care Organization, Worcester, MA
JCMC Well Clinic, Jacksonville, NCUNC Senior Alliance, Morrisville, NC
JCMC Wilmington, Wilmington, NCUnityPoint Accountable Care, West Des Moines, IA
John R Medical Center, Madison Heights, MIUniversal Health Services, King of Prussia, PA
Jose I Sosa MD, Pearsall, TXUrology Associates of South Bend, South Bend, IN
Joseph A Marotta MD PA, San Antonio, TXUSMM Accountable Care Partners, Troy, MI
Kenan & Wang, LLC, Sacramento, CAUT Health San Antonio Regional Physician Network, San Antonio, TX
Kendall Wong M.D., Odessa, TXUtah Physicians Quality Care, Salt Lake City, UT
Kestenberg Breast Care Center, Farmington Hills, MIUW Health ACO, Madison, WI
Kevin Stephens MD PA, Austin, TXValley Medical Center, Renton, WA
Kingswood Internal Medicine, Bloomfield Hills, MIVikram Vadyala, MD, Midland, TX
Kingswood OB/GYN, Bloomfield Hills, MIVillageMD, Chicago, IL
Kolender Medical, Bingham Farms, MIVista Complete Care, Auburn, CA
Kootenai Accountable Care, Coeur d Alene, IDWake Endoscopy, Raleigh, Clayton, NC
Kurtis Fox, M.D., Colfax, CAWake Gastroenterology, Raleigh, NC
Lakes Internal Medicine, West Bloomfield, MIWake Internal Medicine & Pediatrics, Raleigh, NC
Lee Ann Roberts, Md, PA, Raleigh, NCWake Internal Medicine Consultants, Inc., Raleigh, NC
Legends Medical Clinic PLLC, Round Rock, TXWake Pediatric Gastroenterology, Raleigh, NC
Leo Toupin MD PA, Austin, TXWake Sports Medicine, Raleigh, NC
Level One Surgical Specialists, Royal Oak, MIWake Women’s Health, Raleigh, NC
Lewerenz Medical Center & Longevity Health Institute, Madison Heights, MIWasatch Clinic – Millcreek, Salt Lake City, UT
LHS Health Network, Camden, NJ Waverly Primary Care, Cary, NC
Life Health Services ACO, Middletown, CTWest Jordan Clinic, Bldg. A / Bldg. B – West Jordan, West Jordan, UT
Lifetime Family Care, Madison Heights, MIWest Michigan Accountable Care Organization, Grand Rapids, MI
Lincoln Medical Associates, Lincoln, CAWest Tennessee Clinical Partners, Louisville, KY
Live Well Neurology and Sleep, Rochester Hills, MIWestern Wake Wellness, Cary, NC
Loomis Medical Clinic, Loomis, CAWestland Clinic, Westland, MI
 Westland Healthcare, Westland, MI
 Wilderness Health, Two Harbors, MN