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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 Health Middlebrook Family Medicine, Virginia
American Academy of Family Physicians Middletown Medical, pc, New York 
American College of Physicians Midlothian Family Medicine Clinic, Texas 
American Medical Association Midwest Physician Administrative Services, Illinois 
AMGA Millennium Affiliated Physicians (Millennium Medical Group, P.C.), Michigan 
America’s Essential Hospitals Millennium Physician Group, Florida 
America’s Physician Groups Mission Health Partners, North Carolina 
Association of American Medical Colleges Montefiore Health System, New York 
Association of Community Cancer Centers Montesano Internal Medicine, Washington 
Health Care Transformation Task Force Moon Family Practice, Florida 
Medical Group Management Association Mount Carmel Health Partners, Ohio 
National Association of ACOs Mount Sinai Health System, New York 
National Rural Health Association Mount Vernon Internal Medicine, Virginia 
Partnership to Empower Physician-Led Care Mountain Health Network, West Virginia 
Premier Inc MultiCare Capital Medical Center, Washington 
Primary Care Collaborative MultiCare 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, Texas New 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, MI Nguyen Medical Practice, Virginia 
Accountable Care Coalition of Georgia, LLC NH 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, Texas North 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, Georgia Northfield Hospital + Clinics, Minnesota 
Albemarle Center for Family Medicine, Virginia NorthShore -- Edward-Elmhurst Health, Illinois 
ALC Consulting LLC, Florida  Northwest Momentum Health partners ACO, Washington 
Aledade ACO Reach 1 Novello Physicians Organization, Michigan 
Aledade AL MSSP Enhanced Oakland Family Practice (Oakland Medical Group, P.C.), Michigan 
Aledade AR MI UT MSSP Enhanced Ochsner Health, Louisiana, Mississippi, Texas 
Aledade AR MSSP 2022 Odessa Consultants, PLLC, Texas 
Aledade AR MSSP Community Health Center Enhanced Office of Aaron M. Roland, California 
Aledade CA MSSP 2020 Enhanced Office of Abimbola M. Banjo MD P.A., Texas 
Aledade CA MSSP 2021 Enhanced Office of Alicia W. Grossmann MD P.A., Texas 
Aledade CA MSSP 2023 Office of Allen Jackson, South Carolina 
Aledade CA MSSP Community Health Center Office of Alvaro Puig, MD, PLLC, Virginia
Aledade CA MSSP Santa Barbara Enhanced Office of Ann H. Snyder, MD, PA, Texas 
Aledade Delaware ACO  Office of Ann Marie D Gordon MD MPH, Washington, DC 
Aledade Florida Central ACO Office of Anna Abalos, M.D., California 
Aledade GA MSSP Enhanced Office of Beth Hanrahan, MD LLC, Florida 
Aledade Hill Physicians 2023 MSSP Office of C. Keith Grisham, M.D., P.A., Texas
Aledade Kansas ACO Office of Camille Goff MD, Texas
Aledade KS MSSP Community Health Center Enhanced Office of Chinmay K Patel, D.O., Illinois 
Aledade LA MSSP 2022 Enhanced Office of Christina Myint, M.D., P.A., Texas
Aledade Louisiana ACO Office of Christopher D Naquin MD APMC, Louisiana 
Aledade MD MSSP Enhanced Office of Claudia Methvin, MD, PLLC, Virginia
Aledade Mississippi ACO Office of Connie Pham, M.D., PLLC, Texas
Aledade MO MSSP 2022 Office of David A. Francis, MD, Alabama 
Aledade MS MSSP Community Health Center Enhanced Office of David Paul Adams, M.D., P.A., North Carolina 
Aledade NC MSSP 2022 Office of Dawei Zheng, M.D., California 
Aledade NJ MSSP Enhanced Office of Dennis Eisenberg MD PA, Texas
Aledade Northeastern/Midwest Region MSSP 2023  Office of Devamani Gowda, M.D., California 
Aledade OH MSSP Office of Dina Sverdlov, California 
Aledade Opportunity MSSP 2022 Office of Donna G Chambers MD, Maryland
Aledade PA MSSP IMG + PMSI Office of Dr Ngo Medical Clinic, PA, Florida 
Aledade PA MSSP Legacy + Gateway Enhanced Office of Dr. Carpousis, MD, LTS, Virginia 
Aledade Pacific Northwest MSSP Office of Dr. John M Wise, Louisiana 
Aledade Primary Care ACO  Office of Dr. Joseph Saucedo, Texas
Aledade Southeast MSSP 2023 Office of Dr. Meyers (Michigan Healthcare Professionals PC)
Aledade TX AZ AR CO UT MSSP Enhanced Office of Dr. Natalie Hughes, DO,PA, Texas
Aledade VA Appalachia MSSP Enhanced Office of Elizabeth D White MD, Inc, Louisiana 
Aledade VA MSSP Office of Emil W. Tajzoy, MD, PLLC, Texas
Aledade Valley Health MSSP 2023 Office of Gary L. Gilcrease, M.D., P.A., Texas
Aledade West MSSP 2023 Office of Gary W, Duncan MDPA, Texas
Aledade West Virginia ACO Office 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, Texas Office of Husna R. Baksh, MD, PC., Maryland
Allergy Sinus & Arthritis Clinic, PLLC, Texas Office 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, Texas Office 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, Virginia Office of Joel D. Meshulam, MD, Maryland
AMITA Health ACO, Illinois  Office of John C. Chow, California 
Annandale Family Medicine, Virginia Office 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, LLC Office of Joseph A Marotta MD PA, Texas 
Arlington Primary Care, Virginia Office of Joseph P. Behan, M.D., P.A., Texas
Art Of Medicine PA, Florida Office of Juan P. Suarez, MD, Florida 
Ascension Illinois and AMITA Health Care Network Office of Julie Tomberlin, M.D., P.A., Texas 
Ascension, AL, TN, IN, MI, FL, TX, WI, IL, DC, MD, NY, KS, OK Office 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, Florida Office 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, Virginia Office 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, Texas Office of Linda M Lang MD, Maryland
Austin Medical Group PLLC, Texas Office 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, Georgia Office of Marcia J Oliveira MD, PA, Texas 
Banner Health, AZ, CA, CO, NE, NV and WY Office of Mark G. Brooks, M.D., P.A., Florida 
Baptist Health Arkansas Office 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, California Office of Monica Bali, MD, Maryland 
Battlefield Family Medicine, LLC, Virginia Office of Morie Mehyou, Arkansas
Bay Area House Calls, Texas Office of Nashaat Ibraheim MD, Texas 
Bay Crossing Family Medicine, Maryland Office 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, LLC Office 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, Maryland Office of Paul R. Ehrmann, DO (Michigan Healthcare Professionals PC)
Bel Air Family Care, LLC, Maryland Office of Raiqa Munis MD PC, Virginia 
Bellaire MedClinic - Alice A. Lim, MD, Texas Office 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, Texas Office 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, WI Office of Richard Bernstein, MD, Maryland
Bohler Family Practice, Georgia Office 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, Texas Office 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, Virginia Office of Satish Angra MD PC, Maryland 
Burke Internal Medicine, Virginia Office of Sayed A. Hussain, M.D., California 
California Clinical Partners ACO Office 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, Virginia Office of Stephen J. Farmer, MD, Texas 
Capital Medical Partners, Maryland Office 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, Georgia Office 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, Maryland Office 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, Maryland Office 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, Virginia OneCare Vermont 
Centreville Medical Practice, Virginia OneHealth Nebraska 
Ceptor Consulting, LLC, IN, MI, CO, CA, NY, FL, GA OneHealth Primary Care DBA Bowman Hampsey Medical Clinic, Florida 
CH Physician Partners ACO, LLC, New York  Opal Medical Group, Maryland 
Charlottesville Family Medicine, Virginia OPN Healthcare, Inc., California 
Chesapeake Internists Limited, Virginia Optimus 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, Kentucky Osceola 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, Delaware Park Nicollet Health Services Accountable Care, Minnesota 
Churchland Family Medicine, Virginia PBACO 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, Maryland Perisseia 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, CO Physicians ACO, LLC, Florida 
CN Internal Medicine, Virginia Physicians 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, TX Pleasanton 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, WI PMA Health, Virginia 
Commonwealth Family Practice, Virginia Port Lavaca Clinic Associates, P.A., Texas 
Commonwealth Primary Care ACO LLC, Arizona  Potomac Internal Medicine, Virginia
Community Care Collaborative of PA & NJ Precision 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, Texas Preston Hollow Women's Healthcare, Texas
Complete Health Accountable Care LLC, Alabama, Florida  Prevention Plus Clinic LLC, Louisiana 
Core Primary Care, PLLC, Texas Prima Medicine, Virginia
Country Way Family Practice, Georgia Primary Care Alliance, LLC, Florida 
Covenant ACO, Texas  Primary Care Center of Clear Lake, Texas 
CP & RP McManus, MD LTD, Virginia Primary Care Development Corporation, New York, California 
CPC Needville, PLLC, Texas Primary Care Partners, Nebraska 
Cullen Umosella Cullen & Cullen, Maryland Primary Care Specialists of Orlando - Orange Avenue, Florida 
Cumberland Center for Healthcare Innovation, Tennessee  Primary Partners Alliance, Florida 
CyFair Family Practice & Geriatrics, Texas Primary Partners, Florida 
Daniel Serives LLC, Louisiana  Prime Care Managers, LLC, Texas 
Danville Internal Medicine Inc, Virginia Prime Care Medical Services, LLC, Georgia
Das Medical Associates, New Jersey  Prime MD of Naples PLLC, Florida 
David Family Medicine & Telehealth, Maryland Primecare 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, Georgia Privia 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, Virginia Privia 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, Virginia Privia Quality Network Georgia
Dr. Koslow and Associates, LTD, Virginia Privia Quality Network Gulf Coast, Texas 
Dr. Monique Y. Langston & Associates PA, Virginia Privia Quality Network Maryland
Dr. Pace & Associates, P.C., Maryland Privia Quality Network Tennessee
Dr. Phillips Medical Wellness Center, LLC., Florida Privia 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, DC ProHealth Care, Wisconsin 
DTHealth, PLLC, Texas Prospect 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, UT Rhome Family Practice Clinic, Texas
Fairbourne Station - West Valley (Granger Medical Clinic, PC), Utah  Ridgeline Physician Services, LLC, Virginia
Fairfax Clinic, LLC, Virginia Rio Grande Health Alliance, Texas 
Fairfield Medical Center, LLP, Texas Riverton 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, Virginia Rockbridge 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., Georgia Rose 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, Georgia San 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, Virginia Screven Primary Care, LLC, Georgia 
First Georgia Physician Group, Georgia Scripps Health, California 
Five Star ACO, Florida  Select Physicians Associates, LLC, FL, GA, AL, SC, MI, IL, MS, TN
Florida Accountable Care Services, LLC Seven Corners Medical Center, Virginia 
Florida Healthcare of Orlando Shah 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, Virginia Shepherd 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, Maryland Silver Pine Medical Group - Sterling Heights Office, Michigan 
Freedom Healthcare Alliance, South Carolina  Silver Spring Medical Center, LLC, Maryland 
Frekko Primary Care, Maryland Silver 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, Virginia South Texas ACO Clinical Partners, Texas 
Great Falls Clinic, Montana South 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, Virginia Southside 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, Florida Steck 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, Texas Stone 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, Georgia Summit 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, Texas Sunshine Family Medicine Center, Florida 
Houston Methodist Coordinated Care ACO, Texas  Suture Health, Inc., Alabama 
Hugo Gonzalez MD & Associates PA, Texas Tarrant 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, LLC Texas Premier Physicians, P.A.
Indigo Family Health, LLC, Georgia Texoma 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, Maryland The 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, Virginia Thrive Family Clinic, LLC, Texas 
Internal Medicine Group, INC., Virginia Thrive Primary Care, LLC, Maryland 
Internal Medicine of Marietta, Georgia Tidewater 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, Texas Tufts Medicine, Massachusetts 
Jennifer s ito md llc, Hawaii  Tumwater Family Practice Clinic, Washington 
JinCare Medical LLC, Virginia UC 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, Texas UpStream 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., Georgia Valley Family Practice, LLC, Virginia 
Legends Medical Clinic PLLC, Texas  Vanderbilt University Medical Center, Tennessee 
LeHealth, LLC, Texas Veranda 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, Virginia Virginia Family Medicine
Lifetime Medical Center, Georgia Vista 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, Virginia West 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., Georgia Westland Clinic (Millennium Medical Group, P.C.), Michigan 
Mcintosh Trail Family Practice Associates, Georgia Westland 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, Virginia Winchester 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, Texas Wong Family Medicine, Maryland 
Menocal Family Practice, Maryland Xin-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