Download as PDF

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, MI Loyola Physician Partners, Maywood, IL
Abimbola M. Banjo MD P.A., Pleasanton, TX LTC ACO, Kennett Square, PA
Access Family Medicine of Sacramento, Sacramento, CA Luminis Health Collaborative Care Network, Annapolis, MD
AccoCare, Sioux Falls, SD  Main Line Health Physician Partners, Bryn Mawr, PA
Accountable Care Coalition of Georgia, Houston, TX Maine Medical Partners, Portland, ME
Accountable Care Coalition of New Jersey, NJ Mary Washington Health Alliance LLC, Fredericksburg, VA
Accountable Care Coalition of Northeast Georgia, Houston, TX Maryland Collaborative Care Transformation Organization, Houston, TX
Accountable Care Coalition of Northeast Partners, Houston, TX Maryland Primary Care Program, Baltimore, MD
Accountable Care Coalition of Southeast Partners, Houston, TX Mass General Brigham, Boston, MA
Accountable Care Coalition of Southeast Texas, Houston, TX Mayo Clinic, Rochester, MN
Accountable Care Coalition of Southeast Wisconsin, Milwaukee, WI McAuley Health Partners ACO, LLC, Ann Arbor, MI
Accountable Care Coalition of Tennessee, Houston, TX McAuley Health Partners, Ann Arbor, MI
ACO Clinical Partners, LLC, Louisville, KY MD Valuecare, Richmond, VA
ACO HealthPartners, Jacksonville, FL Meadville Medical Center, Meadville, PA
Adirondacks ACO, Plattsburgh, NY Mercy Accountable Care, Conshohocken, PA
Advanced Allergy and Asthma, Clarkston, MI MercyOne ACO I LLC, Clive, IA
Advanced Doctors ACO, LLC, West Palm Beach, FL MercyOne ACO II LLC, Clive, IA
AdvantagePoint Health Alliance – Blue Ridge, Brentwood, TN MercyOne ACO III LLC, Clive, IA
AdvantagePoint Health Alliance – Great Lakes, Brentwood, TN MercyOne ACO IV LLC, Clive, IA
AdvantagePoint Health Alliance – Laurel Highlands, Brentwood, TN MercyOne ACO V LLC, Clive, IA
Advent Health, Altamonte Springs, FL MercyOne PHSO, Clive, IA
Advocate Aurora Health, Milwaukee, WI Michael Laffer, D.O. & Gary Berg, D.O., Madison Heights, MI
Affinia Health Network, Muskegon, MI Michiana Ob/GYN, South Bend, IN
Aledade, Bethesda, MD Michigan Center for Rural Health, East Lansing, MI
Alicia W Grossmann Md Pa, Austin, TX Michigan Healthcare Professionals Dermatology, Rochester Hills, MI
AllCare Health Alliance, Camden, NJ Michigan Hernia Surgery, Royal Oak, MI
Allied Bone and Joint, South Bend, IN Michigan Premier Internists, Southfield, MI
Allied ENT Specialty Center, South Bend, IN Michigan Women's Health, Farmington Hills, Clawson, MI
Allied Physcial Therapy, South Bend, IN Mid-Atlantic Accountable Care, Morristown, NJ
Alpine Medical Center Pllc, Alpine, TX Millennium Affiliated Physicians, Farmington Hills, MI
Alta View Sports Medicine - Sandy, Sandy, UT Millennium Cardiology, Farmington Hills, MI
Amarillo Legacy Medical ACO, Amarillo, TX Millennium Diagnostic Center, Farmington Hills, Westland, MI
AMITA Health Accountable Care Organization, LLC, Chicago, IL Millennium Orthopaedics, Farmington Hills, MI
Andre K.S. Tse, M.D. PA, Jacksonville, NC Millennium Pulmonary & Sleep Clinic, Farmington Hills, MI
Anna Abalos, M.D., Family Medicine, Roseville, CA Mitchell Folbe MD PC, Troy, MI
Arbor Medical, Livonia, MI Mohammad N. Alocozy, M.D., Sacramento, CA
Ascension Care Management Health Partners Evansville, LLC, Evansville, IN Mount Carmel Health Partners, Columbus, OH
Ascension Care Management Health Partners Indianapolis, LLC, Indianapolis, IN Mount Sinai, New York City, NY
Ascension Care Management Health Partners Tennessee, Nashville, TN Mountainview Family Practice, Grants Pass, OR
Ascension Health System, St. Louis, MO MultiCare, Tacoma, WA
Ascension Medical Group, St. Louis, MO Natomas Family Practice, Sacramento, CA
Associated Endocrinologists, Farmington Hills, MI Nephrology Associates of Syracuse, Syracuse, NY
Associated Family Physicians, Inc., Sacramento, CA Nephrology Hypertension Associates of CNY, North Syracuse, NY
Associated Rheumatology Consultants, Farmington Hills, MI NEQCA Accountable Care, Inc., Braintree, MA
Associates for Women's Medicine, North Syracuse, NY Neurological Consultants, Southfield, MI
Asthma and Allergy, Farmington Hills, MI NJPACO R, LLC, Palm Springs, FL
Atlantic ACO, Morristown, NJ NOMS ACO, LLC, Sandusky, OH
Auburn Hills Medical Clinic, Auburn Hills, MI NorCal Endocrinology & Internal Medicine, Roseville, CA
Auburn Medical Group, Inc., Auburn, CA North Austin Family Medicine, PA, Austin, TX
Austin Adult GeriMed Associates, Austin, TX North Carolina Internal Medicine, PC, Cary, NC
Avera Medical Group, Sioux Falls, SD North Central Arizona Accountable Care, Prescott, AZ
Banner Health Network, Phoenix, AZ North Raleigh Endocrinology & Diabetes Center, Raleigh, NC
Banner Network Colorado, Greeley, CO North Raleigh Medical Center, Raleigh, NC
Baptist Health Care Partners LLC, Louisville, KY North Star Family Medicine P.A., Round Rock, TX
Bastrop County Medical Associates, PA, Bastrop, TX Northwest Brain and Spine (Caravan Health ACO), Bend, OR
Baycare Health Partners, Springfield, MA Northwest Florida Health Partners, Pensacola, FL
BayCare Physician Partners ACO, Clearwater, FL Northwest Medical Specialties, Tacoma, WA
Baylor Scott & White Quality Alliance, Dallas, TX Northwest Ohio ACO, Toledo, OH
Bayview Physicians Group, Chesapeake, VA Novant Health, Charlotte, NC
Be Well Medical Center, Berkley, MI NW Momentum Health Partners, Olympia, WA
Berkshire Medical Center, Pittsfield, MA Oakland Family Practice, Madison Heights, MI
Best Care Collaborative, Fort Myers, FL Oakland Imaging and Diagnostic Center, Madison Heights, MI
Beth Israel Lahey Health Performance Network, Wakefield, MA Oakland Lung & Sleep Specialists, Auburn Hills, MI
Billings Clinic, Billings, MT Oakland Macomb Surgical Group, Madison Heights, MI
BJC HealthCare Accountable Care Organization, St. Louis, MO Oakland Medical Group, Royal Oak, MI
BoiceWillis Clinic, P.A., Rocky Mount, Spring Hope, Nashville, NC Oakland Neurologists, Troy, MI
Bon Secours Medical Group, Cincinnati, OH Oakland Neurology Center, Rochester Hills, MI
Botsford Cancer Center, Farmington Hills, MI Oakland Orthopedic Institute, Pontiac, MI
Bull City Family Medicine And Pediatrics, Durham, NC OB/GYN of Northern Indiana, South Bend, IN
California Clinical Partners (ACO), Palm Springs, FL Odessa Consultants, PLLC, Odessa, TX
Cancer & Hematology Centers of Western Michigan, Grand Rapids, MI Office of David L. Benkoff M.D., Southfield, MI
Cancer & Leukemia Center, Sterling Heights, MI Office of Dr. Florek & Dr. Meyers, Bloomfield Hills, MI
Cancer Care Associates, Royal Oak, MI Office of Felicia A. Ivascu M.D., Royal Oak, MI
Capital Family Medicine, Raleigh, NC Office of Geoffrey Saham M.D., Rochester Hills, MI
Capital Family Physicians, P.A., Raleigh, NC Office of Imad George M.D., Livonia, MI
Capitol Internal Medicine Associates, Carmichael, CA Office of James Robbins M.D., Royal Oak, MI
Capstone Health Alliance, Fletcher, NC Office of Jimmi Mangla, M.D., Royal Oak, MI
Caravan Health ACO 31, LLC, Kansas City, MO Office of Kaftan Langnas and Stashefsky, Madison Heights, MI
Caravan Health ACO 32, LLC, Kansas City, MO Office of Kathryn Zeigler M.D., Royal Oak, MI
Caravan Health ACO 33, LLC, Kansas City, MO Office of Krzysztof Warszawski M.D., Garden City, MI
Caravan Health ACO 34, LLC, Kansas City, MO Office of Lina Sakr, Troy, MI
Cardiology and Vascular Associates, P.C., Waterford, Bloomfield Hills, Clarkston, Commerce, MI Office of Mario R. Villalba, Royal Oak, MI
Cardiology Consultants of Philadelphia, Philadelphia, PA Office of Mary Ferris M.D., Sterling Heights, MI
Cardiovascular Medicine, P.C., Davenport, IA Office of Pamela Benitez M.D., Royal Oak, MI
CareConnectMD ACO, Inc., Huntington Beach, CA Office of Pamela Johnson M.D., Detroit, MI
CareMount, Chappaqua, NY Office of Raina Ernstoff M.D., Royal Oak, MI
Carilion Clinic, Roanoke, VA Office of Richard Keidan M.D, Royal Oak, MI
Cary Healthcare Associates, P.A., Cary, NC Office of Sheila Simpson M.D., Madison Heights, MI
Cary Internal Medicine And The Diabetes Center, Cary, NC Office of Vandad Raofi, M.D., Royal Oak, MI
Cary Medical Group, Cary, NC Office 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, OR Oklahoma Cancer Specialists and Research Institute, Tulsa, OK
Central Virginia Coalition of Healthcare Providers, LLC, Hampton, VA Oklahoma Health Initiatives (SJFI, LLC), Tulsa, OK
Chesapeake IPA, Baltimore, MD OneCare Vermont ACO, Colchester, VT
CHESS Health Solutions, High Point, NC Optimus Healthcare Partners, Summit, NJ
CHI Saint Joseph Health Partners, Lexington, KY Orlando Health Collaborative Care, Orlando, FL
Chippewa County War Memorial Hospital, Sault Sainte Marie, MI Palm Beach ACO, West Palm Beach, FL
CHRISTUS Health, Irving, TX Pankaj J Patel M.D., P.A, Midland, TX
Chrysalis, an Accountable Care Organization, Houston, TX Park Place Family Practice, Taylor, MI
CHSPSC ACO 1, LLC, Franklin, TN Parkway Primary Care, Austin, TX
CHSPSC ACO 2, LLC, Franklin, TN Partnership for Health in the Berkshires, Pittsfield, MA
CHSPSC ACO 6, LLC, Franklin, TN Parvez Islam, M.D., Roseville, CA
CHSPSC ACO 7, LLC, Franklin, TN PathfinderHealth, LLC, Flagstaff, AZ
CHSPSC ACO 8, LLC, Franklin, TN Patient Care Network of Oklahoma, Oklahoma City, OK
CHSPSC ACO 9, LLC, Franklin, TN Paul E. Bristol, M.D., Austin, TX
CHSPSC ACO 10, LLC, Franklin, TN Pediatrics Associates, South Bend, IN
CHSPSC ACO 12, LLC, Franklin, TN Physicians Accountable Care of Utah, LLC, West Jordan, UT
CHSPSC ACO 13, LLC, Franklin, TN Physician's Medical Clinic, McMinnville, OR
CHSPSC ACO 14, LLC, Franklin, TN Physicians of Southwest Washington, Olympia, WA
CHSPSC ACO 15, LLC, Franklin, TN Piedmont HealthCare Alliance ACO, Statesville, NC
CHSPSC ACO 16, LLC, Franklin, TN Pleasanton Family Medicine, PLLC, Pleasanton, TX
CHSPSC ACO 17, LLC, Franklin, TN Port Lavaca Clinic Associates, P.A., Port Lavaca, TX
CHSPSC ACO 19, LLC, Franklin, TN PQN – Central Texas, LLC, Arlington, VA
CHSPSC ACO 21, LLC, Franklin, TN Preferred Medical Group, Madison Heights, MI
Circle Health Alliance, LLC, Lowell, MA Preferred Women's Health, Bingham Farms, MI
Clarkston Internal Medicine, Clarkston, MI Premier Internists, Farmington Hills, MI
Clarkston Medical Group, Clarkston, MI Primaria, Indianapolis, IN
Clarkston Medical Group, Oxford, MI Privia Quality Network Central Texas, LLC, Arlington, VA
Cleveland Clinic, Cleveland, OH Privia Quality Network Georgia, LLC, Tyrone, GA
CNY Accountable Integrated Medicine, Syracuse, NY Privia Quality Network Gulf Coast II, LLC, Houston, TX
Coastal Carolina Health Care, P.A., New Bern, NC Privia Quality Network, LLC, Arlington, VA
Coastal Carolina Quality Care, Inc., New Bern, NC Progressive Health Care, P.C., Taylor, Berkley, Livonia, MI
Colon Rectal and General Surgery, West Bloomfield, MI Prominence Health Plan, Reno, NV
CommonSpirit Health, Chicago, IL Pulmonary Sleep & Wellness Center, Pontiac, MI
Community Care Collaborative of Pennsylvania and New Jersey, Doylestown, PA Quality Health Alliance, Langhorne, PA
Community Care Partnership of Maine, Bangor, ME Quality Independent Physicians, Louisville, KY
Complete Health, Jacksonville, FL Rajanikant Pandya M.D, Midland, TX
Comprehensive Breast Care, Troy, MI Rajesh J Patel, M.D., P.A., Odessa, TX
Comprehensive Urology - Affiliates in Urology, Westland, MI Raleigh Adult Medicine, Raleigh, NC
Comprehensive Urology - Grosse Pointe Urology, Roseville, MI Raleigh Family Practice, P.A., Raleigh, NC
Comprehensive Urology - Jeffrey Weingarten MD PC, Rochester Hills, MI Raleigh Medical Group, Raleigh, NC
Comprehensive Urology - Michigan Urological Institute, Southfield, MI Redford Clinic, Redford, MI
Comprehensive Urology - Oakland County Urologists, Waterford, MI Reliance ACO, Farmington Hills, MI
Comprehensive Urology - Sabry Mansour MD, Lapeer, MI Reliance Next Gen ACO, Farmington Hills, MI
Comprehensive Urology, Royal Oak, Macomb, Farmington Hills, Sterling Heights, Pontiac, Troy, Garden City, Clarkston, MI Rigoberto Barba, M.D., Woodland, CA
Covenant ACO, Lubbock, TX Rio Grande Valley Health Alliance, McAllen, TX
Cumberland Center for Healthcare Innovation, Cookeville, TN Riverton Clinic - Riverton, Riverton, UT
David Paul Adams, M.D., P.A., Cary, NC Rochester Medical Group, Rochester Hills, MI
Dawei Zheng, M.D., Sacramento, CA Rocklin Family Practice & Sports Medicine, Rocklin, CA
Deaconess Care Integration, Evansville, IN Rocky Mount Famlily Medical Center, P.A., Rocky Mount, NC
Delaware Care Collaboration, Wilmington, DE Ronald Rasansky, D.O. & Stephen Hoffman, D.O., Madison Heights, MI
Delaware Valley ACO, Radnor, PA Rush Health ACO, Chicago, IL
Devamani Gowda, M.D., Roseville, CA Ryan Medical Associates, P.C., Warren, MI
Dignity Health Care Network, San Francisco, CA Saint Alphonsus Health Alliance, Boise, ID
DOC ACO, Palm Springs, FL Sammyy Lerma III, MD, PA, Bastrop, TX
DocACO, Gulf Coast, LLC Sayed A. Hussain, M.D., Roseville, CA
Doctors ACO, LLC, Athens, GA SBMACO, LLC, Jonesboro, AR
Dominion Medical Associates, P.A., Austin, TX Scripps Accountable Care Organization, San Diego, CA
Douglas Young, MD Inc., Sacramento, CA Select Health Network, Mishawaka, IN
Downriver Oncology Center, Brownstown, MI Select Physicians Associates ACO, Tampa, FL
Draper Clinic - Draper, Draper, UT SERPA ACO, LLC, Crete, NE
Duke Connected Care, Durham, NC Seton Accountable Care Organization, Inc., Austin, TX
Durham Family Medicine, Durham, NC Shah And Associates Family Practice, Cary, NC
E.N.T. Surgical Associates, Farmington Hills, Madison Heights, MI Shroff Cardiology & Internal Medicine Clinic Pa, Big Spring, TX
Eastpointe Family Physicians, Eastepoint, MI Shylesh Ganta M.D., P.A, Midland, TX
Essentia Health, Duluth, MN Signify Health, Dallas, TX
Every Woman OB/GYN, Rochester Hills, MI Silver Pine Medical Group - Chesterfield Office, Chesterfield, Romeo Plank Office (Macomb), Sterling Heights, MI
Fairbourne Station - West Valley, West Valley City, UT Silver State (ACO), Las Vegas, NV
Family Dermatology, Raleigh, Apex, NC Sockolov & Sockolov, Sacramento, CA
Family First Primary Care, PLLC, Wake Forest, NC South Macomb Internal Medicine, Warren, MI
Family Health Care Center, Royal Oak, MI South Macomb Internists, Warren, MI
Family Medical Center of Georgetown, P.A., Georgetown, TX South San Antonio Medical Associates, San Antonio, TX
Family Medicine & Ambulatory Care Center, Fair Oaks, CA South Texas Clinical Partners (ACO), McAllen, TX
Family Medicine Clinic, Pearsall, TX South Texas Internal Medicine Associates, San Antonio, TX
Family Practice, Warren, MI Southern Kentucky Health Care Alliance, Smiths Grove, KY
Federation ACO, Portage, MI Southern New England Healthcare Organization, Hartford, CT
Five Star ACO, Tampa, FL St Joseph Regional Health Partners ACO, Bryan, TX
Flora Medical Clinic, PLLC, Austin, TX St Vincent's Accountable Care Organization LLC, Jacksonville, FL
Folsom Lake Primary Care, Folsom, CA St. Elizabeth Physicians, Edgewood, KY
Franciscan Northwest Physicians Health Network (d.b.a. Rainier Health Network), Tacoma, WA Sterling Physicians, Sterling Heights, MI
Franklin Neurology, Farmington Hills, MI Subodh K Mallik, MD, Ft. Stockton, TX
Gammons Medical, Royal Oak, MI Sumant A Kumar M.D, Weatherford, TX
Gammons Medical, Warren, MI Summa Health, Akron, OH
Gammons Wellness and Dermatology, Royal Oak, MI Summit Medical Group- NJ/CityMD, Berkeley Heights, NJ
General and Vascular Surgery, Elkhart, Mishawaka, South Bend, IN Suresh Prasad Md PA, Odessa, TX
Generations Family Practice, P.A., Cary, NC Sutter Health, Sacramento, CA
Genesis Physician Services, Kennett Square, PA Syracuse ENT Surgeons, Dewitt, NY
Genesys PHO LLC, Burton, MI Syracuse Orthopedic Specialists, PC, Syracuse, NY
Golden Triangle Physician Association, Nederland, TX TC2, Macon, GA
Grants Pass Clinic, Grants Pass, OR Texas Panhandle Clinical Partners (ACO), King of Prussia, PA
Greater Regional Medical Center, Creston, IA Texoma Clinical Partners (ACO), King of Prussia, PA
Greenhaven Family Practice, Sacramento, CA The Center for Cancer and Blood Disorders, Fort Worth, TX
GW Health Network (ACO), King of Prussia, PA The Doctor's In, Inc., Roseville, CA
Hamtramck Medical Urgent Care, Hamtramck, MI The MetroHealth System, Cleveland, OH
Hattiesburg Clinic, Hattiesburg, MS The South Bend Clinic Allergy and Immunology, South Bend, IN
Hattiesburg Clinic ACO, Hattiesburg, MS The South Bend Clinic at Granger, Granger, IN
Hazel Park Medical Center, Hazel Park, MI The South Bend Clinic Audiology, South Bend, IN
Health Leaders Network, Baton Rouge, LA The South Bend Clinic Cardiology, South Bend, IN
Healthcare Quality Partners, Morristown, NJ The South Bend Clinic Day Road, Mishawaka, IN
Helen Newberry Joy Hospital & Healthcare Center, Newberry, MI The South Bend Clinic Dermatology, Mishawaka, South Bend, IN
Hematology Oncology Consultants, Royal Oak, MI The South Bend Clinic Dietician, South Bend, IN
Heritage Physician Network, Northridge, CA The South Bend Clinic Endo, South Bend, IN
Hillsdale Hospital, Hillsdale, MI The South Bend Clinic ENT, South Bend, IN
Holladay Clinic - Holladay, Holladay, UT The South Bend Clinic Gen Surg & Vascular, South Bend, IN
Holy Cross Physician Partners, Fort Lauderdale, FL The South Bend Clinic GI, South Bend, IN
Horizon Family Medicine, Clayton, Smithfield, Four Oaks, NC The South Bend Clinic Granger Family Medicine, Granger, IN
Hospital Physicians Network, Farmington Hills, MI The South Bend Clinic Immediate Care, South Bend, IN
Houston Methodist Coordinated Care, Houston, TX The South Bend Clinic Internal Medicine, South Bend, Granger, IN
Hudson Accountable Care, Houston, TX The South Bend Clinic Ironwood, South Bend, IN
Imperial Center Family Medicine And Immediate Care, Durham, NC The South Bend Clinic New Carlisle, New Carlisle, IN
Imperium Health, Louisville, KY The South Bend Clinic OBGYN, South Bend, Granger, IN
Innovation Care Partners, Scottsdale, AZ The South Bend Clinic Ophthalmology, South Bend, IN
Innovative Health Alliance of NY (IHANY), Albany, NY The South Bend Clinic Ortho, South Bend, IN
Inspira Health Center, Woodbury, NJ The South Bend Clinic Pediatrics, South Bend, Granger, IN
Institute of Neuromuscular Medicine, Detroit, MI The South Bend Clinic Physical Therapy, South Bend, IN
Integra Community Care Network, Providence, RI The South Bend Clinic PMR, South Bend, IN
Intermountain Healthcare, Salt Lake City, UT The South Bend Clinic Podiatry, Mishawaka, IN
Internal Medicine Pediatrics Associates, P.A., Cary, NC The South Bend Clinic Portage, South Bend, IN
Internal Medicine Physicians, Farmington Hills, MI The South Bend Clinic Radiology, South Bend, IN
Internal Medicine Primary Care Physicians, Bloomfield Hills, MI The South Bend Clinic Rheumatology, South Bend, IN
Internal Medicine Specialists, West Bloomfield, MI The South Bend Clinic Urology, South Bend, IN
IU Health ACO, Indianapolis, IN The South Bend Clinic, South Bend, IN
Jacobs and Van Cleeff Internal Medicine, PC, Cary, NC ThedaCare, Appleton, WI
JCMC Allergy and Asthma, Jacksonville, NC Thomas Hopkins, M.D., Roseville, CA
JCMC Behavioral and Mental Health, Jacksonville, NC Three Rivers Health, Three Rivers, MI
JCMC Cape Carteret, Cape Carteret, NC Tooele Clinic - Tooele, Tooele, UT
JCMC Family Care Clinic, Jacksonville, NC Torrance Memorial Integrated Physicians, Torrance, CA
JCMC Gastroenterology, Jacksonville, NC Triad HealthCare Network, Greensboro, NC
JCMC Richlands, Richlands, NC Trinity Health Accountable Care Organization, Livonia, MI
JCMC Sick Clinic, Jacksonville, NC Trinity Health of New England ACO, Hartford, CT
JCMC Sneads Ferry, Sneads Ferry, NC Trinity Integrated Care, Livonia, MI
JCMC Swansboro, Swansboro, NC UC San Diego Health Accountable Care Network, La Jolla, CA
JCMC Urgent Care, Jacksonville, NC UMass Memorial Accountable Care Organization, Worcester, MA
JCMC Well Clinic, Jacksonville, NC UNC Senior Alliance, Morrisville, NC
JCMC Wilmington, Wilmington, NC UnityPoint Accountable Care, West Des Moines, IA
John R Medical Center, Madison Heights, MI Universal Health Services, King of Prussia, PA
Jose I Sosa MD, Pearsall, TX Urology Associates of South Bend, South Bend, IN
Joseph A Marotta MD PA, San Antonio, TX USMM Accountable Care Partners, Troy, MI
Kenan & Wang, LLC, Sacramento, CA UT Health San Antonio Regional Physician Network, San Antonio, TX
Kendall Wong M.D., Odessa, TX Utah Physicians Quality Care, Salt Lake City, UT
Kestenberg Breast Care Center, Farmington Hills, MI UW Health ACO, Madison, WI
Kevin Stephens MD PA, Austin, TX Valley Medical Center, Renton, WA
Kingswood Internal Medicine, Bloomfield Hills, MI Vikram Vadyala, MD, Midland, TX
Kingswood OB/GYN, Bloomfield Hills, MI VillageMD, Chicago, IL
Kolender Medical, Bingham Farms, MI Vista Complete Care, Auburn, CA
Kootenai Accountable Care, Coeur d Alene, ID Wake Endoscopy, Raleigh, Clayton, NC
Kurtis Fox, M.D., Colfax, CA Wake Gastroenterology, Raleigh, NC
Lakes Internal Medicine, West Bloomfield, MI Wake Internal Medicine & Pediatrics, Raleigh, NC
Lee Ann Roberts, Md, PA, Raleigh, NC Wake Internal Medicine Consultants, Inc., Raleigh, NC
Legends Medical Clinic PLLC, Round Rock, TX Wake Pediatric Gastroenterology, Raleigh, NC
Leo Toupin MD PA, Austin, TX Wake Sports Medicine, Raleigh, NC
Level One Surgical Specialists, Royal Oak, MI Wake Women's Health, Raleigh, NC
Lewerenz Medical Center & Longevity Health Institute, Madison Heights, MI Wasatch Clinic - Millcreek, Salt Lake City, UT
LHS Health Network, Camden, NJ  Waverly Primary Care, Cary, NC
Life Health Services ACO, Middletown, CT West Jordan Clinic, Bldg. A / Bldg. B - West Jordan, West Jordan, UT
Lifetime Family Care, Madison Heights, MI West Michigan Accountable Care Organization, Grand Rapids, MI
Lincoln Medical Associates, Lincoln, CA West Tennessee Clinical Partners, Louisville, KY
Live Well Neurology and Sleep, Rochester Hills, MI Western Wake Wellness, Cary, NC
Loomis Medical Clinic, Loomis, CA Westland Clinic, Westland, MI
  Westland Healthcare, Westland, MI
  Wilderness Health, Two Harbors, MN