Overview

APA ACO is a joint venture between Allied Pacific of California and ApolloMed.  Our combined organization has been taking professional and global risk since 1992, and currently includes two Independent Physician Associations (IPAs) with over 600,000 capitated patients and 4,000 physicians, 3 Medicare Shared Savings Program Accountable Care Organizations (ACOs), a Management Services Organization (MSO) that manages our two IPAs as well as 8 other IPAs, a Hospitalist group that has over 100 Hospitalists providing care at 28 hospitals, post-acute care group, hospice/palliative care group, home health group, imaging center, 99-bed nursing home, 3 urgent care centers, 2 wellness centers, 2 ambulatory surgical centers, a Knox-Keene health plan and a population health management platform company.

APA ACO
700 N. Brand Blvd., Suite 1400
Glendale, CA 91203

For Immediate Press Release:

 

APOLLOMED ANNOUNCES THAT APA ACO, INC. HAS BEEN CHOSEN AS A

NEXT GENERATION ACCOUNTABLE CARE ORGANIZATION

                                  

GLENDALE, CA − (PR Newswire) – January 19, 2017 − Apollo Medical Holdings, Inc. ("ApolloMed" or “the Company”) (OTC: AMEH), an integrated population health management company, today announced that one of its subsidiaries, APA ACO, Inc. has been selected to participate in the Centers for Medicare & Medicaid Service’s (“CMS’s”) accountable care organization (“ACO”) model called the Next Generation ACO Model, advancing the Administration’s health care system goals and building on experience from the Pioneer ACO Model and the Medicare Shared Savings Program. Through this innovative Model, CMS will partner with APA ACO, Inc. and other ACOs experienced in coordinating care for populations of patients and whose provider groups are ready to assume higher levels of financial risk and reward under this new Advanced Alternative Payment Model. This is in accordance with the Department of Health and Human Service’s (HHS’s) goal of tying 30 percent of traditional, or fee-for-service, Medicare payments to alternative payment models, such as ACOs, by the end of 2016, and tying 50 percent of payments to these models by the end of 2018.

18 ACOs participated in the Next Generation ACO Model for the 2016 performance year, and 27 were selected by CMS for the 2017 performance year, bringing the total number of Next Generation ACOs to 45.  These organizations were selected through an open and competitive process from a large applicant pool that included many qualified organizations.

APA ACO, Inc. is jointly owned by ApolloMed and Network Medical Management, both nationally recognized for high quality, cost-efficient care and for being closely aligned with community providers including hospitals, physician offices, ambulatory diagnostic and surgical centers, skilled nursing facilities, rehab services, mental health services, urgent care centers and home health services.

“We are extremely pleased to have been chosen to participate in the Next Generation ACO Model stemming from our years of experience in providing high quality, cost-efficient, coordinated care in other Medicare Shared Savings Program ACOs,” stated Warren Hosseinion, M.D., Chief Executive Officer of Apollo Medical Holdings.  “ApolloMed and Network Medical Management consider this partnership with CMS an important step towards advancing Alternative Payment Models (APMs) of care that reward value over volume in care delivery under Medicare Payment Reform (MACRA).”

APA ACO’s provider network has significant experience coordinating care for populations of patients through initiatives, including, but not limited to, the Medicare Shared Savings Program and alternative payment models. The NGACO Model organizations were selected by fulfilling specific eligibility criteria outlined in the Request for Applications found at the Next Generation ACO Model web page.

The Next Generation ACO Model is part of the HHS’s efforts to create opportunities for providers to enter into alternative payment models and meet the Secretary’s goals announced on January 26, 2015 to move an increasing percentage of Medicare payments into models that pay providers based on the quality of care.

For more information on the Next Generation ACO Model, please visit the Next Generation ACO Model web page.


APA ACO INC. "Shared Savings and Shared Losses Information"

  • Performance Year 2017: TBD
    • Proportion invested in infrastructure
    • Proportion invested in redesigned care process/resources to improve outcomes/reduce Medicare cost for Beneficiates
    • Proportion of distribution to Next Generation ACO Participants

APA ACO INC. Quality Performance Results

  • 2017 Quality Measures Results Table: TBD
  • 2018 Quality Measures Results Table: TBD