360 Health DCE, Inc. dba 360 Health ACO Reach

Participant Providers
ACO Participant Type of Provider Identification of Joint Venture (Y/N)
ADOLFO QUIROGA ACO Participant Provider N
AMANDA BENNETT ACO Participant Provider N
AMANDA DAVIS ACO Participant Provider N
AMY WHITE ACO Participant Provider N
ANDREA JERGESEN ACO Participant Provider N
ANNE LE ACO Participant Provider N
ARA GUEYIKIAN ACO Participant Provider N
ASHRAF ZADSHIR ACO Participant Provider N
AUGUSTIN LIN ACO Participant Provider N
BILLY BRAVO ACO Participant Provider N
BRIAN-LINH NGUYEN ACO Participant Provider N
CATHERINE NGUYEN ACO Participant Provider N
CHELSEA STEWART ACO Participant Provider N
CHRISTIAN ROMERO ACO Participant Provider N
CHRISTIE HUA ACO Participant Provider N
CHRISTINE NGUYEN ACO Participant Provider N
DAI NGHIEM ACO Participant Provider N
DALIA CORLEONE ACO Participant Provider N
DAMARA LUCE ACO Participant Provider N
DANG NGUYEN ACO Participant Provider N
DANIEL HILTON ACO Participant Provider N
DANIEL LUONG ACO Participant Provider N
DAVID H NGUYEN MD INC ACO Participant Provider N
DAVID NGUYEN ACO Participant Provider N
DAWN WALKER ACO Participant Provider N
DONNA TRAN ACO Participant Provider N
DUC NGUYEN ACO Participant Provider N
ELISABETH WANG ACO Participant Provider N
FRANCES GRILL ACO Participant Provider N
GABRIEL COLON CABALLERO ACO Participant Provider N
GREGORIO SOSA ACO Participant Provider N
GRETA RIOS-STEED ACO Participant Provider N
HALEY NGUYEN ACO Participant Provider N
HAO THAI ACO Participant Provider N
HELEN DO ACO Participant Provider N
HERBERT BRITANICO ACO Participant Provider N
HUNG QUAN ACO Participant Provider N
IVAN GOLDSMITH ACO Participant Provider N
JACQUELINE TRAN ACO Participant Provider N
JAMES KOHAN ACO Participant Provider N
JANIA SOMMERS ACO Participant Provider N
JARED GARRISON-JAKEL ACO Participant Provider N
JARON FISCHBECK ACO Participant Provider N
JAVIER RIOS ACO Participant Provider N
JESSICA STANTON ACO Participant Provider N
JHOANA TOVAR ACO Participant Provider N
JOANNA FALCON ACO Participant Provider N
JOHN HOANG ACO Participant Provider N
JOHN STRONG ACO Participant Provider N
JOSEFA MOLINA ACO Participant Provider N
JOSEPH HATHEWAY ACO Participant Provider N
JOSEPH NASSIR ACO Participant Provider N
JUAN VELAZQUEZ ACO Participant Provider N
JULIE HILTON ACO Participant Provider N
KENNETH BABBITT ACO Participant Provider N
KERWIN YAP ACO Participant Provider N
KIM TRINH ACO Participant Provider N
KIMBERLEY PUTHOFF ACO Participant Provider N
KRISTIN WHITEHEAD ACO Participant Provider N
LAURA HOLZER ACO Participant Provider N
LISA SWANSEN ACO Participant Provider N
LORIE MANGEN ACO Participant Provider N
MARIA ROBLES ACO Participant Provider N
MARIE EKREN ACO Participant Provider N
MARISSA ADOLFO ACO Participant Provider N
MARY TRAN ACO Participant Provider N
MAYRA PADILLA ARECHIGA ACO Participant Provider N
MAYRA SILHY ACO Participant Provider N
MICHAEL DAO ACO Participant Provider N
MICHAEL KOZART ACO Participant Provider N
MICHELINE HELOU ACO Participant Provider N
MICHELLE DAVEY ACO Participant Provider N
MICHELLE FULP ACO Participant Provider N
MICHELLE LAMENDOLA ACO Participant Provider N
NANCY BREWER ACO Participant Provider N
NANCY ROSALES ACO Participant Provider N
NANCY SALMAN ACO Participant Provider N
NATALIE BROWN ACO Participant Provider N
NGOZI ANYANACHO ACO Participant Provider N
NICOLE AUGSBURGER ACO Participant Provider N
NIGHTINGALE JORDAN ACO Participant Provider N
NOEL SANTAMARIA ACO Participant Provider N
QUANG BINH NGUYEN ACO Participant Provider N
RODOLFO ROJAS ACO Participant Provider N
SABA HAQ ACO Participant Provider N
SURANI HAYRE-KWAN ACO Participant Provider N
TAM K NGUYEN MEDICAL PROFESSIONAL CORP ACO Participant Provider N
TAM NGUYEN ACO Participant Provider N
THANG NGUYEN ACO Participant Provider N
THUY PHAM ACO Participant Provider N
TIEN VO ACO Participant Provider N
TIFFANY RATLIFF ACO Participant Provider N
VALERIE EBEL ACO Participant Provider N
VANESSA SCHEU ACO Participant Provider N
VICTORIA MOOR ACO Participant Provider N
VUONG NGUYEN ACO Participant Provider N
WADE HUNSAKER ACO Participant Provider N
WALKER FAMILY MEDICINE PLC ACO Participant Provider N
WEST COUNTY HEALTH CENTERS, INC. ACO Participant Provider N

 

Preferred Providers
ACO Participant Type of Provider Identification of Joint Venture (Y/N)
1 & 1 HOME HEALTH, INC. Preferred Provider N
14766 WASHINGTON AVENUE OPERATIONS LLC Preferred Provider N
24/7 HOSPICE Preferred Provider N
320 NORTH CRAWFORD AVENUE OPERATIONS LLC Preferred Provider N
ACCENTCARE HOME HEALTH AT UC SAN DIEGO HEALTH LLC Preferred Provider N
ACCENTCARE HOME HEALTH OF CALIFORNIA, INC. Preferred Provider N
ACCENTCARE UCLA HEALTH LLC Preferred Provider N
ALEXANDRIA CARE CENTER LLC Preferred Provider N
ALTA CARE CENTER, LLC Preferred Provider N
ANAHEIM TERRACE CARE CENTER, LLC Preferred Provider N
ANOOP MAHESHWARI Preferred Provider N
ANOOP MAHESHWARI M.D PROF. CORP. Preferred Provider N
BAY CREST CARE CENTER, LLC Preferred Provider N
BILAL KAAKI Preferred Provider N
BIOREFERENCE HEALTH LLC Preferred Provider N
CHING FONG CHIN Preferred Provider N
DEVONSHIRE CARE CENTER, LLC Preferred Provider N
FARNOOSH QADRI Preferred Provider N
FOUNTAIN VIEW SUBACUTE & NURSING CENTER, LLC Preferred Provider N
GALEN HUANG Preferred Provider N
GAYTRI MANEK Preferred Provider N
GUILLERMO GOMEZ Preferred Provider N
JANET VADAPARAMPIL Preferred Provider N
JOSHUA KOH Preferred Provider N
KHANH DUONG Preferred Provider N
LABORATORY CORPORATION OF AMERICA Preferred Provider N
MAXCARE HOSPICE Preferred Provider N
MINDFUL LIVING CENTER, LLC Preferred Provider N
MONTEBELLO CARE CENTER LLC Preferred Provider N
PARKWEST REHABILITATION CENTER LLC Preferred Provider N
PHILIP YANG Preferred Provider N
QUEST DIAGNOSTICS Preferred Provider N
RIO HONDO SUBACUTE & NURSING CENTER Preferred Provider N
RODOLFO REY Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA -OAKLAND LLC Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA- SACRAMENTO LLC Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA- SAN BERNARDINO, LLC Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA- SAN DIEGO, LLC Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA, LLC Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF CALIFORNIA-ORANGE, LLC Preferred Provider N
SEASONS HOSPICE & PALLIATIVE CARE OF NORTHERN CALIFORNIA, LLC Preferred Provider N
SHARON CARE CENTER LLC Preferred Provider N
SUNBRIDGE BRITTANY REHABILITATION CENTER LLC Preferred Provider N
SUNBRIDGE CARE ENTERPRISES WEST LLC Preferred Provider N
SUNBRIDGE HALLMARK HEALTH SERVICES, LLC Preferred Provider N
SUNBRIDGE STOCKTON REHABILITATION CENTER, LLC Preferred Provider N
THE EARLWOOD, LLC Preferred Provider N
TLC OF THE BAY AREA INC Preferred Provider N
TUAN NGUYEN Preferred Provider N
UNILAB CORPORATION Preferred Provider N
VINA HOLDINGS, INC. Preferred Provider N
WOODLAND CARE CENTER LLC Preferred Provider N

 

Governing Body
Name Title/Position Membership Type Participant Affiliation
Cassie Smith Voting Member ACO Executive 360 Health ACO REACH
Dawn Walker, D.O Voting Member ACO Participant Walker Family Medicine
George Le, DNP Voting Member Consumer Advocacy N/A
Hanh Le Voting Member Medicare Beneficiary N/A
Jason Cunningham, D.O Voting Member ACO Participant West County Health Center
Mark Montoney, M.D Voting Member ACO Participant 360 Health ACO REACH
Michael Dao, M.D Voting Member ACO Participant Dao Medical Group
Tam Nguyen D.O Voting Member ACO Participant Bay Area Physician Hospital
Tam Nguyen M.D Voting Member ACO Participant Tam K Nguyen Professional

 

Leadership
Name Title/Position Participant Affiliation
Kyle Wailes Chief Executive Officer 360 Health ACO REACH
Mark Montoney, M.D. Chief Medical Officer 360 Health ACO REACH
Cassie Smith Chief of Staff 360 Health ACO REACH
Phil Harrison Chief Strategy & Analytics officer 360 Health ACO REACH
Jordan Hall ACO REACH Executive Office/CMS Liaison 360 Health ACO REACH
Scott Lenz EVP, General Counsel 360 Health ACO REACH
Sean Henson SVP of Operations 360 Health ACO REACH
Wes Stolp Vice President - Network Management 360 Health ACO REACH

 

FAQs

Q: What is a ACO REACH?

ACO REACH is a legal entity which participates in Direct Contracting pursuant to a Participation Agreement with CMS. Various types of organizations may apply to become a ACO REACH including Accountable Care Organizations (ACOs). Under ACO REACH, there will be three types of ACO REACHs with different characteristics and operational parameters.

 

Q: What is the ACO REACH?

The ACO REACH creates a new opportunity for the Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) to test an array of financial risk-sharing arrangements expected to reduce Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries. The ACO REACH leverages lessons learned from other Medicare Accountable Care Organization (ACO) initiatives, such as the Medicare Shared Savings Program and the Next Generation ACO (NGACO) Model, as well as innovative approaches from Medicare Advantage (MA) and private sector risk-sharing arrangements. This model is part of a strategy by the CMS Innovation Center to use the redesign of primary care as a platform to drive broader health care delivery system reform. The model creates a variety of pathways for participants to take on financial risk supported by enhanced flexibilities. Because the model reduces burden, supports a focus on complex, chronically and seriously ill patients, and aims to encourage organizations to participate that have not typically participated in Medicare fee-for-service (FFS) Innovation Center models, we anticipate that this model will appeal to a broad range of physician organizations and other types of health organizations.

Q: What are the model options under ACO REACH?

The CMS Innovation Center will test up to three voluntary risk-sharing options: 1) Professional, a lower-risk option (50 percent Shared Savings/Shared Losses) and Primary Care Capitation (PCC) equal to seven percent of the total cost of care benchmark for enhanced primary care services; and 2) Global, a full risk option (100 percent Shared Savings/Shared Losses) and either PCC or Total Care Capitation (TCC). CMS has also sought comment on a potential third option, the Geographic Option, which is another full risk option (100 percent Shared Savings/Shared Losses) that will offer an opportunity for participants to assume total cost of care risk for Medicare Parts A and B services for Medicare FFS beneficiaries in a defined target region.

Q: What are the benefits of participating in ACO REACH?

ACO REACH is intended to test whether the risk-based payment strategies available under the model align financial incentives and offer model participants (ACO REACH) flexibility in engaging health care providers and patients in care delivery that results in preserving or enhancing quality of care while at the same time reducing the total cost of care. Specifically, ACO REACH offers:

  • Multiple risk-sharing arrangements
  • Flexible beneficiary alignment options, including enhancements to voluntary alignment relative  to existing Medicare initiatives
  • Capitation payment options that vary by risk-sharing arrangement
  • Benefit enhancements and payment rule waivers to improve care coordination and service delivery
  • A focus on complex chronic and seriously ill beneficiaries, and
  • Options for organizations that have not participated in Medicare FFS previously

 

Q: How many years is ACO REACH?  

The model will be implemented over six performance years (PY1-6), with an optional initial Implementation Period (IP). The IP will occur from October 2020 through March 2021, PY1 will occur from April 2021 through December 2021, and PY2, PY3, PY4, PY5 and PY6 will occur in calendar years 2022, 2023, 2024, 2025, and 2026 respectively.

 

Q: What is the difference between ACO REACH Participant Providers and Preferred Providers?

ACO REACH Participant Providers are the core providers and suppliers in the Professional and Global Options. Beneficiaries are aligned to the ACO REACH through the ACO REACH Participant Providers and these providers and suppliers are responsible for, among other things, reporting quality through the ACO REACH and committing to beneficiary care improvement. ACO REACH Participant Providers, unlike Preferred Providers, are subject to the Capitation Payment Mechanism selected by the ACO REACH, which involves Medicare Fee-For-Service claims reductions and the requirement that the ACO REACH and the ACO REACH Participant Provider enter into a negotiated payment arrangement.

Preferred Providers contribute to ACO REACH goals by extending and facilitating valuable care relationships beyond the ACO REACH. For example, Preferred Providers may participate in benefit enhancements approved and available in PY1 and alternative payment arrangements with the ACO REACH. Services furnished by Preferred Providers will not be considered in beneficiary alignment and Preferred Providers are not responsible for reporting quality through the ACO REACH.

In addition to ACO REACH Participant Providers and Preferred Providers, beneficiaries aligned to a ACO REACH may also choose to receive services from Medicare FFS providers and suppliers that are not associated with the ACO REACH.

 

Q: How does CMS align beneficiaries to ACO REACH?

For the purpose of assigning accountability for risk sharing and the total cost of care, beneficiaries may be aligned to a ACO REACH in two ways; however, the beneficiary alignment options available to a ACO REACH will depend upon the ACO REACH type. The two beneficiary alignment options are as follows:

  • Claims-based alignment where beneficiaries are aligned based on the plurality of primary care services furnished by ACO REACH Participant Providers, as evidenced in claims utilization data.
  •  Voluntary alignment where beneficiaries communicate their desire to be aligned with a ACO REACH Participant Provider.

 

Shared Savings and Shared Losses Information

* Performance Year 1 (2021): -$1,072,985.82

How Shared Savings are Distributed:

- The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries: N/A

- The proportion of Shared Savings distributed to Global and Professional Direct Contracting (GPDC) Participants and Preferred Providers: N/A

* Performance Year 2 (2022): $2,297,105.39

How Shared Savings are Distributed:

- The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for beneficiaries: 50%

- The proportion of Shared Savings distributed to Global and Professional Direct Contracting (GPDC) Participants and Preferred Providers: 50%

Performance on Quality Measures

* Performance Year 1 (2021): 100%

* Performance Year 2 (2022): 100%

Click here to download our 2022 Quality Measures Results.

 

Contact Us

Primary Contact: 

Jordan Hall, DNP: ACO REACH Executive
Jordan.Hall@360.md 

Phone Numbers 

360 Health ACO REACH: (800) 509-2549
CMS: (800) 633-4227

Email

REACH@360.MD

Address

8291 Westminster Blvd. Suite 260
Westminster, CA 92683