Next Generation Accountable Care Organization Model (ACO)

Reliant Medical Group is participating in the Centers for Medicare and Medicaid Services’s Next Generation Accountable Care Organization Model. This initiative, focusing on providing care coordination for our Medicare beneficiaries, is just one of the many ways our Reliant providers care for our patients. In fact, more than 25% of people with Original Medicare already go to doctors and hospitals that have joined an ACO.

Nursing Homes

Generally, Medicare only covers care in a skilled nursing home if you stay in the hospital for at least three days before your admission. As part of our ACO, Medicare allows our doctors to admit you to a nursing home any time you need skilled nursing care, even if you have not had a 3-day hospital stay. The following are the nursing homes that we work with:

Home Visits After Hospital Stays

Medicare lets Reliant send nurses and other staff to your home up to nine times after you’re discharged from a hospital. They will help you follow the discharge plan your doctor writes.

ACO Primary Contact

Melissa Inthirath
Director of Medicare ACO
Melissa.Inthirath@reliantmedicalgroup.org

ACO Administrative Leadership

• Jonathan Chines – Reliant Medical Group, Vice President of Payer Contracting and Network Strategy; ACO Executive
• Mike Lombardi – Reliant Medical Group, Senior Compliance Manager; ACO Compliance Officer
• Michael Sheehy, MD – Reliant Medical Group, Chief of Population Health & Analytics; ACO Medical Director

ACO Governing Body

• Jonathan Chines – Reliant Medical Group, Vice President of Payer Contracting & Network Strategy; Voting Member
• Shiavax Cowasji, MD – Reliant Medical Group, Chair of Geriatrics; Voting Member
• Leon Josephs, MD – Reliant Medical Group, Chief of Specialties; Voting Member
• Steve Kozak – Reliant Medical Group, Vice President of Population Health; Voting Member
• Art Norman – Community Member, Medicare Beneficiary and Consumer Advocate; Voting Member
• Michael Sheehy, MD – Reliant Medical Group, Chief of Population Health & Analytics; Chairperson and Voting Member
• Thad Schilling, MD – Reliant Medical Group, Chief of Clinical Transformation & Primary Care; Voting Member

Amount of shared savings or losses: TBD

Proportion of shared savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: TBD

Quality measure performance: TBD

Reliant Medical Group’s Next Generation ACO does not have any joint ventures to disclose.

Next Gen ACO Mailing Address

Reliant Medical Group
5 Neponset Street
Worcester, MA, USA 01606