Sign-on Letter in Support of Extending Medicare AAPM Incentive Payments

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
American Academy of Family Physicians
American College of Physicians
American Medical Association
America’s Essential Hospitals
America’s Physician Groups
Association of American Medical Colleges
Association of Community Cancer Centers
Health Care Transformation Task Force
Medical Group Management Association
National Association of ACOs
National Rural Health Association
Partnership to Empower Physician-Led Care
Premier Inc
Primary Care Collaborative Value Based Care Coalition
A2ACO Baptist Health UAMS Accountable Care Alliance, Arkansas
Acadiana Family Physicians, INC., A.P.M.C., Louisiana
Abreu Family Practice, PLLC, Texas
Access Family Medicine of Sacramento, California
Accountable Care Coalition of Direct Contracting, LLC, CT, TN, GA, NY, IL, TX, HI, CA, MA, IN, OH, FL, MI
Accountable Care Coalition of Georgia, LLC
Accountable Care Coalition of Northeast Partners, LLC, Washington, DC, Maryland, Virginia
Accountable Care Coalition of Southeast Texas, Inc.
Accountable Care Coalition of Southeast Wisconsin, LLC.
Advance Family Practice, LLC, Florida
Advanced OB-GYN of Dearborn, PC (Michigan Healthcare Professionals PC)
Advanced Women’s Healthcare of Waxahachie, PLLC, Texas
AdventHealth, Florida
Advocate Aurora Health, Illinois, Wisconsin
Aegis Medical Group, LLC, Florida
Aegis Physician’s Group, LLC, Florida
agilon health, Texas
Albany Internal Medicine, Georgia
Albemarle Center for Family Medicine, Virginia
ALC Consulting LLC, Florida
Aledade ACO Reach 1
Aledade AL MSSP Enhanced
Aledade AR MI UT MSSP Enhanced
Aledade AR MSSP 2022
Aledade AR MSSP Community Health Center Enhanced
Aledade CA MSSP 2020 Enhanced
Aledade CA MSSP 2021 Enhanced
Aledade CA MSSP 2023
Aledade CA MSSP Community Health Center
Aledade CA MSSP Santa Barbara Enhanced
Aledade Delaware ACO
Aledade Florida Central ACO
Aledade GA MSSP Enhanced
Aledade Hill Physicians 2023 MSSP
Aledade Kansas ACO
Aledade KS MSSP Community Health Center Enhanced
Aledade LA MSSP 2022 Enhanced
Aledade Louisiana ACO
Aledade MD MSSP Enhanced
Aledade Mississippi ACO
Aledade MO MSSP 2022
Aledade MS MSSP Community Health Center Enhanced
Aledade NC MSSP 2022
Aledade NJ MSSP Enhanced
Aledade Northeastern/Midwest Region MSSP 2023
Aledade OH MSSP
Aledade Opportunity MSSP 2022
Aledade PA MSSP Legacy + Gateway Enhanced
Aledade Pacific Northwest MSSP
Aledade Primary Care ACO
Aledade Southeast MSSP 2023
Aledade TX AZ AR CO UT MSSP Enhanced
Aledade VA Appalachia MSSP Enhanced
Aledade VA MSSP
Aledade Valley Health MSSP 2023
Aledade West MSSP 2023
Aledade West Virginia ACO
Alex Foxman, MD, Inc, California
Alief Medical Clinic, Texas
Allay Primary Care, PLLC, Texas
Allergy Sinus & Arthritis Clinic, PLLC, Texas
Allina Health, Minnesota
Altamonte Family Practice, Florida
Amarillo Legacy Medical ACO, Texas
American Multispecialty Group, Inc dba Esse Health, Missouri, Illinois
America’s MDE, Florida
Amherst Family Practice, Virginia
AMITA Health ACO, Illinois
Annandale Family Medicine, Virginia
Apex Primary Care Apex Primary Care, Florida
Arbor Medical (Millennium Medical Group, P.C.), Michigan
Arkansas Health Network, LLC
Arlington Primary Care, Virginia
Art Of Medicine PA, Florida
Ascension Illinois and AMITA Health Care Network
Ascension, AL, TN, IN, MI, FL, TX, WI, IL, DC, MD, NY, KS, OK
Associated Family Physicians, Inc., California
Associates in Internal Medicine, Michigan
Associates in Internal Medicine, PA, Florida
AssociatesMD Medical Group, Florida
Atlantic Accountable Care Organization, New Jersey
Atlantic Health System, New Jersey
Atlantic Medical Associates, Virginia
Auburn Hills Medical Clinic (Oakland Medical Group, P.C.), Michigan
Auburn Medical Group, Inc., California
Austin Medical Associates, Texas
Austin Medical Group PLLC, Texas
Avera Health, South Dakota
Azelvandre Family Practice, Florida
Bainbridge Medical Associates Pc, Georgia
Banner Health, AZ, CA, CO, NE, NV and WY
Baptist Health Arkansas
Baptist Physician Partners ACO, Florida
Barlas Enterprises, INC DBA FUQUA MEDICAL CTR, Texas
BASS Medical Group, California
Battlefield Family Medicine, LLC, Virginia
Bay Area House Calls, Texas
Bay Crossing Family Medicine, Maryland
Bay Family Medical Group, California
Baycare Health Partners, Massachusetts
BayCare Health System, Florida
Bayside Internal Medicine, LLC
Be Well Medical Center (Oakland Medical Group, P.C.), Michigan
Beaumont ACO Michigan, Michigan
Bedford Family Medicine, Pa, Maryland
Bel Air Family Care, LLC, Maryland
Bellaire MedClinic – Alice A. Lim, MD, Texas
Beth Israel Lahey Health Performance Network, Massachusetts
Billings Clinic, Montana
Blair Family Medicine, Texas
Block, Nation, Chase & Smolen Family Medicine, Florida
Bluestone Physician Services, MN, FL, WI
Bohler Family Practice, Georgia
BoiceWillis Clinic, P.A., North Carolina
Bon Secours Mercy Health, OH, KY, SC, VA
Bond Clinic, P.A., Florida
Bridge Creek Family Medicine, PLLC, Texas
Bryan Health Connect, Nebraska
Buena Vida y Salud, LLC, Texas
Burke Family Practice, Virginia
Burke Internal Medicine, Virginia
California Clinical Partners ACO
CAMC Health Network, LLC, West Virginia
Capital Family Medicine, North Carolina
Capital Family Physicians, P.A., North Carolina
Capital Heartcare Center, PC, Virginia
Capital Medical Partners, Maryland
Capitol Internal Medicine Associates, California
Capstone Health Alliance, North Carolina
Capstone Medical Clinic, LLC, Georgia
Caravan Collaborative Pathways ACO, Missouri
Caravan Rural ACO CH43, Missouri, Texas
Cardiology and Vascular Associates, P.C. (Michigan Healthcare Professionals PC)
CareConnectMD, California
Careline Health Group, Michigan
Carilion Clinic, Virginia
Carlos E Covarrubias, MD and Associates, Maryland
Cary Healthcare Associates, P.A., North Carolina
Cary Internal Medicine and The Diabetes Center, North Carolina
Cary Medical Group (Raleigh Family Practice, P.A.), North Carolina
Castell, Utah, Idaho, Nevada
Catonsville Primary Care Center, Maryland
CCCN ACO, LLC, Missouri, Texas
Centene, Texas
Central MN ACO, Minnesota
Central Valley Physician Partners, California
Central Virginia Family Physicians, Virginia
Centreville Medical Practice, Virginia
Ceptor Consulting, LLC, IN, MI, CO, CA, NY, FL, GA
CH Physician Partners ACO, LLC, New York
Charlottesville Family Medicine, Virginia
Chesapeake Internists Limited, Virginia
CHESS Health Solutions, North Carolina
CHI Health Partners, Nebraska
CHI Saint Joseph Health Partners, Kentucky
CHI St Gabriel’s Health, Minnesota
Chowdhury Medical Associates, LLC, North Dakota
ChristianaCare, Delaware
Churchland Family Medicine, Virginia
Citrus ACO, Florida
City Healthcare, Florida
CityMD, New York, New Jersey
Clarii Health, Maryland
Clarkston Internal Medicine, Michigan
Clarkston Medical Group, Michigan
Clermont Medical Center, Florida
Cleveland Clinic, Ohio, Florida, Nevada
Clinical Renal Associates, Pennsylvania
Clover Health, NJ, KS, NY, GA, IL, FL, OK, MO, NM, TX, IN, PA, VT, SC, MT, MS, TN, AZ, OH, AR, KY, CO
CN Internal Medicine, Virginia
CNY AIM, New York
Coastal Carolina Quality Care, Inc., North Carolina
Coastal Medical, Rhode Island
Collaborative Health Systems, AR, CA, CT, FL, GA, HI, IL, IN, IA, KS, MI, MO, NJ, NY, OH, SC, TN, TX
CommonSpirit Health, AR, AZ, CA, CO, GA, IA, IN, KS, KY, MN, NE, NM, ND, NV, OH, OR, PA, TN, TX, WA, WI
Commonwealth Family Practice, Virginia
Commonwealth Primary Care ACO LLC, Arizona
Community Care Collaborative of PA & NJ
Community Care of Brooklyn IPA, Inc., New York
Community Healthcare Partners ACO, Inc., Indiana
Community Memorial Health System, California
Complete Care Family Medicine Associates, Florida
Complete Care OB/GYN and Family Medicine, PLLC, Texas
Complete Health Accountable Care LLC, Alabama, Florida
Core Primary Care, PLLC, Texas
Country Way Family Practice, Georgia
Covenant ACO, Texas
CP & RP McManus, MD LTD, Virginia
CPC Needville, PLLC, Texas
Cullen Umosella Cullen & Cullen, Maryland
Cumberland Center for Healthcare Innovation, Tennessee
CyFair Family Practice & Geriatrics, Texas
Daniel Serives LLC, Louisiana
Danville Internal Medicine Inc, Virginia
Das Medical Associates, New Jersey
David Family Medicine & Telehealth, Maryland
Deaconess Care Integration LLC, Indiana
Deep Risk Management, New Jersey
Delaware Valley ACO, Pennsylvania
Delikat Family Practice, Florida
Desai & Holmes MD LLC, Maryland
Dobbs Family Health and Wellness Center LLC, Georgia
Doc ACO Gulf Coast, Florida, South Carolina
Doctors ACO, LLC, Georgia
Dominion Family Healthcare, Virginia
Dominion Medical Associates, P.A., Texas
Douglas Young, MD Inc., California
Dover Shores Family Practice, LLC, Florida
Downtown Baltimore Family Care, Maryland
Downtown Family Health Care, Inc, Virginia
Dr. Koslow and Associates, LTD, Virginia
Dr. Monique Y. Langston & Associates PA, Virginia
Dr. Pace & Associates, P.C., Maryland
Dr. Phillips Medical Wellness Center, LLC., Florida
Drajayreddyllc, Maryland
Draper Clinic – Draper (Granger Medical Clinic, PC), Utah
Drs. McMackin & Zimnoch PC, Washington, DC
DTHealth, PLLC, Texas
Duke Connected Care, LLC, North Carolina
Dulles Health, Virginia
Duly Health and Care, Illinois
Dupage Internal Medicine of IL, LLC, Illinois
Dupont Circle Physicians Group, Washington, DC
Dycus Family Medicine, Florida
Eastern Shore Internal Medicine, Alabama
Eastpointe Family Physicians (Oakland Medical Group, P.C.), Michigan
Eclinical Consulting LLC, Florida
Elite Providers III, New York, Pennsylvania
Endo-Med Clinic SC, Illinois
Essentia Health, Minnesota, Wisconsin, North Dakota
Evolent Care Partners/ The Accountable Care Organization, Ltd., CA, FL, IN, KS, MI, NC, NY, TX, UT
Fairbourne Station – West Valley (Granger Medical Clinic, PC), Utah
Fairfax Clinic, LLC, Virginia
Fairfield Medical Center, LLP, Texas
Fairhope Internal Medcine, P.C., Alabama
Family First Primary Care, PLLC, North Carolina
Family Health Care Center (Millennium Medical Group, P.C.), Michigan
Family Medical Care Clinic, LLC, Washington
Family Medical Care Inc, Virginia
Family Medical Center of Georgetown, P.A., Texas
Family Medical Center of Lagrange, Illinois
Family Medical Center, Florida
Family Medical Specialist of Florida, PLC, Florida
Family Medicine Specialists P.C., Georgia
Family Practice (Oakland Medical Group, P.C.), Michigan
Family Practice Associates of Tiftarea LLC, Georgia
Family Practice St Cloud Inc, Florida
Fignar Family Practice, Connecticut
First Colonial Family Practice and Urgent Care Center, Virginia
First Georgia Physician Group, Georgia
Five Star ACO, Florida
Florida Accountable Care Services, LLC
Florida Healthcare of Orlando
Folsom Lake Primary Care, California
Fork Union Family Medicine, PLLC, Virginia
Foundation Accountable Care Network ACO, California
Franciscan Missionaries of Our Lady Health System, Louisiana, Mississippi
Frederick Primary Care Associates, Maryland
Freedom Healthcare Alliance, South Carolina
Frekko Primary Care, Maryland
Gammons Medical (Oakland Medical Group, P.C.), Michigan
Generations Family Practice, P.A. – Andre K.S. Tse, M.D. PA, North Carolina
Generations Family Practice, P.A. – Carrboro Family Medicine Center, PA, North Carolina
Generations Family Practice, P.A. – Rocky Mount Family Medical Center, P.A., North Carolina
Generations Family Practice, P.A. – RSI Medical, North Carolina
Generations Family Practice, P.A. – Triad Primary Care, PLLC, North Carolina
Generations Family Practice, P.A., North Carolina
Gilberto Martinez, Family Medicine & Ambulatory Care Center, California
Grace Family Practice, Virginia
Great Falls Clinic, Montana
Great Plains Health Innovation Network, Nebraska
Greenhaven Family Practice, California
Greer Healthcare Associates, LLC, Florida
Griffin Health, Connecticut
Grove Avenue Primary Care, Virginia
Guidry, Brown and Rosson, LLC, Louisiana
Gulf Coast Physician Partners PA, Florida
Gundersen Health System, Wisconsin, Minnesota, Iowa
Hamtramck Medical Urgent Care (Oakland Medical Group, P.C.), Michigan
Hattiesburg Clinic, Pennsylvania
Hazel Park Medical Center (Oakland Medical Group, P.C.), Michigan
Health Alliance ACO d/b/a GW Health Network, Washington, DC, Maryland, Virginia
Health First Medical Group, Florida
Healthcall primary care center, Connecticut
Healthcare Partners of the North Country ACO, New York
Healthy Texan Pediatrics and Family Medicine, Texas
Heartland Health Accountable Care Organization, Iowa
Heartland Primary Care, Illinois
Hector E Guevara-Garay (Primary Medical Care Rina Ayala MD PA), Florida
High Mountain Healthcare LLC, Georgia
Hill Family Medicine & Skin Care, P.A.
Holladay Clinic – Holladay (Granger Medical Clinic, PC), Utah
Honeycomb Clinic, LLC, Texas
Houston Methodist Coordinated Care ACO, Texas
Hugo Gonzalez MD & Associates PA, Texas
Ideal Family Care, Washington
IHANY, New York
ilumed, Florida, Texas, New Jersey, Kentucky
Imperial Center Family Medicine and Immediate Care, North Carolina
Indiana Lakes ACO, LLC
Indigo Family Health, LLC, Georgia
Innovare Health Advocates, Missouri, Illinois
Innovation Care Partners, Arizona
Innovative Healthcare Collaborative of Indiana, LLC, Indiana
Inspira Health Network Medical Group P.C., New Jersey
InspireIM LLC, Maryland
Integra Community Care Network, LLC, Rhode Island
Integrated Family Medical Center, Florida
Integrated Health Collaborative, LLC, Ohio
INTEGRIS Health, Oklahoma
Intermountain Healthcare, Utah, Nevada, Idaho, Colorado, Montana
Internal Medicine & Cardiology Associates, Florida
Internal Medicine Associates of Reston, Virginia
Internal Medicine Group, INC., Virginia
Internal Medicine of Marietta, Georgia
Internal Medicine Pediatrics Associates, P.A., North Carolina
Internal Medicine Physicians (Millennium Medical Group, P.C.), Michigan
Internal Medicine Primary Care Physicians (Michigan Healthcare Professionals PC)
Internal Medicine Specialists (Millennium Medical Group, P.C.), Michigan
IPW/Medpoint Family Care Center, Wisconsin
IRCCO, Illinois
IU Health, Indiana
Jacksonville Children’s and Multispecialty Clinic, PA, North Carolina
Jacksonville Primary Care PA, Florida
Jacob Medical Associates, LLC, Florida
Jacobs And Van Cleeff Internal Medicine, PC, North Carolina
Jasmine Moghissi, MD PC, Virginia
Jennifer Gwozdz MD PA, Texas
Jennifer s ito md llc, Hawaii
JinCare Medical LLC, Virginia
John R Medical Center (Oakland Medical Group, P.C.), Michigan
Kenan & Wang, LLC, California
Kenner Physician Associates, LLC, Louisiana
Kingswood Internal Medicine (Michigan Healthcare Professionals PC)
Kolender Medical (Millennium Medical Group, P.C.), Michigan
Lacey Medical Clinic, Washington
Lake Howell Health Center (Hoffman), Florida
Lake Pointe Women’s Center, PA, Texas
Lakes Internal Medicine (Michigan Healthcare Professionals PC)
Lakeview Healthcare Systems, LLC, Florida
Lakowsky and Batlin Medical Corp., California
Lawrence A. Adjei APMC INC., Georgia
Legends Medical Clinic PLLC, Texas
LeHealth, LLC, Texas
Lewerenz Medical Center & Longevity Health Institute (Oakland Medical Group, P.C.), Michigan
Liberty Doctors, South Carolina
Lifetime Family Care (Oakland Medical Group, P.C.), Michigan
Lifetime Family Medicine, Virginia
Lifetime Medical Center, Georgia
Lincoln Medical Associates, California
Lisa Kim Medical Associates, S.C., Illinois
Loomis Medical Clinic, California
Louis J Radnothy, D.O., P.A. DBA Umatilla Family Health Center, Florida
Loyola Physician Partners, Illinois
LTC ACO, LLC, National
Lumeris Healthcare Outcomes, LLC, Missouri
Luminis Health, Maryland
Mahoney Family Medicine, Virginia
MaineHealth Accountable Care Organization, Maine
Martinsville Family Medicine, Virginia
Mary Washington Health Alliance LLC., Virginia
Mass General Brigham, Massachusetts
Matcare, LLC, Maryland
Matthew G. Stine, D.O., P.A., Medical Associates at Willow Park, Texas
Mayo Clinic, Minnesota, Arizona, Florida, Wisconsin
McAuley Health Partners ACO, LLC, Michigan
Mcintosh Clinic, P.C., Georgia
Mcintosh Trail Family Practice Associates, Georgia
McIntyre Family Medicine, Illinois
McKinney Medical Center, Georgia
McLean Internal Medicine, Virginia
MD Value Care, Virginia
Med Institute, Inc, California
Medical Associates Of Central Virginia
Memorial Health And Wellness, Texas
Menocal Family Practice, Maryland
Menon Medical Center, Maryland
Mercyhealth, Wisconsin, Illinois
MercyOne PHSO, Iowa
Metroplex Womens Care, PLLC, Texas
MHC Holdings Inc, Florida
Michigan Premier Internists (Millennium Medical Group, P.C.),
Mid-Atlantic Collaborative Care, Washington, DC, Maryland, Pennsylvania, Virginia
Middle Georgia Family Health, LLC, Georgia
Middlebrook Family Medicine, Virginia
Middletown Medical, pc, New York
Midlothian Family Medicine Clinic, Texas
Midwest Physician Administrative Services, Illinois
Millennium Affiliated Physicians (Millennium Medical Group, P.C.), Michigan
Millennium Physician Group, Florida
Mission Health Partners, North Carolina
Montefiore Health System, New York
Montesano Internal Medicine, Washington
Moon Family Practice, Florida
Mount Carmel Health Partners, Ohio
Mount Sinai Health System, New York
Mount Vernon Internal Medicine, Virginia
Mountain Health Network, West Virginia
MultiCare Capital Medical Center, Washington
MultiCare Connected Care, Washington
Nebraska Health Network ACO, Nebraska
Neighborhood Medical Clinic, Texas
New Era Healthcare, Virginia
New Providence Internal Medicine Associates/Primary Care Partners, New Jersey
New River Medical Group, LLC, Virginia
Nguyen Medical Practice, Virginia
NH Cares ACO, New Hampshire
Noorani Medical Center, Florida
NorCal Endocrinology & Internal Medicine, California
North Alabama Internal Medicine, PC, Alabama
North Austin Family Medicine, PA, Texas
North Berkeley Family Care, South Carolina
North Carolina Internal Medicine, PC, North Carolina
North Raleigh Medical Center, North Carolina
North Star Family Medicine P.A., Texas
Northern Medical Group PLLC, New York
Northern Virginia family Medicine, Virginia
Northfield Hospital + Clinics, Minnesota
NorthShore — Edward-Elmhurst Health, Illinois
Northwest Momentum Health partners ACO, Washington
Novello Physicians Organization, Michigan
Oakland Family Practice (Oakland Medical Group, P.C.), Michigan
Ochsner Health, Louisiana, Mississippi, Texas
Odessa Consultants, PLLC, Texas
Office of Aaron M. Roland, California
Office of Abimbola M. Banjo MD P.A., Texas
Office of Alicia W. Grossmann MD P.A., Texas
Office of Allen Jackson, South Carolina
Office of Alvaro Puig, MD, PLLC, Virginia
Office of Ann H. Snyder, MD, PA, Texas
Office of Ann Marie D Gordon MD MPH, Washington, DC
Office of Anna Abalos, M.D., California
Office of Beth Hanrahan, MD LLC, Florida
Office of C. Keith Grisham, M.D., P.A., Texas
Office of Camille Goff MD, Texas
Office of Chinmay K Patel, D.O., Illinois
Office of Christina Myint, M.D., P.A., Texas
Office of Christopher D Naquin MD APMC, Louisiana
Office of Claudia Methvin, MD, PLLC, Virginia
Office of Connie Pham, M.D., PLLC, Texas
Office of David A. Francis, MD, Alabama
Office of David Paul Adams, M.D., P.A., North Carolina
Office of Dawei Zheng, M.D., California
Office of Dennis Eisenberg MD PA, Texas
Office of Devamani Gowda, M.D., California
Office of Dina Sverdlov, California
Office of Donna G Chambers MD, Maryland
Office of Dr Ngo Medical Clinic, PA, Florida
Office of Dr. Carpousis, MD, LTS, Virginia
Office of Dr. John M Wise, Louisiana
Office of Dr. Joseph Saucedo, Texas
Office of Dr. Meyers (Michigan Healthcare Professionals PC)
Office of Dr. Natalie Hughes, DO,PA, Texas
Office of Elizabeth D White MD, Inc, Louisiana
Office of Emil W. Tajzoy, MD, PLLC, Texas
Office of Gary L. Gilcrease, M.D., P.A., Texas
Office of Gary W, Duncan MDPA, Texas
Office of Glenn Carter, M.D., Georgia
Office of Howard Ellison MD, Georgia
Office of Howard Mangurten MD, SC, Illinois
Office of Husna R. Baksh, MD, PC., Maryland
Office of Imad George M.D. (Millennium Medical Group, P.C.), Michigan
Office of Issa Yusuf, MD PA, Maryland
Office of J. T. Lee MD PA, Maryland
Office of Jaclyn Harrison, MD PLLC, Texas
Office of James M Bury MD, Wisconsin
Office of Jay C. Tyroler, MD PC, Virginia
Office of Joel D. Meshulam, MD, Maryland
Office of John C. Chow, California
Office of John T. Littell M.D. PA, Florida
Office of Jorge Amador MD, LLC, Georgia
Office of Jose I Sosa MD, Texas
Office of Joseph A Marotta MD PA, Texas
Office of Joseph P. Behan, M.D., P.A., Texas
Office of Juan P. Suarez, MD, Florida
Office of Julie Tomberlin, M.D., P.A., Texas
Office of Kaftan Langnas and Stashefsky (Oakland Medical Group, P.C.), Michigan
Office of Karl Spector, MD, Maryland
Office of Kathryn D. Kelly, MD, PC, Maryland
Office of Kendall Wong M.D., Texas
Office of Kevin Stephens MD PA, Texas
Office of Krzysztof Warszawski M.D. (Michigan Healthcare Professionals PC)
Office of Kurtis Fox, M.D., California
Office of Leo Toupin MD PA, Texas
Office of Lina Sakr (Oakland Medical Group, P.C.), Michigan
Office of Linda L Casteel, MD, PC, Georgia
Office of Linda M Lang MD, Maryland
Office of Mahmoud H. Mustafa, MD, FACP, Washington, DC
Office of Manohar Alloju, MD, PA, Texas
Office of Marcelino D. Albuerne, MD, Maryland
Office of Marcia J Oliveira MD, PA, Texas
Office of Mark G. Brooks, M.D., P.A., Florida
Office of Mary Ferris M.D. (Oakland Medical Group, P.C.), Michigan
Office of Michael Grady, MD, Washington, DC
Office of Mohammad N. Alocozy, M.D., California
Office of Monica Bali, MD, Maryland
Office of Morie Mehyou, Arkansas
Office of Nashaat Ibraheim MD, Texas
Office of Navdeep Mathur, MD, MPH, FACP, Virginia
Office of Neel French MD SC, Illinois
Office of Neil A. Patterson, M.D., P.A., Florida
Office of Nneka Edokpayi, MD PLLC, Texas
Office of Omar Aref MD PLC, Florida
Office of Pankaj J Patel M.D., P.A, Texas
Office of Paul E. Bristol, M.D., Texas
Office of Paul R. Ehrmann, DO (Michigan Healthcare Professionals PC)
Office of Raiqa Munis MD PC, Virginia
Office of Rajanikant Pandya M.D, Texas
Office of Rajesh J Patel, M.D., P.A., Texas
Office of Rakesh Arora, MD, FAAFP, PA, Maryland
Office of Ramesh P Melvani MD, Illinois
Office of Randy B Cronic MD, California
Office of Richard Bernstein, MD, Maryland
Office of Robert C Blackwood, M.D., INC., Virginia
Office of Ronald W. Atwood, MD, PC, Virginia
Office of Roya Sedghi MD PC, Virginia
Office of Ruth R. Wiley, D.O., P.A., Texas
Office of Sally Mcfarland, MD, Virginia
Office of Sammy Lerma III, MD, PA, Texas
Office of Sanjay Pethkar MDSC, Illinois
Office of Satish Angra MD PC, Maryland
Office of Sayed A. Hussain, M.D., California
Office of Scott Hippeard, MD, Virginia
Office of Sergio B Seoane M.D., Florida
Office of Shahid Shamim, MD LLC, Maryland
Office of Shylesh Ganta M.D., P.A, Texas
Office of Stephen J. Farmer, MD, Texas
Office of Stephen J. Shields, MD PA, Florida
Office of Steven R. Tucker, MD PC, Virginia
Office of Subodh K Mallik, MD, Texas
Office of Suresh Prasad Md PA, Texas
Office of Suzanne L Nunn, MD PC, Georgia
Office of Ted E. Fogwell, MD, Texas
Office of Thomas E Maslen MD, Maryland
Office of Thomas Hopkins, M.D., California
Office of Tommy T. Kuo, MD, California
Office of Traci Thompson, MD PA, Florida
Office of Veronica Villalba, MD, PA, Texas
Office of Vikram Vadyala, MD, Texas
Office of Vinu Ganti md pc, Maryland
Office of Waleska Galindez, MD PA, Florida
Office of William A. Condrell, MD PC, Washington, DC
Office of William J. Warren, D.P.M., P.A., Texas
Office of William Linthicum, MD, Maryland
Ogden Clinic, PC, Utah
Olympia Multi-Specialty Clinic, Washington
One Medic Lane Physicians PLLC, Texas
OneCare Vermont
OneHealth Nebraska
OneHealth Primary Care DBA Bowman Hampsey Medical Clinic, Florida
Opal Medical Group, Maryland
OPN Healthcare, Inc., California
Optimus Healthcare Partners, New Jersey
Orlando Primary Care, PA LLC, Florida
Oscar Garza, M.D. PA, Family Medicine Clinic, Texas
Osceola Women & Family Medicine Specialists, Florida
Oza Family Care and Wellness Center, Texas
Panther Creek Medical Center, P.A., Texas
Park Nicollet Health Services Accountable Care, Minnesota
PBACO Holding, LLC, Florida
Peachtree Cardiology, P.C., Georgia
Peachtree Medical Center, Georgia
Peninsula Regional Clinically Integrated Network, LLC, Maryland
Perisseia Primary Care and Wellness, Georgia
Perry Family Practice, LLC, Georgia
Personalized Women’s Healthcare, Texas
Physician Partners, Florida
Physician Performance LLC, Massachusetts
Physician Quality Partners, North Carolina
Physicians ACO, LLC, Florida
Physicians Group Of The Woodlands, Texas
Physicians of Central Florida, LLC
Physicians Treatment Center, Virginia
Pinellas County Primary Care & Hospitalists, PLLC, Florida
Pleasanton Family Medicine, PLLC, Texas
PMA Health, Virginia
Port Lavaca Clinic Associates, P.A., Texas
Potomac Internal Medicine, Virginia
Precision Health Care, LLC, Maryland
Preferred Medical Group (Michigan Healthcare Professionals PC)
Premier Internists (Millennium Medical Group, P.C.), Michigan
Premier Primary Care Physicians PC, Virginia
PremierMED, Florida
Preston Hollow Women’s Healthcare, Texas
Prevention Plus Clinic LLC, Louisiana
Prima Medicine, Virginia
Primary Care Alliance, LLC, Florida
Primary Care Center of Clear Lake, Texas
Primary Care Development Corporation, New York, California
Primary Care Partners, Nebraska
Primary Care Specialists of Orlando – Orange Avenue, Florida
Primary Partners Alliance, Florida
Primary Partners, Florida
Prime Care Managers, LLC, Texas
Prime Care Medical Services, LLC, Georgia
Prime MD of Naples PLLC, Florida
Primecare Medical Center, Texas
Prisma Health Upstate Network, South Carolina
Privia Health
Privia Medical Group Central Florida
Privia Medical Group Georgia
Privia Medical Group Gulf Coast
Privia Medical Group Maryland
Privia Medical Group Montana
Privia Medical Group North Texas
Privia Medical Group Tennessee
Privia Medical Group Virginia
Privia Medical Group West Texas
Privia Quality Network Central Florida
Privia Quality Network Central Texas
Privia Quality Network Georgia
Privia Quality Network Gulf Coast, Texas
Privia Quality Network Maryland
Privia Quality Network Tennessee
Privia Quality Network, Virginia
Professional Park Medical Services, Georgia
Progressive Health Care, P.C., Michigan
ProHealth Care, Wisconsin
Prospect Medical Group, Inc., California
Providence, Washington
PSW, Washington
Pucillo Family Practice PA, Texas
Purisima Family Medicine, California
Quality Reviews, New York
Quince Orchard Psychotherapy, LLC, Maryland
Raleigh Adult Medicine (Raleigh Family Practice, P.A.), North Carolina
Raleigh Medical Group (Raleigh Family Practice, P.A.), North Carolina
Rancho Health MSO, California
Redford Clinic (Oakland Medical Group, P.C.), Michigan
Reliance ACO LLC, Michigan
Revere Health, Utah
Rhome Family Practice Clinic, Texas
Ridgeline Physician Services, LLC, Virginia
Rio Grande Health Alliance, Texas
Riverton Clinic – Riverton (Granger Medical Clinic, PC), Utah
Roanoke Partners In Health Pc, Virginia
Robertson Family Medicine, PLLC, Texas
Robin Dale, M.D., L.L.C., Louisiana
Rochester Medical Group (Oakland Medical Group, P.C.), Michigan
Rockbridge Health, Virginia
Rocklin Family Practice & Sports Medicine, California
Rockville Internal Medicine Group, Maryland
Rockville Medical care, Maryland
Rockwell Physicians of Salisbury PLLC, Virginia
Rose Hill Family Physicians, Maryland
Ryan Medical Associates, P.C. (Oakland Medical Group, P.C.), Michigan
San Marcos Family Medicine, Texas
Sarasota Primary Care LLC, Florida
Savii Health, Georgia
Screven Primary Care, LLC, Georgia
Scripps Health, California
Select Physicians Associates, LLC, FL, GA, AL, SC, MI, IL, MS, TN
Seven Corners Medical Center, Virginia
Shah And Associates Family Practice, North Carolina
Shaun Kretzschmar, D.O., P.A., Aledo Family Medicine, Texas
Shepherd Health Management, Texas
Shroff Cardiology & Internal Medicine Clinic, P.A., Texas
Signify Health
Silver Pine Medical Group – Sterling Heights Office, Michigan
Silver Spring Medical Center, LLC, Maryland
Silver State ACO, Nevada
Simple Medicine, South Carolina
Singing River Health System, Louisiana
Slidell Memorial Hospital, Louisiana
Snow Family Medicine Inc., Florida
SoNE Health, Connecticut
Sookdeo Family Medicine PLLC, Florida
South Macomb Internal Medicine (Oakland Medical Group, P.C.), Michigan
South Shore Health, Massachusetts
South Texas ACO Clinical Partners, Texas
South Texas Internal Medicine Associates, Texas
SouthCoast Health, Georgia
Southeast Health Statera Network, Alabama
Southeast Primary Care Partners, LLC, Georgia
Southern Practitioner, Florida
Southside Medical Management, Virginia
Southwest Internal Medicine Specialists, Florida
St. Elizabeth Urgent Care & Family Practice, Texas
St. Joseph’s Health, New York
St. Louis Physicians Collaborative, Missouri, Illinois
St. Tammany Emergency Physicians Group LLC, Louisiana
St. Tammany Parish Hospital Service District No 1, Louisiana
Star Family Medicine, Virginia
Steck Medical Clinic, Washington
Stephenville Medical And Surgical Clinic, P.A., Texas
Sterling Physicians (Oakland Medical Group, P.C.), Michigan
Stone Ridge Family Medicine PLLC, Virginia
Stratum ACO, Missouri, Texas
Sullivan County Community Hospital, Indiana
Summit Health, New Jersey, New York, Pennsylvania, Connecticut, Oregon
Summit Medical Group, Tennessee
Sunflower Medical Group P.A., Kansas
Sunmed Group LLC, Florida
Sunshine Family Medicine Center, Florida
Suture Health, Inc., Alabama
Tarrant Medical Associates, LLC, Texas
Tate Medical Associates, LLC, Georgia
TC2, Georgia
Texas Health Care, PLLC
Texas Health Resources
Texas Panhandle Clinical Partners ACO, Texas, New Mexico, Oklahoma
Texas Premier Physicians, P.A.
Texoma ACO, Texas
Texoma Clinical Partners ACO, Texas, Oklahoma
The Center for Health Affairs, Ohio
The Doctor’s In, Inc., California
The Family Doctors of Shreveport, Louisiana
The Medical Office of Maximilian Oshalim, MD PLLC, Washington, DC
The MetroHealth System, Ohio
The South Bend Clinic, Indiana
ThedaCare ACO LLC, Wisconsin
Think ACO, LLC, Nebraska
Think Whole Person Healthcare, Nebraska
Thomasville Family Medicine, Georgia
Thrive Family Clinic, LLC, Texas
Thrive Primary Care, LLC, Maryland
Tidewater Accountable Care Organization, Virginia
Titus County Hospital District, Texas
Tony Varghese MD PA LLC, Maryland
Tooele Clinic – Tooele (Granger Medical Clinic, PC), Utah
Torrance Memorial Integrated Physicians, California
Torrance Memorial IPA, California
Total Family Care LLC, Maryland
Total Family Healthcare, Florida
Touchstone Internal Medicine & Pediatrics, Texas
Triad HealthCare Network, North Carolina
Tri-County Health Care, Minnesota
Trinity Health, MI, OH, NY, IN, ID, PA, DE, IL, CT, FL, MA
TruCare Medical Practice, LLC, Virginia
Tufts Medicine, Massachusetts
Tumwater Family Practice Clinic, Washington
UC Davis Medical Center, California
UC San Diego Health, California
UMass Memorial Health, Massachusetts
UNC Senior Alliance/UNC Health, North Carolina
UnityPoint Accountable Care, Iowa
University Internal Medicine, Inc., Rhode Island
University of Chicago Medicine, Illinois
UpStream Healthcare, North Carolina, South Carolina, Virginia
UVAACO, Missouri, Texas
UW Health, Wisconsin
VA Health and Wellness, LLC, Virginia
Valley Family Practice, LLC, Virginia
Vanderbilt University Medical Center, Tennessee
Veranda Medical Group, LLC, Georgia
Vibrant Family Medicine, P.C., Georgia
Vicinia Health, Missouri, Illinois
VillageMD, AZ, CO, FL, GA, IL, IN, KY, MA, MI, NH, NJ, NV, RI, TX
Virginia Family Medicine
Vista Complete Care
Vital Medicine PC (Michigan Healthcare Professionals PC), Michigan
Vraj Medical LLC, Florida
Vytalize Health, New Jersey
Wake Internal Medicine Consultants, Inc., North Carolina
Waldorf Primary Care, Maryland
Wasatch Clinic – Millcreek (Granger Medical Clinic, PC), Utah
Washington Regional Medical System, Arkansas
Weirsdale Family Health Center, Inc, Florida
WellFamily Medicine, Virginia
Wellspring Family Medicine, P.C., Maryland
West Florida ACO
West Jordan Clinic, Bldg. A – West Jordan (Granger Medical Clinic, PC), Utah
West Texas Health, PLLC
Westchester Medical Group, New York
Western ACO, Colorado, Utah
Western Wake Wellness, North Carolina
Westfield Associates in Internal Medicine and Gastroenterology, New Jersey
Westland Clinic (Millennium Medical Group, P.C.), Michigan
Westland Healthcare (Millennium Medical Group, P.C.), Michigan
WholeHealth Medical, Virginia
Wilems Resource Group, LLC, Texas
Winchester Internal Medicine, Inc, Virginia
Winchester Medical Consultants, Virginia
Wingard Urgent Care and Wellness, Georgia
Winter Park Family Practice, Florida
Wong Family Medicine, Maryland
Xin-Nong Li M.D., Inc., California
Yankton Medical Clinic, P.C., South Dakota, Nebraska
Yee Medicine & Pediatric Associates, New Jersey
YELM Family Medicine, Washington
You and Your Health Family Care, Florida
Your MD LLC, Maryland
Zeus Primary Care Associates llc, Maryland
Zia ACO, New Mexico

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