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Pathways to Success
Achieving Quadruple Aim Success
Join us as we continue the journey toward the Quadruple Aim through our Medicare Accountable Care Organization (ACO) and other products. Our past success is a strong indicator of the success we can achieve with the new Centers for Medicare and Medicaid Services (CMS) Pathways to Success Program. Providing services to an average of 43,000 Medicare beneficiaries annually, Wellstar Clinical Partners Medicare ACO has generated shared savings four out the five years as participants in Medicare Shared Savings Plan (MSSP).
Program Overview

CMS Pathways to Success is a new five-year program designed to bring greater value to patients while rewarding participating providers.

Effective January 1, 2020, the CMS Pathways to Success program will replace the former MSSP program and introduce a risk acceptance glide path to further encourage the delivery of high value and quality care to Medicare beneficiaries.

The program includes a five-year participation period where the shared savings upside opportunity remains fixed at a maximum of 10% of the ACO’s annual expenditures during years one through five. There is no downside risk for the first year. Downside risk begins in year two, limited to 1% of the ACOs annual expenditures. In year three, the downside risk increases to 2% followed by 4% in years four and five. Participants can make annual decisions to continue with the program.

ACO Information

Name and Location

Wellstar Clinical Partners Medicare ACO, LLC
793 Sawyer Road
Marietta, GA 30062

Primary Contact

  • Akstein Eye Center
  • American Foot & Leg Specialists, PC
  • Apex Medical Center
  • Atlanta Center for Dermatologic Diseases, PC
  • Atlanta Clinical Research Centers, LLC
  • Atlanta Family Physicians
  • Atlanta Kidney and Hypertension Associates
  • Atlanta Kidney Specialists, LLC
  • Atlanta Lung Specialists, PC
  • Atlanta Psychiatry & Neurology
  • Atlanta South Nephrology, PC
  • Atlanta Urological Group, PC
  • Atlanta West Dermatology, PC
  • Babatunde Fariyike, MD, LLC
  • Barrack Spine and Joint Medicine, Inc.
  • Barrett Parkway Foot and Leg
  • Bernard Orewa
  • Bridgemill Neurological Associates, PC
  • C.B. Reddy, MD, PC
  • Cardiology Associates of Atlanta, PC
  • Center for Allergy & Asthma of Georgia, PC
  • Center for Spine Interventions, PC
  • Classicare Medical Consult PC, Inc.
  • Cobb Internal Medicine Associates
  • Cobb Nephrology Hypertension Associates, PC
  • Cobb Women’s Health, PA
  • Corey Patrick Harkins
  • Covenant Pulmonary Critical Care Inc.
  • Craniospinal Institute of Georgia
  • Crawford Plastic Surgery
  • Dhiraj A. Patel, MD
  • Douglas Women’s Center PC
  • Douglasville Eye Clinic, PC
  • Douglasville Nephrology & HTN Clinic
  • Dr. Wendy Giles
  • East Cobb Foot & Ankle Care, PC
  • Elizabeth George, MD, PC
  • Essential Medical Care
  • Family Medical Center, PC
  • Feng’s Medical & Neurological Clinic
  • Gastrointestinal Specialist of Georgia
  • Georgia Anesthesiologists, PC
  • Georgia Blue Foot and Ankle, LLC
  • Georgia Emergency Group, LLC
  • George Eye Specialists
  • Georgia Gynecology
  • Georgia Imaging Associates, PC
  • Georgia Kidney Associates, Inc.
  • Georgia Pain and Spine Solutions, PC
  • Georgia Podiatry, Inc.
  • Georgia Radiology Services, LLC
  • Grace Medical Clinic
  • Grace Medical Practice Ltd.
  • Guo’s Medical Clinic, LLC
  • Gynecology Issues
  • Healthwise Internal Medicine
  • Hyperbaric Physicians of Georgia
  • Irshad Syed, MD, LLC
  • James B. Depew, MD, PC
  • James K. Fortson, MD, PC
  • Jasmine Jeffers, MD, LLC
  • Javaid Sayeed
  • Jeremy Meisel, MD, LLC
  • Joseph M. Still Burn Centers Inc.
  • Kamlesh D. Nayak, MD, PC
  • Kennesaw Mountain Medical Group
  • Kiritkumar J. Shah, MD, PC
  • LaGrange Emergency Physicians, LLC
  • LaGrange Internal Medicine, PC
  • Lotus Vision LLC
  • M. Ramzy Hajmurad, MD, PC
  • Mahaveer Vakharia, MD, PC
  • MAK Anesthesia Holdings, LLC
  • Maldonado & Moreno, PC
  • Marietta Eye Clinic, PA
  • Marietta Medical Group
  • Marietta OB/GYN Affiliates, PA
  • Marietta Podiatry Group
  • Marietta Rheumatology Associates, PC
  • Medical Care of LaGrange, LLC
  • Mediclinic of Georgia, PC
  • Metro Nephrology, Inc.
  • MetroDerm, PC
  • Michael Biddle
  • Michael Petrosky
  • Mina C. Nayak, MD
  • Multispecialty Services, LLC
  • Norman I. Kornblatt
  • North Fulton Emergency Physicians, LLC
  • North Georgia Kidney Specialists, LLC
  • North Georgia Internal Medicine, PC
  • Northwest Georgia Oncology Centers, PC
  • Omolara B. Kuteyi MD, Inc.
  • Orthopaedics of Atlanta, PC
  • Patricia Lloyd
  • Peachland Nephrology & Hypertension, PC
  • Physician Pain Care, PC
  • Pinnacle Orthopaedics & Sports Medicine
  • Polaris Medical Group
  • Providence Rd Primary Care, LLC
  • Quantum Radiology, PC
  • Rausch Family Practice
  • Resurgens, PC
  • Richard W. King Jr.
  • Robert T Goetzinger, MD, PC
  • S&S Imaging Associates, LLC
  • Sam Peng, MD, PC
  • Shelton Hospitalists Group, LLC
  • Smyrna Medical Associates, PC
  • South Atlanta Lung and Sleep Clinic, Inc.
  • South Atlanta Medical Associates, PC
  • South Atlanta Pulmonary and Critical Care Associates
  • South Atlanta Pulmonary Group
  • South Forsyth Family Medicine and Pediatrics, LLC
  • South Fulton Emergency Physicians, LLC
  • Southeast Podiatry
  • Southern Nephrology Clinic, LLC
  • Spilker Medical, LLC
  • St. Jude’s Internal Medicine, LLC
  • Sumner Neurology Associates, PLLC
  • Surgical Arts, PC
  • The Bortolazzo Group, LLC
  • The Breast Center, PC
  • Total Cardiology of Atlanta
  • Vascular Surgical Associates, PC
  • We Care MD, PC
  • Wellstar Medical Group, LLC
  • West Atlanta OB-GYN Inc.
  • West Cobb Internal Medicine, PC
  • West Georgia Infectious Diseases
  • William E. Snell, DO, PC
  • William Tung, MD, PC

Governing Body

Clinical and Administrative Leadership

Barbara Corey ACO Executive
Chirag Patel, MD Medical Director
Beth Kost Compliance Officer
Stephanie Lamar Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Quality & Operations Committee
Roderick Rhyant, MD Chair

Finance Committee
Barry Mangel, MD Chair

Network Committee
Brett Cannon, MD Chair

Governance and Strategy Committee
Vijay Nath, MD Co-Chair

Types of ACO participants, or combinations of participants, that formed the ACO:

Partnerships or joint venture arrangements between hospitals and ACO professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses
  • Second Agreement Period
    Performance Year 2021
  • First Agreement Period
    Performance Year 2020, N/A
Shared Savings Distribution
  • Second Agreement Period
    Performance Year 2021
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    Performance Year 2020
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2020 Quality Performance Results: N/A
For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.

Physician Led

Clinically-integrated leadership in your community

Supported

Analytics and data-driven support for the success of your practice

Valuable

Participation in other payor agreements and care strategies

Beneficial

Gain advantages from shared ACO MIPs scoring and strategic exemptions

Why consider a value-based venture?
5-year program designed to deliver greater value to patients while rewarding participating providers for high-quality care
WellStar Clinical Partners membership required for all ACO participants
Offers gradual introduction to a value-based reimbursement model with risk acceptance. No downside risk in year 1. Incremental risk and reward for years 2-5.
As a strategic partner, WellStar will assume most of the risk
Join us
Take the next step. Subscribe below to get information about attending chapter meetings or web events, and learn how you can participate in revolutionizing care delivery as part of the Wellstar ACO.