What is a ACO Reach?
An ACO REACH creates a new opportunity for the Centers for Medicare & Medicaid Services. To test an array of financial risk-sharing arrangements expected to reduce Medicare expenditures while preserving or enhancing the quality of care to beneficiaries. The Direct Contracting Model leverages lessons learned from other Medicare Accountable Care Organization (ACO) initiatives. 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. 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) models. We anticipate that this model will appeal to a board range of physician organizations and other types of health organizations.
Providers
Provider | State |
|---|---|
BOO WOONG LEE ,M.D. | CA |
CHOON SOO RIM ,M.D. | CA |
HONG SIK KIM ,M.D. | CA |
HOON GI HONG ,M.D. | CA |
HYANG EUN SOHN ,M.D. | CA |
HYO RANG LEE ,M.D. | CA |
JESSICA BAIK ,M.D. | CA |
JIEUN SIM ,N.P. | CA |
JOSEPH YI ,M.D. | CA |
KISUK CHO ,M.D. | CA |
KYU DONG AHN ,M.D. | CA |
LAURI AN ,M.D. | CA |
PETER KIM ,M.D. | CA |
RO JONG PARK ,M.D. | CA |
ROBERT T HA ,M.D. | CA |
SEUNG AN ,M.D. | CA |
SONWOO LEE ,M.D. | CA |
SOO WOONG KANG ,M.D. | CA |
WONHEE LEE ,N.P. | CA |
YOON-JUNG CHO ,M.D. | CA |
SHAWN KIM ,M.D. | GA |
ANN HARADA ,M.D. | HI |
ARNOLD SEID ,M.D. | HI |
AURORA MARIANI ,M.D. | HI |
GABRIELA ORTIZ OMPHROY ,M.D. | HI |
Preferred Providers
Provider | Provider Type |
|---|---|
N/A | N/A |
Governing Body
Name | Role | Company |
|---|---|---|
Robert Ha, M.D. | Participant Provider/Voting Member | United Physicians Association |
Jessica Kim Nguyen | Voting Member | United Physicians Association |
Shawn Kim, M.D. | Participant Provider/Voting Member | GA Internal Medicine |
Philip Suh, M.D. | Participant Provider/Voting Member | Pacific Primary Care |
Ro Jong Park, M.D. | Participant Provider/Voting Member | United Physicians Association |
Kisuk Cho, M.D. | Participant Provider/Voting Member | Central Medical Center |
Maritess Gamboa | Consumer Advocate/Voting Member | - |
Chang S. Kang | Medicare Beneficiary/Voting Member | - |
DCE Key Clinical and Administrative Leadership
Name | Title | Company |
|---|---|---|
Robert Ha, M.D. | CEO & President, Participant Provider | United Physicians Association |
Jessica Kim Nguyen | Chief Operations & Financial Officer | United Physicians Association |
Ro Jong Park, M.D. | Chief Medical Officer, Participant Provider | United Physicians Association |
Amir Rahimi | Chief Technology Officer | Top Health Systems |
ACO Name and Location
United Physician Association
9892 Garden Grove Blvd
Garden Grove, CA 92844
ACO Primary Contact
Jessica Kim Nguyen
Associated Committees and Committee Leadership
Committee Name | Committee Leader Name and Position |
|---|---|
N/A | N/A |
Shared Savings and Shared Losses Information
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
Networks of individual practices of ACO professionals.
Amount of Shared Savings/Losses:
Fourth Agreement Period
Performance Year N/A, N/A
Third Agreement Period
Performance Year N/A, N/A
Second Agreement Period
Performance Year 2022, $7,390,615.18
First Agreement Period
Performance Year 2021, $5,175,447.00
Shared Savings Distribution
Fourth Agreement Period
Performance Year N/A
Proportion invested in infrastructure: N/A%
Proportion invested in redesigned care processes/resources: N/A%
Proportion of distribution to ACO participants: N/A%
Third Agreement Period
Performance Year N/A
Proportion invested in infrastructure: N/A%
Proportion invested in redesigned care processes/resources: N/A%
Proportion of distribution to ACO participants: N/A%
Second Agreement Period
Performance Year 2022
Proportion invested in infrastructure: 15%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 75%
First Agreement Period
Performance Year 2021
Proportion invested in infrastructure: 15%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 75%
Payment Rule Waivers
Waiver for Payment for Telehealth Services:
Our ACO clinicians provide Telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
Quality Performance Result
In Performance Year 2021, United Physicians Association attained a Total Quality Score of 100%
In Performance Year 2022, United Physicians Association attained a Total Quality Score of 100%
Click here to download our 2022 Quality Measures Results
Notice to Beneficiaries
UPA selected BE/BEI listed below for PY2022 and these BE/BEI were not selected for PY2023.
*Care Management Home Visit
*Concurrent Care for Hospice Beneficiaries
*Cost Sharing for Part B Services (BEI)
*Post Discharge Home Visit
Above listed four BE/BEI will no longer be offered for PY2023 (starting from Jan. 1, 2023).
*Your Medicare benefits have not changed. You may still go to any doctor, hospital, or other healthcare provider that accepts Medicare.
Questions?
If you have questions about this letter, please call us at 877-847-0055 or you may call Medicare at 1-800-MEDICARE (1-800-633-4227; TTY users may call 1-877-486-2048).
United Physicians Association, Inc
Joint Ventures Between or Among UPA and any of its Participant and Preferred Providers
UPA has not entered into any joint ventures between or among our Participating of Preferred Providers