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VillageMD of Central Texas, LLC

Name and location

VillageMD of Central Texas, LLC

125 S. Clark Street #900

Chicago, IL 60603

 

 

What is a Direct Contracting Entity?

A Direct Contracting Entity (DCE) is a type of Accountable Care Organization (ACO).1 An ACO is a group of doctors, hospitals, and/or other health care providers that work together to improve the quality and experience of care you get. These organizations help your doctors know your health history and talk to one another about your care and your health care needs. This can save you time and money by avoiding repeated tests and unneeded appointments. It may make it easier to spot potential problems before they become more serious—like drug interactions that can happen if one doctor isn’t aware of what another has prescribed.

Important! An ACO won’t limit your choice of health care providers. It isn’t a Medicare Advantage Plan. If your doctor is part of an ACO, you still have the right to visit any doctor, hospital, or other provider that accepts Medicare at any time.

You may be able to get some benefits that aren't available to people outside an ACO. For example, a doctor who is part of an ACO may be approved to send their patients for skilled nursing facility care even if they haven’t stayed in a hospital for 3 days first, which is usually a requirement in Medicare. For you to qualify for this benefit, your doctor has to decide that you need skilled nursing facility care and meet certain other eligibility requirements.

If your primary care provider participates in an ACO and you have Original Medicare, you'll get a written notice from your provider and you'll see a poster in your provider's office about participating in an ACO. There are now hundreds of ACOs available across the country. ACOs are rewarded when they provide you with high quality care and spend health care dollars wisely. Log into (or create) your secure Medicare account at Medicare.gov to select a primary care provider who can help you manage your health care in an ACO.

Sharing your health care information with ACOs

One of the most important benefits of an ACO is that your doctors and other providers can communicate and coordinate your care. To help with that, Medicare gives certain information about your care to your health care providers’ ACO. Sharing your data in this way helps make sure all the people involved in your care have access to your health information when and where they need it, to work together to get you the care you need. If you don’t want Medicare to share your health care information this way, call 1-800-MEDICARE (1-800-633-4227) and tell that to the representative. TTY users can call 1-877-486-2048. If you decide you don’t want Medicare to give your health care information to your doctors, Medicare will continue to use your information for some purposes, like evaluating financial performance and quality of care.

To learn more about DCEs, visit https://www.medicare.gov/manage-your-health/coordinating- your-care/gpdc-model or call 1-800-MEDICARE. TTY users can call 1-877-486-2048.

1 DCEs are under an agreement with Centers for Medicare and Medicaid Services (CMS) to participate in the Global and Professional Direct Contracting (GPDC) Model.

 

What is VillageMD of Central Texas, LLC ACO?

Medicare has started an initiative where health care providers who share a common set of goals aimed at improving patient care can work together more effectively. This initiative brings together health care professionals in a Direct Contracting Entity (DCE), to work together with Medicare to give you more coordinated care and services.

 

Why join VillageMD of Central Texas, LLC ACO?

VillageMD of Central Texas, LLC ACO is participating in this initiative because we believe it will help provide a better quality of care for our patients. Patients who participate in this initiative will benefit from care coordination and preventative services such as home visits and reduced or eliminated out-of-pocket expenses.

 

Will joining VillageMD of Central Texas, LLC ACO affect my Medicare Benefits?

Your benefits will NOT change, and you can visit any doctor, other health care professional, or hospital.

 

 

Participant Providers

 

     

ACO Participant   Practice Type of Provider Identification of Joint Venture (Y/N)
Catherine Alcarez Alcarez Reliance Medical Group Participant N
Rosario Alfaro Alfaro Reliance Medical Group Participant N
Gregory Allen Allen Greenwich Bay Medical Associates Participant N
Jewel Amui-Bellon Amui-Bellon Reliance Medical Group Participant N
Rocco Andreozzi Andreozzi Ocean State Primary Care of Westerly Participant N
Tracy Anselmo Anselmo Reliance Medical Group Participant N
Ellen Appleton Appleton Reliance Medical Group Participant N
Evelyn Asante Asante Ocean State Urgent Care of Smithfield Participant N
Candace Atkins Atkins Reliance Medical Group Participant N
Lisa Bailey Bailey Ocean State Urgent Care of Cumberland Participant N
Diane Basich Basich Reliance Medical Group Participant N
Jenna Baumgartel Baumgartel Reliance Medical Group Participant N
Meaghan Bechard Bechard East Side Urgent Care Participant N
Taryn Bishop Bishop Ocean State Primary Care of Westerly Participant N
Amanda Blanchard Blanchard Brookside Medical Associates PC Participant N
Alicia Blythe Blythe Ocean State Urgent Care of Warwick Participant N
Jenna Boutilier Boutilier Brookside Medical Associates PC Participant N
Shirlane Bowen Bowen Reliance Medical Group Participant N
Christine Boyer Boyer Ocean State Urgent Care of Newport Participant N
Kelly Brigham Brigham TRUMED INC Participant N
Anna Bunch Bunch Brookside Medical Associates PC Participant N
Kristen Burke Burke East Side Urgent Care Participant N
Regis Burlas Burlas Ocean State Urgent Care of Warwick Participant N
Natasha Carvalho Carvalho Ocean State Urgent Care of Cumberland Participant N
Christine Cassel Cassel Frank M. D'Alessandro MD Inc Participant N
Daniel Collins Collins Ocean State Primary Care of Coventry Participant N
Andre Covacha Covacha Ocean State Urgent Care of Cumberland Participant N
Robert Crausman Crausman TRUMED INC Participant N
Bartel Crisafi Crisafi Ocean State Primary Care of Westerly Participant N
Robyn Cummings Cummings Reliance Medical Group Participant N
Frank D'Alessandro D'Alessandro Frank M. D'Alessandro MD Inc Participant N
Erica Demello Demello Ocean State Urgent Care of Newport Participant N
Raymond Dillon Dillon East Side Urgent Care Participant N
Paul Dionisopoulos Dionisopoulos Ocean State Urgent Care of Cumberland Participant N
Sara Draper Draper Reliance Medical Group Participant N
Okosun Edoro Edoro Ocean State Primary Care of East Providence Participant N
Alan Feldman Feldman Reliance Medical Group Participant N
Boris Furman Furman Reliance Medical Group Participant N
Debra Furtado Furtado Ocean State Primary Care of Westerly Participant N
Joseph Giancaspro Giancaspro Ocean State Primary Care of Westerly Participant N
Danielle Giorgi Giorgi Ocean State Urgent Care of Smithfield Participant N
Barbara Greenling Greenling Reliance Medical Group Participant N
Teresa Jagoda Jagoda TRUMED INC Participant N
Matthew James James East Side Urgent Care Participant N
Claudia Kane Kane Ocean State Primary Care of East Providence Participant N
Sandra Kelley Kelley Ocean State Primary Care of Coventry Participant N
William Krasner Krasner Reliance Medical Group Participant N
Ian Krouson Krouson East Side Urgent Care Participant N
Amy Lafontaine Lafontaine Ocean State Urgent Care of Smithfield Participant N
Richard Leach Leach Greenwich Bay Medical Associates Participant N
Daniel Leary Leary Ocean State Urgent Care of Warwick Participant N
Brooke Lemme Lemme Ocean State Urgent Care of Warwick Participant N
Shana Libassi Libassi Brookside Medical Associates PC Participant N
Alfred Liddle Liddle Frank M. D'Alessandro MD Inc Participant N
Phathsady Louangxay Louangxay Ocean State Urgent Care of Coventry Participant N
Sara Lundberg Lundberg Ocean State Urgent Care of Newport Participant N
David Lunt Lunt Reliance Medical Group Participant N
Michael Lurakis Lurakis Reliance Medical Group Participant N
Elena Lvov Lvov Ocean State Primary Care of Coventry Participant N
Natalia Malieva Malieva Reliance Medical Group Participant N
Gabriela Marigliano Marigliano Reliance Medical Group Participant N
Jonathan Martin Martin Frank M. D'Alessandro MD Inc Participant N
Anthony Mattiello Mattiello Ocean State Urgent Care of Cumberland Participant N
Kristin Meegan Meegan Brookside Medical Associates PC Participant N
Jessica Morales Morales Reliance Medical Group Participant N
Barbara Muir Muir Ocean State Primary Care of Westerly Participant N
Daniel Mulligan Mulligan Frank M. D'Alessandro MD Inc Participant N
Gerda Newcomb Newcomb Brookside Medical Associates PC Participant N
Gary Oxenberg Oxenberg Reliance Medical Group Participant N
Deborah Parlett Parlett Reliance Medical Group Participant N
Nayana Patel Patel Reliance Medical Group Participant N
Anne Petit Petit Reliance Medical Group Participant N
Donn Quinn Quinn Ocean State Urgent Care of Smithfield Participant N
Andrew Rego Rego Ocean State Primary Care of East Providence Participant N
Anthony Ricci Ricci Ocean State Asthma And Allergy Associates LLC Participant N
Suzett Shaw Shaw Reliance Medical Group Participant N
Keith Shields Shields Frank M. D'Alessandro MD Inc Participant N
Michael Simonetti Simonetti Ocean State Urgent Care of Smithfield Participant N
Jean Smith Smith Frank M. D'Alessandro MD Inc Participant N
Sharon Smith Smith Reliance Medical Group Participant N
Lindsey Stanley Stanley Brookside Medical Associates PC Participant N
David Stowik Stowik Ocean State Urgent Care of Smithfield Participant N
Kaylee Taillon Taillon Ocean State Primary Care of East Providence Participant N
Jeanette Thibault Thibault Ocean State Urgent Care of Smithfield Participant N
Timothy Thomas Thomas Ocean State Urgent Care of Cumberland Participant N
Cheryl Trager Trager Ocean State Urgent Care of Newport Participant N
Raymond Twum-Barima Twum-Barima Reliance Medical Group Participant N
Anne Valez Valez Ocean State Primary Care of East Providence Participant N
Kristen Ward Ward Ocean State Urgent Care of Cumberland Participant N
Faithe Weathers Weathers Ocean State Primary Care of Westerly Participant N
Robert Wicklund Wicklund Brookside Medical Associates PC Participant N
Alison Wilkens Wilkens Ocean State Urgent Care of Coventry Participant N
Scott Wilson Wilson Brookside Medical Associates PC Participant N
Jason Xynellis Xynellis Greenwich Bay Medical Associates Participant N

Governing Body and Leadership

Governing Body

Name Title/Position Membership Type ACO Participant Affiliation 
Jamie Pyle Affiliate Manager Affiliate Manager

VillageMD

TBD Medicare Beneficiary/ Consumer Advocate Medicare and Consumer Manager N/A

 

 

Leadership

Name Title/Position ACO Participant Affiliation 
Andrea Osborne DCE Executive VillageMD
Sachin Jain, MD Medical Director Village Medical

 

 

 

 

 

 

FAQ

[fa icon="plus-square"] How does the DCE benefit patients?

The goal of the DCE is to support doctors in caring for Medicare beneficiaries by making sure they have the most up-to-date information about their health and care. The following are just some of the benefits that come with a DCE:

  • Physicians communicate better with each other and avoid administering duplicate tests
  • Patients have access to additional nursing, dietary and pharmacy support
  • VillageMD Clinical Teams and specialists can better coordinate to give patients living with chronic conditions the best possible care

 

[fa icon="plus-square"] Does this come at any cost to patients?
Your doctor’s participation in the DCE enhances your benefits at no extra charge to you. You are still responsible for any regular co-insurance costs not covered by Medicare.
[fa icon="plus-square"] How can patients determine if their Primary Care Physician is participating in a DCE?
Please see above for the list of all providers participating in the DCE.
[fa icon="plus-square"] How can patients select their Primary Care Physician?
Please navigate to the top of this web page and right-click on the button that reads, "Please Click Here to Select Your Primary Care Physician" in the top-right corner. This button will then direct you to the appropriate page where you can select your provider. 
[fa icon="plus-square"] How did I get selected to participate in the DCE?
You were selected because the Primary Care Physician you see for the majority of your care is participating in the DCE.
[fa icon="plus-square"] Who can read my medical information and will it be protected?
Medical records are located on a separate secured network. Access to the secure network is granted only to appropriate staff and physicians, who have received extensive training on the system.  Doctors, hospitals and other health care providers working together in the DCE will access your medical records only when necessary, to help improve your care.  Sharing medical information with providers with-in the DCE allows us to identify your specific care needs.  The privacy and security of your medical information is protected by federal law.
[fa icon="plus-square"] What if I don't want my information shared?
If you choose, you can decline to have your Medicare claims information shared with us by calling 1-800-MEDICARE (1-800-633-4227).  TTY users should call 1-877-486-2048

Performance Review

                     
                             * * Will be updated with shared savings, losses and quality as it becomes available in 2022
 

Contact Us

 

         If you have any further questions, please contact us using the form below and we will get back to you as soon as possible.

 

Contact Information 

Primary Contact 

Lucy Sola, Manager of ACO Operations

    

 phone  Phone Numbers

VillageMD Central Texas ACO: 713-903-3850

CMS: 1-800-633-4227

 

LtBlue_EMAIL (1) Email

DCE@VillageMD.com

 

 

 

 

 

 

 

 

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