WKCC Accountable Care Organization

What Is An ACO

An Accountable Care Organization (ACO) is a group of doctors and other healthcare providers who agree to work together with Medicare to give you high quality care. ACOs may take different approaches to giving you coordinated care. Some ACOs may have special nurses that help you set up appointments or make sure your medications are in order when you enter or leave a hospital. Other ACOs may help your doctors get you equipment for monitoring your medical conditions at home, if you need it. Most ACOs use advanced systems that let them more carefully coordinate your care, and make sure your doctor has the most up-to-date information about your health.

The goal of the ACO is to support your doctor in caring for you by making sure they have the most up-to-date information about your health and your care. For you, this means your doctors communicate with each other more effectively, and you avoid having duplicate tests or answering the same questions over and over. Working together, your doctors can do more to follow your health, make sure you get high quality care, and may hire additional staff to help meet your unique care needs, depending on what works for you.

Doctors and other healthcare providers choose to participate in an ACO because they’re committed to providing you with an improved care experience. They may also be rewarded for offering you high quality, more coordinated care. If your doctor chooses to participate in an ACO, you will be notified, either in person or by letter.

ACO Name and Location

WakeMed Key Community Care
PO Box 14729
Raleigh, NC 27620


ACO Primary Contact

John Rubino, MD
WKCC@WakeMedKeyCC.org
855.800.2004


ACO Participants

For current listing of participating doctors, please visit the practice website:

Alexander N. Newman, MD, P.A.*

Alvi Prime Time Clinics*

Avance Care, P.A.*

Blue Ridge Pediatrics, LLP*

Capital Family Medicine, P.A.*

Capital Family Physicians, P.A.*

Cary Adult Medicine, PLLC*

Cary Healthcare Associates, P.A.*

Cary Internal Medicine and Diabetes Center, P.A.*

David Paul Adams, M.D., P.A.*

Family First Primary Care, PLLC*

Family Medical Associates of Raleigh, P.A.*

Garner Internal Medicine, P.A.*

Generations Family Practice, P.A.*

Imperial Center Family Medicine & Immediate Care, PLLC*

Internal Medicine Associates of Raleigh, P.A.*

Internal Medicine Pediatric Associates, P.A.*

James Jacobs, MD, P.C.*

Jeffers, Mann & Artman Pediatric & Adolescent Medicine, P.A.*

Mary J Forbes, M.D., PLLC*

Metro Internal Medicine, P.A.*

Neuse Valley Internal Medicine*

North Carolina Internal Medicine, P.A.*

North Raleigh Family Medicine, P.C.*

Pediatric Partners, P.A.*

Prescription Urgent Care, P.A.*

Raleigh Children & Adolescents Medicine, P.C.*

Raleigh Durham Medical Group, P.A.*

Raleigh Family Practice, P.A.*

Raleigh Medical Group, P.A.*

Raleigh Pediatric Associates, P.A.*

Richard D. Adelman, MD*

Shah and Associates Family Practice*

Triangle Pediatric Center, P.A.*

White Oak Pediatric Associates, P.A.*

Wake Internal Medicine Consultants, Inc.*

Wake Specialty Physicians, LLC*

Wake Forest Pediatric Associates, PLLC*

WakeMed*

Western Wake Wellness*

Participants involved in a joint venture are identified by the * next to their names on the participant list


ACO Governing Body

All representatives are voting members.

John Rubino, MD | Key Manager

ACO Participant Representative | Raleigh Medical Group, P.A. | Chairman of the Board

John Holly, MD | WakeMed Manager

ACO Participant Representative | WakeMed Physician Practices | Vice-Chairman of the Board

John Meier, MD | Key Manager

ACO Participant Representative | Wake Internal Medicine Consultants, Inc. | Treasurer of the Board

Tres Pittman, MD | WakeMed Manager

ACO Participant Representative | WakeMed Physician Practices | Secretary of the Board

John Burkard, MD | Key Manager

ACO Participant Representative | Capital Family Physicians, P.A.

Conrad Flick, MD | Key Manager

ACO Participant Representative | Family Medical Associates of Raleigh, P.A.

Larry Mann, MD | Key Manager

ACO Participant Representative | Jeffers, Mann, and Artman Pediatric and Adolescent Medicine, P.A.

Allen Hewett, MD | Key Manager

ACO Participant Representative | Raleigh Pediatric Associates

Peter Chauncey | Key Manager

ACO Participant Representative

Donald Gintzig | WakeMed Manager

ACO Participant Representative | WakeMed Professional Staff

Matthew Nathan, MD | WakeMed Manager

ACO Participant Representative | WakeMed Professional

West Paul, MD | WakeMed Manager

ACO Participant Representative | WakeMed Physician Practices

Susheel Atree, MD | WakeMed Manager

ACO Participant Representative | WakeMed Physician Practices

Stephen Leinenweber, MD | WakeMed Manager

ACO Participant Representative | WakeMed Physician Practices

Robert Bilbro, MD

Medicare Beneficiary

Tom Oxholm

Community Stakeholder


Key ACO Clinical and Administrative Leadership

ACO Executive Director: Ray Coppedge | WakeMed Key Community Care

Medical Director: Brian Klausner, MD | WakeMed Key Community Care

Compliance Official: Michael Berwanger, JD | WakeMed Key Community Care


Associated Committees and Committee Leadership

Finance and Operations Committee

Conrad Flick, MD | Chair

Management Committee

John Rubino, MD | Chair

Network and Credentialing Committee

Vacant | Chair

Quality Improvement Committee

West Paul, MD | Chair


Types of ACO Participants or Combinations of Participants that Formed the ACO

WakeMed Key Community Care, LLC is an ACO that is composed of networks of individual practices of ACO professionals, and a hospital employing ACO professionals.  

 

Shared Savings and Losses

Amount of Shared Savings/Losses

To be completed after conclusion of performance year.

Shared Savings Distribution

  • Proportion invested in infrastructure: 5-20%
  • Invested in redesigned care processes/resources: 0%
  • Proportion of distribution to ACO participants: 80-95%

 

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

 

Quality Performance Results

To be completed after conclusion of performance year.

 

Compliance

You may call 855.800.2004 to report any compliance issues or concerns, 24 hours a day, 7 days a week. All calls may be placed anonymously. You may also email compliance issues or concerns to WKCC@WakeMedKeyCC.Org or Compliance@WakeMedKeyCC.org.