Eastern Chinese American Physician IPA, Inc.
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I
ECAP
(2004)
II
CCACO
(2011)
III
SOMOS/ACP
(DSRIP, 2014)
IV
INNOVATOR
(VBP, 2018)
FUTURE
PATH OF
SUCCESS
I
ECAP
(2004)
II
CCACO
(2011)
III
SOMOS/ACP
(DSRIP, 2014)
IV
INNOVATOR
(VBP, 2018)
FUTURE
PATH OF
SUCCESS

In 2004, a group of energetic and enthusiastic physicians were like-minded in their goals to increase the quality of care to patients and formed the Eastern Chinese American Physicians IPA, Inc., a successful independent physician association based in New York City. Since then, this core group of dedicated physicians has continued to demonstrate a track record of success by leading the way to transform healthcare in their communities by establishing other profitable physician-led and operated organizations with their strong leadership and management skills, experience in hospital administration and HMO knowledge. In 2011, the Chinese Community Accountable Care Organization, Inc. was formed and has saved CMS $16 million in healthcare costs. In 2014, a strategic alliance was created with other physician groups to form the largest as well as only physician led Performing Provider System (PPS) in the New York State's Delivery System Reform Incentive Payment (DSRIP) program. As the healthcare landscape continues to transition from fee for service to performance and quality-based care, these pioneering physicians will participate in the NY State Innovator Program that rewards early adopters of value based payments. Undoubtedly, these physician leaders will continue to be at the forefront of transforming healthcare.

A summary and highlights of achievements for each organization is listed below.

I.  EASTERN CHINESE AMERICAN PHYSICIANS IPA, INC. (ECAP)

The Eastern Chinese American Physicians IPA, Inc. ("ECAP") (www.ecapipa.org) is a physician owned and operated independent practice association established in 2004 that is comprised of more than 275 physicians, the majority of which have been in practicing medicine for over 10 years, that serve an estimated 190,000 Medicare and Medicaid beneficiaries within the Chinese communities throughout New York City in the boroughs of Manhattan, Brooklyn and Queens. ECAP's physician network is comprised of primary care physicians as well as specialist physicians in all areas of medicine to provide a full spectrum of care to beneficiaries. ECAP providers are uniquely able to provide culturally competent and language specific care to patients in this underserved community that may otherwise have limited access to healthcare. ECAP's is led by a dedicated group of 9 member Board of Directors who are recognized physicians in the community as key thought leaders who keenly understand the ever-changing landscape of healthcare and have the vision to participate in transforming and improving healthcare.

HIGHLIGHTS OF ECAP's ACHIEVEMENTS:

II.  CHINESE COMMUNITY ACCOUNTABLE CARE ORGANIZATION, INC. (CCACO)

The Chinese Community Accountable Care Organization, Inc. ("CCACO") (www.ccaco.org) is a physician owned and operated accountable care organization formed in 2011 that is comprised of more than 200 physicians, the majority of which have been in practice for over 10 years practice, that serve approximately 12,000 Medicare beneficiaries within the Chinese communities throughout New York City in the boroughs of Manhattan, Brooklyn and Queens. CCACO has over 100 primary care physicians as well as specialist physicians in the areas of cardiology, gastroenterology, otolaryngology, endocrinology, gynecology/obstetrics, pediatrics, etc. CCACO is well equipped to coordinate and provide culturally competent care to patients in this unique community. The Board of Directors who lead and guide the organization are 11 esteemed physicians, who are each recognized within the community as experts in their particular area of practice.

HIGHLIGHTS OF CCACO'S ACHIEVEMENTS:

III.  ADVOCATE COMMUNITY PROVIDERS, INC.

The Advocate Community Providers, Inc. ("ACP", n/k/a SOMOS Community Care) (www.somoscommunitycare.org) is a physician-led Performing Provider System (PPS), formed in 2014 by the joint leadership of the ECAP and CCACO leadership and the Corinthian Medical IPA, Excelsior IPA and Balance ACO leadership, to participate in New York State's Delivery System Reform Incentive Payment (DSRIP) program, which allocated over $6.4 billion in grant awards to transform the delivery of healthcare for Medicaid beneficiaries and reduce avoidable hospital admissions by 25% in New York. Recognizing their uniquely positioned ability to play a key role in reforming healthcare for Medicaid Beneficiaries, the leadership of the Asian and Hispanic physician communities throughout New York City came together to meaningfully impact and improve healthcare by creating a clinically integrated delivery system and network to manage the full spectrum of a patient's healthcare needs. The Governing Board that leads and guides the organization includes esteemed physicians, from ECAP and CCACO, who are each recognized within the community as experts in their area of practice.

HIGHLIGHTS OF ACP'S ACHIEVEMENTS:

IV.  INNOVATOR PROGRAM

The success of ECAP, CCACO and ACP's value based programs and pay for performance incentives established the foundation for the formation of a "super IPA." ECAP is a key component of the super IPA, SOMOS IPA, an alliance with other successful IPAs that will participate in the New York Value Based Payment Innovator Program. The Innovator Program encourages and rewards early adopters of value based payment arrangements, such as ECAP, that have attained a maturity level and proven track record of success in value based payment contracting for TCTP and Subpopulations.

HIGHLIGHTS OF THE NY VBP INNOVATOR PROGRAM: