Medicare Direct Contracting Model
Central Valley Community Partners LLC dba CVMG
is a CMS Direct Contracting Entity
CVMG is pleased to be named a Centers for Medicare & Medicaid Services (CMS) Direct Contracting Entity (DCE). This is a special program for Medicare beneficiaries who have Original Medicare. Beneficiaries are either aligned by CMS or can voluntarily opt into the program. Beneficiares in the DCE program receive extra benefits while retaining the freedom of choice
to go to any doctor, hospital or other healthcare provider that accepts Medicare.
A DCE is a group of doctors, hospitals, and other healthcare providers who agree to work together to keep Medicare patients healthy. CVMG providers agree to work together to see that beneficiaries get the right care at the right time. CVMG helps providers work together to give beneficiaries better care. CVMG coordinates patient care according to individual medical needs and treatment choices. CVMG protects beneficiary medical records and privacy and works to reduce duplicate tests and duplicate paperwork that cost beneficiaries time and money.
CVMG will offer DCE beneficiaries enhanced engagement and coordination of care through incentive programs and cost-sharing. CVMG partner with beneficiaries to provide necessary preventive care, including adherence to treatment plans and prescriptions, follow-up care, and management of chronic conditions.
DCE Participating Providers:
| Family Medicine Christine Battaglia, MD Bradley Blankenship, MD Chuah Cha, MD Mitchell Cohen, MD Jordan De-Paz, MD John English, MD Susan Kraus, MD Giang Lam, MD Raul Montalvo, MD Nishant Patel, MD Juan Lopez Solorza Karl Wolf, MD Donna Wong, MD Susie Wenstrup, MD |
Internal Medicine Humayun Abbas, MD Edward Auen, MD James Boozer, MD Terry Croasdale, MD Gervacio Diaz, III, MD Alex Foxman, MD Rita Gogna, MD Igor Gorokhov, MD Doris Karam, MD Barbara Kennedy-Funtila, MD Priti Modi, MD Garth Tanner, MD |
DCE Clinical and Administrative Leaders:
Sandra James – CEO
Dr. Gervacio Diaz – Chief Compliance Officer, DC Participating Provider
Dr. James Boozer – Chief Medical Officer, DC Participating Provider
Dr. Jordan De-Paz – Chief Performance Officer, DC Participating Provider
Dr. Magdy Elsakr – DC Preferred Provider
Dr. Joydev Acharya – DC Preferred Provider
Alison Iturreria – Patient Care Coordinator
DCE Preferred Providers:
|
Cardiology Cardiothoracic Surgery Clinical Social Worker Endocrinology Gastroenterology General Surgery Gastroenterology Hematology/Oncology Home Health Interventional Cardiology Medical Oncology Neurology Nurse Practitioner |
Nurse Practitioner (continued) Obstetrics and Gynecology Oncology Otolaryngology Physician Assistant Podiatry Psychologist, Clinical Radiology Reconstruction Surgery Registered Dietitian Thoracic Surgery Urology |
DCE Governance Board:
Sandra James – CEO
Dr. Edward Auen – Board Chair, DC Participating Provider
Dr. Gervacio Diaz – Chief Compliance Officer, DC Participating Provider
Dr. James Boozer – Chief Medical Officer, DC Participating Provider
Dr. Jordan De-Paz – Chief Performance Officer, DC Participating Provider
Dr. Priti Modi, Board Member, DC Participating Provider
Neil Ahuja – Chief Development Officer
Robert Olson – Consumer Advocate
No joint venture to report between or among the DCE and any of its DC Participant Providers and Preferred Providers.
Questions?
For questions about the DCE program, call CVMG at (209) 800-CVMG (2864). Or, call Medicare at 1-800-MEDICARE (1-800-633-4227; TTY users may call 1-877-486-2048). Additional information about Medicare Direct Contracting Entities is available at https://innovation.cms.gov/innovation-models/direct-contracting-model-options
