Have Questions? Call today 209-800-CVMG(2864)

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:
DCE Participant Provider List
 
DCE Preferred Providers:
DCE Preferred Provider List

 

DCE Clinical and Administrative Leaders:

Sandra James – CEO, Central Valley Community Partners LLC
Dr. Gervacio Diaz – Chief Compliance Officer, DC Participating Provider, Central Valley Community Partners LLC
Dr. James Boozer – Chief Medical Officer, DC Participating Provider, First Choice Physician Partners
Dr. Jordan De-Paz – Chief Performance Officer, DC Participating Provider, First Choice Physician Partners
Dr. Magdy Elsakr – DC Preferred Provider, Modesto Gastroenterology Medical Group
Dr. Joydev Acharya – DC Preferred Provider, Stanislaus Cardiology Group
Rebecca Whitaker – Patient Care Coordinator, Central Valley Community Partners LLC

DCE Governance Board:

Sandra James – CEO, Central Valley Community Partners LLC
Dr. Edward Auen – Board Chair, DC Participating Provider, Pro Health Medical Group
Dr. Gervacio Diaz – Chief Compliance Officer, DC Participating Provider, Central Valley Community Partners LLC
Dr. James Boozer – Chief Medical Officer, DC Participating Provider, Clinical Leader, First Choice Physician Partners
Dr. Jordan De-Paz – Chief Performance Officer, DC Participating Provider, First Choice Physician Partners
Dr. Priti Modi,  Board Member, DC Participating Provider, Pinnacle Health Center
Neil Ahuja – Chief Development Officer (Affiliated with Patient Growth Solutions), Patient Growth Solutions
Doris Giomi – Beneficiary/Consumer Advocate

No joint venture to report between or among the DCE and any of its DC Participant Providers and Preferred Providers. 
 
Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2021 – $775,504
Shared Savings Distribution
  • First Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure and redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 80%
Quality Performance Results
2021 Quality Performance Results: 
View Report
 
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

Have questions?

Give us a call today at 209-800-CVMG(2864)