HEALTH PARTNERS FOR THE ELDERLY, LLC

An ACO REACH entity.

Health Partners for the Elderly, LLC is a proud to partner with independent physicians. Health Partners for the Elderly is an ACO REACH entity (“ACO”) for the period commencing January 1, 2023 through December 31, 2026

What is an ACO REACH Entity Model?

This CMS model seeks to address four main areas:

1

Improving quality of care and health outcomes for Medicare Fee-for-Service (FFS) beneficiaries

2

Reducing Medicare expenditures through the alignment of financial incentives

3

Focusing on patient choice and direct care delivery

4

Maintaining access to care for beneficiaries, including those beneficiaries with complex, chronic and serious diseases.

Health Partners for the Elderly LLC has entered into an agreement with Medicare as an ACO REACH entity (ACO). The ACO designation applies to beneficiaries with Traditional Medicare or Medicare fee-for-service beneficiaries. This model’s main aim is to bring together all health care providers who share a common set of goals: improving patient care by working together more effectively through better coordinated care and services.

Why this is important to you as a Medicare Beneficiary?

This new initiative called ACO REACH will combine the best of the traditional Medicare system with the best of the Medicare Advantage plans. The freedom to choose your own doctors and ancillary service providers in addition to the coordination of care and access to specialists and diagnostic tests that has become so difficult to navigate. By maximizing efficiency we will then be able to reduce costs which we all know are out of control and unsustainable.

There are no joint ventures between ACOs and its Participant Providers and/or Preferred Providers.

ACO REACH Entity Beneficiary Rights

As an ACO REACH entity, we are required to adhere to a number of beneficiary protections including the following:

Maintain and surpass Medicare Benefits. A Medicare beneficiary who is voluntarily aligned through their Primary care provider with Health Partners for the Elderly ACO REACH entity (HP4E ACO) will always maintain the original Medicare benefits.
Maintain the option to select any Medicare participant provider or facility. You can still choose to go to any doctor or other practitioner who accepts Medicare anywhere.
Maintain the choice to change your primary clinician at any time and select another practitioner as your primary clinician.
Maintain the option to see any Medicare participant specialist for care. You choose your specialists. Your primary clinician may recommend a service or provider, but the choice is yours.
Maintain the same Medicare processes for all claims submitted for your services.
Maintain the same supplemental insurance benefits or your pharmacy plan.

Medicare Beneficiaries Benefit Enhancements

Health Partners for the Elderly is able to provide Medicare beneficiaries augmented service to better care for you. Examples of services that may be provided include the following:

Home Health Homebound Services
Care Management Home Visits
Post Discharge Home Visits
Chronic Disease Management Rewards
Part B Cost Sharing Support

PROVIDERS

We are a physician driven organization. Our main objectives are:

Improve the quality of the healthcare services delivered in the communities we serve
Transform the physician’s practice from an episodic service to a coordinated based service
Reduce physician burnout by developing and providing the behind the scenes infrastructure that supports coordinated delivery of patient services
Provide compensation for adhering to and surpassing community-based and CMS Quality care benchmarks

Download a list of providers here.

REMUNERATION MODELS

There are several options to remunerate the provider for adhering to and leading in the implementation of this unique model, depending on the ones that best conform to your practice as follows:

(1) Profit sharing model

(2) Robust incentive structure
(3) Quality HEDIS toolkit
(4) Quality incentives
(5) Capitation for your Medicare patients
(6) One-on-one office transformation specialist

Medical Director

Sanjay Navadia, MD

Hernando Pasco Primary Care, LLC

Administrative Personnel

Raj Shrestha
Chief Executive Officer
Florida Elite Management, LLC

Sanjay Navadia, MD
Medical Director
Hernando Pasco Primary Care, LLC

Milan Vyas
Chief Value Based Officer
Florida Elite Management, LLC

Joseph Bigham
Chief Information Officer
Florida Elite Management, LLC

Bob Danz

Chief Financial Officer
Florida Elite Management, LLC

Governing Body

Sameer Mathur
Chairman & Managing Member
Chicago Pacific Founders

Raj Shrestha
President & Managing Member
Florida Elite Management, LLC

Sanjay Navadia, MD
Participant Provider
Hernando Pasco Primary Care, LLC

Sathiyaraj George, MD
Participant Provider
Valley Internal Medicine Associates, PLLC

Janak Vora
Medicare Beneficiary

Milan Vyas
Secretary & Managing Member
Florida Elite Management, LLC

Shawn Peterson
Consumer Advocate

Public Reporting

Health Partners for the Elderly, LLC

Address: 1785 Northpointe Parkway Lutz, FL 33558

Primary Contact: Milan Vyas at milan.vyas@femgholdings.com