Central California

Akira Health of Fresno, Inc. is an Accountable Care Organization (ACO) located in Central California, operational since January 1, 2014. In 2015, Akira Health of Fresno spread to the Sacramento and Stockton areas.

ACO Name and Location:

Akira Health of Fresno, Inc.
P.O. Box 53123
San Jose, CA 95153

ACO Primary Contact:

Jennifer Crocker
Email: jcrocker@akirahealth.com
Phone: (408) 685-4368
Fax: (408) 809-7539

ORGANIZATIONAL INFORMATION

ACO Participants

• American Medical Center, LLC
• Buhari & Deguzman, Inc.
• Central Valley Optimal Medical Care Inc.
• Chestnut Medical Group of Fresno
• Dzung Trinh MD Inc.
• Gaylene J Soloniuk-Tays MD, A Professional Corporation
• HT Family Physicians, Inc.
• Kara Orsak, MD
• Marwan Zoghbi MD Inc.
• Michael K Lloyd, MD, Inc.
• O'Key Sams, MD
• Roman Malley, MD
• Sammarian Medical Group
• Shyam Bhaskar, MD
• Sir Akoma Medical Services
• Stephen Grossman, MD
• Susan Downey, M​D
• Visalia Walk In Medical Clinic Inc

ACO Participants in Joint Ventures between ACO Professionals and Hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

Key ACO Clinical and Administrative Leadership:

• ACO Executive: Tien Trinh, MD
• Medical Director: Tien Trinh, MD
• Compliance Official: Christina Artero
• Quality Assurance/Improvement Officer: Jennifer Crocker

Associated Committees and Committee Leaderships:

• Quality Committee: O'Key Sams, MD, Chair
• Operations Committee: Susan Downey, MD, Chair
• Utilization Review Committee: Kara Orsak, MD, Chair​​

Types of ACO participants, or combinations of participants, that formed the ACO:

• Networks of individual practices of ACO professionals

SHARED SAVINGS AND LOSSES

​Amount of Shared Savings/Losses: 

• Third Agreement Period
  
  • Performance Year 2022:  $3,473,978.23
    
  • Performance Year 2021: $2,025,933.58
    
  • Performance Year 2020: $1,195,378.05

• Second Agreement Period
  
  • Performance Year 2019: $3,890,219.99
    
  • Performance Year 2018: $5,222,000.02
    
  • Performance Year 2017: $2,119,629

• First Agreement Period
  
  • ​Performance Year 2016, $2,998,216
    
  • Performance Year 2015, $0
    
  • Performance Year 2014, $0​

Shared Savings Distribution

• Third Agreement Period
  
  • Performance Year 2022
    
    • Proportion Invested in Infrastructure: TBA
      
    • Proportion Invested in Redesigned Care Processes/Resources: TBA
      
    • Proportion of Distribution to ACO Participants: TBA
      
  • Performance Year 2021
    
    • ​​Proportion Invested in Infrastructure: TBA
      
    • Proportion Invested in Redesigned Care Processes/Resources: TBA
      
    • Proportion of Distribution to ACO Participants: 18.4%
      
  • Performance Year 2020
    
    • Proportion Invested in Infrastructure: 62.7%
      
    • Proportion Invested in Redesigned Care Processes/Resources: 19.4%
      
    • Proportion of Distribution to ACO Participants: 17.9%
      
      
• ​Second Agreement Period
  
  • Performance Year 2019
    
    • Proportion Invested in Infrastructure: 76.3%
      
    • Proportion Invested in Redesigned Care Processes/Resources: 13.5%
      
    • Proportion of Distribution to ACO Participants: 10.2%
      
  • Performance Year 2018
    
    • Proportion Invested in Infrastructure: 69.2%
      
    • Proportion Invested in Redesigned Care Processes/Resources: 15.7%
      
    • Proportion of Distribution to ACO Participants: 15.1%
      
  • Performance Year 2017
    
    • ​Proportion Invested in Infrastructure: 49.3%
      
    • Proportion Invested in Redesigned Care Processes/Resources: 27.4%
      
    • Proportion of Distribution to ACO Participants: 23.3%
      
      
• First Agreement Period
  
  • ​Performance Year 2016
    
    • ​​Proportion Invested in Infrastructure: 42.5%
      
    • Proportion Invested in Redesigned Care Processes/Resources: 40.0%
      
    • Proportion of Distribution to ACO Participants: 17.5%
      
  • Performance Year 2015
    
    • ​Proportion Invested in Infrastructure: N/A
      
    • Proportion Invested in Redesigned Care Processes/Resources: N/A
      
    • Proportion of Distribution to ACO Participants: N/A
      
  • Performance Year 2014 
    
    • ​​Proportion Invested in Infrastructure: N/A
      
    • Proportion Invested in Redesigned Care Processes/Resources: N/A
      
    • Proportion of Distribution to ACO Participants: N/A

QUALITY PERFORMANCE RESULTS

• 2014 Quality Performance Results: See Summary Statistics
• 2015 Quality Performance Results: See Summary Statistics​
• 2016 Quality Performance Results: See Summary Statistics
• 2017 Quality Performance Results: See Summary Statistics
• 2018 Quality Performance Results: See Summary Statistics
• 2019 Quality Performance Results: See Summary Statistics
• 2020 Quality Performance Results: See Summary Statistics
• 2021 Quality Performance Results: See Summary Statistics
• 2022 Quality Performance Results: See Summary Statistics

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

PAYMENT RULE WAIVERS

• No, our ACO does not use the SNF 3-Day Rule Waiver