ESCOs: A Way to Better Coordinate Patient Health Care
The Philadelphia-Camden Integrated Kidney Care ESCO is an ESRD Seamless Care Organization (ESCO) in the Medicare Comprehensive ESRD Care model. An ESCO is a group of dialysis facilities, nephrologists, and other health care providers working together with Medicare to coordinate and improve the quality of care for patients.
We're Working to Improve Patient Care
The goal of an ESCO is for dialysis facilities, nephrologists, and other health care providers to communicate closely with other health care providers, so they can deliver high-quality care that meets the individual needs and preferences of the patient.
Philadelphia-Camden Integrated Kidney Care ESCO Benefits
Patients, physicians and payors all benefit from ESCO’s integrated care management approach:
- A specially trained nurse working with the Philadelphia-Camden Integrated Kidney Care ESCO member, family, dialysis team, doctors and care partners.
- Coordinated support both inside and outside of the dialysis center to help the member better understand and manage their ESRD.
- Nursing team available 24 hours a day/7 days a week at no additional charge to members.
- Patients have the right to use any dialysis facility, provider or hospital that accepts Medicare, at any time.
- Medicare benefits will not change. An ESCO is not a Medicare Advantage plan, a Health Maintenance Organization (HMO) plan, or an insurance plan of any kind.
Philadelphia-Camden Integrated Kidney Care ESCO
2000 16th Street
Denver, CO 80202
Primary Contact
Mary Kay Dunne, Senior Director, DaVita Integrated Kidney Care
610-722-6143
MaryKay.Dunne@davita.com
About Your ESCO
Clinical and Administrative Leadership
- Mike Staffieri, President, DaVita Inc.
- Nathan Lohmeyer, Vice President, DaVita Integrated Kidney Care
- Eric Franco, Treasurer and Finance and Reporting Officer, DaVita Integrated Kidney Care
- Brett Cohen, Secretary, DaVita Integrated Kidney Care
- Eugene Petra M.D., Medical Director and DaVita Integrated Kidney Care
- Chris Marchese, Dialysis Center Operations Officer, DaVita Inc.
- Brett Lindenfeld, Compliance Officer, DaVita Inc.
- Sean Best, Information Technology Officer DaVita Inc.
- Roy Marcus, M.D., Clinical Renal Associates Ltd., Nephrologist Representative
ESCO Participants
Participants in the Philadelphia-Camden Integrated Kidney Care ESCO include:
University of Pennsylvania Health System
- The Hospital of the University of Pennsylvania
- Penn Presbyterian Medical Center
- Pennsylvania Hospital
- Chester County Hospital
CMC Department of Medicine Group, PA
Nephrologists Groups
Clinical Renal Associates LTD
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Cooper University Physicians
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Haddon Renal Medical Specialist, PA
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Hypertension Nephrology Accosciates, P.C.
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The Center for Kidney Care, P.C.
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Dialysis Providers
DaVita, Inc.
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Joint Venture Dialysis Provider
Able Dialysis, LLCs
- Providence Square Home Training (PD)
- Providence Square HT at Home
Campton Dialysis, LLC
- Woodlyn Dialysis F/K/A Swarthmore Dialysis
Etowah Dialysis
- St Luke's Allentown Dialysis
- St Luke's HT At Home
- St Luke's Bethlehem Dialysis
- St Luke's Quakertown Dialysis
- St Luke's Whitehall Dialysis
Magoffin Dialysis, LLC
- Dialysis at Deborah
Riddle Dialysis, LLC
- Riddle Dialysis Center
Sahara Dialysis, LLC
- Cheltenham Dialysis
Tyler Dialysis, LLC
- Lourdes Camden Dialysis
- Lourdes Innova Dialysis
- Lourdes Mt. Laurel Dialysis
Vascular Access Centers
South Jersey Vascular Institute
Governing Body
Governing body members of the Philadelphia-Camden Integrated Kidney Care ESCO:
- Roy Marcus, M.D., Governing Manager, Clinical Renal Associates LTD
- Brett Cohen, Governing Manager, DaVita Integrated Kidney Care
- Chris Marchese, Governing Manager, DaVita Inc.
- Jackson Williams, Governing Manager, Consumer Representative, Dialysis Patient Citizens
- Karen Mooney, Governing Manager
- Lawrence Weisberg M.D., Governing Manager, Cooper University Hospital
Shared Savings
For nearly two decades, DaVita has invested, and continues to invest, in building the infrastructure and capabilities to holistically care for ESRD (End Stage Renal Disease) and CKD (Chronic Kidney Disease) beneficiaries. Our goal is to prepare for a future when integrated care is available to all patients. The ESCOs (ESRD Seamless Care Organizations) are one vehicle in which DaVita provides integrated care to our patients.
Amount of Shared Savings/Shared Losses
| Performance Year 1 | $12,346,834.00 |
| Performance Year 2 | TBD (2018) |
| Performance Year 3 | TBD (2019) |
As a participant in CMS’s (Centers for Medicare & Medicaid Services) Comprehensive ESRD Care (CEC) Model, the Philadelphia-Camden ESCO is a joint venture comprised of dialysis facilities and nephrologists. The Philadelphia-Camden ESCO achieved more than $12M in shared savings in Performance Year 1, which ran from October 2015 through December 2016. The Philadelphia-Camden ESCO returned 100% of the shared savings that it earned to its participant owners, who, in turn, used a portion of those savings to recoup their upfront financial investments in the ESCO venture, including infrastructure for Performance Year 1 and future years. The ESCO participants elected to reinvest any remaining surplus shared savings into redesigned care processes to support ESRD Medicare beneficiaries who are aligned to the ESCO.
As ESCO shared savings continue to grow, and the need for investment declines, the ESCO anticipates that participant owners will be able to retain a larger portion of shared savings in future performance years.[i]
[i] This statement is based on estimates only and may not reflect the actual performance of the ESCO model; interventions involve multiple activities that could cause actual performance results to differ materially from the outcome estimates.
Quality Measures
For performance year 1, all quality measures were in pay-for-reporting status. the Philadelphia-Camden ESCO successfully reported on all ESCO quality measures for a total quality score (tqs) of 100%.
Questions?
Call 1-833-IKC-DAVITA (452-3284)
TTY users dial 711
Or call 1-800-MEDICARE
(1-800-633-4227)
TTY users call
1-877-486-2048
