• Philadelphia-
    Camden Integrated
    Kidney Care ESCO

    An ESRD Seamless Care Organization

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.

Meet the ESCO Team

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:

Health System

University of Pennsylvania Health System

  • The Hospital of the University of Pennsylvania
  • Penn Presbyterian Medical Center
  • Pennsylvania Hospital
  • Chester County Hospital
Multi-Specialty Group

CMC Department of Medicine Group, PA

Nephrologists Groups

Clinical Renal Associates LTD

  • Ambereen Jan
  • Amit Deshpande
  • Glenn Ladinsky
  • Heather Mascio
  • Jay Hubsher
  • Joseph Price
  • Laura Panarey
  • Michael Lattanzio
  • Sean Dorrell
  • Stefan Tachev
  • Amit Kapoor
  • Chike Nathan Okechukwu
  • Herman Michael
  • Jennifer Patel
  • Kevin Sperling
  • Manjula Naik
  • Roy Marcus
  • Steven Han

Cooper University Physicians

  • Christopher McFadden
  • Lawrence Weisberg
  • Ron Zanger
  • Seema Sikand
  • William Sirover
  • Jason Kline
  • Nathaniel Reisinger
  • Samia Mian

Haddon Renal Medical Specialist, PA

  • Brian Michel
  • Brett Rosenthal
  • Chaitali Dey
  • Richard Specter
  • Shwu-Miin Chen
  • Brijesh Bodiwala
  • Daniel Ra
  • Savita Butani

Hypertension Nephrology Accosciates, P.C.

  • Brian Cronin
  • Edward Snipes
  • Joseph Gronich
  • Lawrence Freitas
  • Melvin Yudis
  • William Gaughan
  • Deirdre Collins
  • Inessa Parkansky
  • Juanita Kcomt
  • Majid Khan
  • Victor Ghantous
  • Winston Shu

The Center for Kidney Care, P.C.

  • David Share
  • Dorothy MIn
  • Elliot Suchin
  • Samir Shah
  • Michael Conrad
  • Myra Vargas
  • Prasad Acharya
  • Matthew Solitro

Dialysis Providers

DaVita, Inc.

  • Abington Dialysis
  • Abington At Home
  • Brooklaw Dialysis
  • Broomall Dialysis
  • Burlington North
  • Callowhill Dialysis Center
  • Cherry Hill Dialysis
  • City Line Dialysis
  • Cobbs Creek
  • Cottman At Home
  • Cottman Kidney Center
  • Delran Dialysis
  • Marlton At Home
  • Marlton Dialysis
  • Merchantville Dialysis
  • Mt. Pocono Dialysis
  • Newtown At Home
  • Newtown Dialysis Center
  • Dialysis Center At Oxford Court
  • Fairmount Dialysis
  • Franklin At Home
  • Franklin Commons Dialysis
  • Franklin Dialysis At Home
  • Franklin Dialysis Center
  • Grant One Dialysis
  • Huntingdon Valley
  • Jennersville Dialysis Center
  • Lumberton Dialysis
  • Main Street Dialysis
  • Market Street Dialysis
  • North Wales Dialysis
  • Northeast Philadelphia Dialysis Center
  • Northern Philadelphia Dialysis
  • Palmer Dialysis Center
  • Paoli Park Dialysis
  • Pdi-Walnut Tower
  • Pennsauken At Home
  • Pennsauken Dialysis Center
  • Philadelphia 42Nd Street Dialysis
  • Philadelphia Pmc-Lombard
  • Philadelphia West
  • Pocono Dialysis Center
  • Radnor At Home
  • Radnor Dialysis
  • Newtown Dialysis
  • Newtown Dialysis At Home
  • South Broad Street Dialysis
  • South Philadelphia Dialysis Center
  • Thorndale Dialysis
  • University City At Home
  • University City Dialysis
  • Upland Dialysis
  • Waverly Dialysis
  • Westtown Dialysis
  • Willingboro Dialysis
  • Willingboro At Home
  • Willow Grove
  • Wyncote Dialysis

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 $13,469,080.00
Performance Year 3 TBD (2019)
Performance Year 4 TBD (2020)
Performance Year 5 TBD (2021)

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.

During Performance Year 2 (calendar year 2017), the ESCO generated more than $13 million in shared savings.  Additional information about shared savings can be found by clicking here.

 

 

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%. During performance year 2, the ESCO achieved a total quality score of 80.56%, exactly in line with the overall average for all markets.

 

Patient Safety

Measure Title  ESCO Performance Rate PY1 Mean Performance Rate for ALL ESCOs PY1  ESCO Performance Rate PY2 Mean Performance Rate for ALL ESCOs PY2
Standardized Mortality Ratio 0.955 0.923 0.876 0.935
Falls: Screening 84.9% 85.6% 96.2% 93.3%
Falls: Risk Assessment 100% 99.7% 100% 98.0%
Falls: Plan of Care 0.0% 7.2% 92.9% 21.9%

Person- and Caregiver-Centered Experience and Outcomes

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Advance Care Plan 70.6% 84.2% 97.6% 93.2%
ICH CAHPS: Nephrologists' Communication and Caring 66.6% 67.8% 66.2% 67.7%
ICH CAHPS: Providing Information to Patients 79.9% 78.7% 80.0% 79.3%
ICH CAHPS: Dialysis Center Care and Operations 61.8% 60.9% 63.2% 61.5%
ICH CAHPS: Rating of Kidney Doctors 54.6% 59.6% 55.8% 59.0%
ICH CAHPS: Rating of Dialysis Center Staff 61.7% 59.5% 63.6% 60.6%
ICH CAHPS: Rating of Dialysis Center 64.2% 64.7% 66.8%
65.8%

Communication and Care Coordination

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Medication Reconciliation Post Discharge 65.9% 46.9% 82.2% 38.8%

Clinical Quality of Care

Measure Title ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1 ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Diabetes Care: Eye Exam .50% 4.0% 9.7% 22.5%
Diabetes Care: Foot Exam .50% 2.0% 1.2% 62.9%

Population Health

Measure Title  ESCO Performance Rate Y1 Mean Performance Rate for ALL ESCOs Y1  ESCO Performance Rate Y2 Mean Performance Rate for ALL ESCOs Y2
Influenza Immunization in the ESRD Population 68.9% 71.3% 89.8%
77.7%
Pneumococcal Vaccination Status 44.0% 43.7% 99.5% 72.3%
Screening for Clinical Depression and Follow-Up Plan 62.5% 72.8% 87.1% 85.4%
Tobacco Use: Screening and Cessation Intervention 75.2% 74.8% 98.8% 85.9%

Questions?

Inquiries Icon

Call 1-833-IKC-DAVITA (452-3284)
TTY users dial 711

Inquiries Icon

Or call 1-800-MEDICARE
(1-800-633-4227)

Inquiries Icon

TTY users call
1-877-486-2048

For PY2, the amount of shared savings invested in infrastructure and other resources to improve clinical outcomes is $6,600,802, and $6,868,278 will be distributed as shared savings payments.