• 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

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
  • Hannah Troutman
  • 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 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%.

Patient Safety

Measure Title ESCO Performance Rate Mean Performance Rate for ALL ESCOs
Standardized Mortality Ratio 0.955 0.923
Falls: Screening 0.849 0.856
Falls: Risk Assessment 1.000 0.997
Falls: Plan of Care 0.000 0.072

Person- and Caregiver-Centered Experience and Outcomes

Measure Title ESCO Performance Rate Mean Performance Rate for ALL ESCOs
Advance Care Plan 0.706 0.842
ICH CAHPS: Nephrologists' Communication and Caring 0.666 0.678
ICH CAHPS: Providing Information to Patients 0.799 0.787
ICH CAHPS: Dialysis Center Care and Operations 0.618 0.609
ICH CAHPS: Rating of Kidney Doctors 0.546 0.596
ICH CAHPS: Rating of Dialysis Center Staff 0.617 0.595
ICH CAHPS: Rating of Dialysis Center 0.642 0.647

Communication and Care Coordination

Measure Title  ESCO Perfromance Rate Mean Performanc Rate for ALL ESCOs
Medication Reconciliation Post Discharge 0.659 0.469

Clinical Quality of Care

Measure Title  ESCO Performance Rate Mean Performance Rate for ALL ESCOs
Diabetes Care: Eye Exam 0.005 0.040
Diabetes Care: Foot Exam 0.005 0.603

Population Health

Measure Title ESCO Performance Rate Mean Performance Rate for ALL ESCOs
Influenza Immunization in the ESRD Population 0.689 0.713
Pneumococcal Vaccination Status 0.440 0.437
Screening for Clinical Depression and Follow-Up Plan 0.625 0.728
Tobacco Use: Screening and Cessation Intervention 0.752 0.748


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