Pearl Primary Care Network

We help primary care physicians take back control of their patients, their finances, and their time.

And take a bet on themselves.

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About Pearl Primary Care Network (PPCN)

Pearl Primary Care Network (PPCN) is a Medicare REACH ACO — Realizing Equity, Access, and Community Health Accountable Care Organization. PPCN is one of a limited number of organizations across the country participating in the model with the Centers for Medicare and Medicaid Innovation (CMS). If your physician is participating with the PPCN ACO, you will receive a letter in the mail welcoming you.

As ACO providers, your primary care physician will develop a treatment plan specific to your health care needs. By working closely together with you to coordinate the care you receive, the physicians that care for you can more effectively keep you well and improve your overall health and quality of life.

Your doctor’s participation in this Model does not change anything about your Medicare benefits and it does not limit the doctors you can choose to see. Every benefit you currently have under Medicare will remain the same.

What is ACO REACH?

Would you like to learn more about Medicare’s Accountable Care Organizations (ACO) Realizing Equity, Access, and Community Health (REACH) Model?

ACO Information

View PPCN’s 2024 Participating and Preferred Providers

Our Leadership Team

Michael Monsegur

Michael Monsegur

Executive Director, ACO Operations

Pearl Health

Bailey Acevedo

Bailey Acevedo

ACO Compliance Officer

PEARL HEALTH​

Jennifer Rabiner

Jennifer Rabiner

Chief Product Officer

Pearl Health

Gabriel Drapos

Gabriel Drapos

Chief Operating Officer, Chief Strategy Officer

Pearl Health

Matt Solnit

Matt Solnit

Chief Technology Officer

Pearl Health

Justin Chee

Justin Chee

VP of Finance

Pearl Health

Russell Fowles

Russell Fowles

VP of IS Security

Pearl Health

Peter Jamieson

Peter Jamieson

VP of Data Science

Pearl Health

Dr. Cameron Berg, MD, FACEP, FAAEM

Dr. Cameron Berg, MD, FACEP, FAAEM

VP of Clinical Ops

Pearl Health

Li Qiu

Li Qiu

Chief Actuary

Pearl Health

Our Board of Directors

Dr. Mildred Frantz

Mildred Frantz, MD

Chair, ACO Clinical Leader

Healthcare for Life

Dr. David LaMond

David LaMond, DO

Medical Director, ACO Clinical Leader

LaMond Family Medicine

Archie Hearne, MD

Archie Hearne, MD

Director, ACO Clinical Leader

Archie Hearne MD PA

Dr. Michael J. Spezia, DO

Michael J Spezia, DO

Director, ACO Clinical Leader

Dr. Michael J Spezia D.O.

Dr. Michael Odibo

Michael Odibo, MD

Director, ACO Clinical Leader

Odibo Medical Group, PLLC

Dr. Janice Johnston

Janice Johnston, MD

Director, ACO Clinical Leader

Arrowhead Family Health Center PC

Dr. Andrew Donato

Andrew Donato, MD

Director, ACO Clinical Leader

SC Housecalls

Dr. Valmeek Kudesia

Valmeek Kudesia, MD

Director, ACO Clinical Leader

Valmeek Kudesia, MD, PC

Michael Monsegur

Michael Monsegur

Director

Pearl Health

Pearl Primary Care Network

Mario Paparozzi, PhD

Consumer Advocate

Retired, Medicare Patient

Pearl Primary Care Network

John (Andy) Tesauro

Medicare Beneficiary

Retired

View PPCN’s 2024 Governing Body and Clinical Leaders

Shared Savings & Shared Losses

Performance Year 1 (2023): TBD

PY2023 Shared Savings will be reported once available, expected in the fall of 2024.

Quality Measure Performance for all Performance Years will be reported once available.

How Shared Savings Will Be Distributed

ACO Anonymous Compliance Reporting

PPCN has an Anonymous Compliance Reporting webform that is accessible to all individuals including Medicare Beneficiaries. This form will allow you to report any compliance concerns related to the ACO, and can be accessed by visiting: pearlhealth.com/anonymousreporting.

You can choose to report anonymously or provide your contact information. The information you provide will be transmitted to the ACO Compliance Officer who will follow-up on the report. The ACO has a non-retaliation policy which means you don’t need to fear making a good faith report. We rely on individuals like you to let us know when something is wrong.

If you ever feel that you are being retaliated against, please call the ACO Compliance Officer: Bailey Acevedo at 518-588-2988.

Pearl empowers providers to focus on patient care, while compensating them for improving their patients’ health.
Democratizing access to value in healthcare

Address

Pearl Primary Care Network, LLC
220 5th Avenue
17th Floor
New York, NY 10001

ACO Primary Contact

Michael Monsegur, Executive Director
[email protected]
Hours of Operation: 9am – 5pm EDT
Phone Number: +1 (833) 769-0456

© Pearl Health 2024. All Rights Reserved.