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Humana Care Solutions

Accountable Care Organization (ACO)

ACO overview

Humana Care Solutions is a Accountable Care Organization (“ACO”) that has partnered with primary care centers across the United States. Through this partnership, Humana Care Solutions and Participant Primary Care & Preferred Providers work together to provide improved care management and improved care coordination. As partners, we share in healthcare delivery expertise and experience, providing high-value, high-quality care.

ACO Name and location

Humana Care Solutions
P.O. BOX 14168. Lexington KY 40512-4168

ACO Primary Contact

Identification of all ACO Participating and Preferred Providers

ACO Key Clinical and Administrative Leaders

  • Executive Director: Gina Mooi, Humana, Inc.
  • Executive Clinician: Dr. Todd Prewitt, Humana, Inc.
  • Participating Provider Executive Clinician: Dr. Joan Hunter, Vancouver Clinic
  • Participating Provider Executive Clinician: Dr. Arnold Needleman, Conviva
  • Data and Analytics Leader: Natalie Dillon, Humana, Inc.
  • Physician Engagement Leader: Sara Nassif, Humana, Inc.
  • Strategy Leader: Kerri Gilligan, Humana, Inc.
  • Finance Leader: Panachon Lor, Humana, Inc.
  • Operations Leader: Sarah Rosenbaum, Humana Inc.
  • Compliance Leader: Teresa (Terri) Schorr, Humana, Inc.
  • Legal Counsel: Jane Susott, Humana, Inc.

ACO Governing Body

  • Strategic Executive: Oraida Roman, Humana, Inc.
  • Clinical Executive: Dr. Brian Powers, Humana, Inc.
  • Participant Provider Delegate: Syed Muteeb Ahmed, Prime West
  • Participant Provider Delegate: Amy Arndt, Prime West
  • Participant Provider Delegate: Anthony Hemming, Pine Park Health
  • Participant Provider: Dr. Ketan Hira, Summit Medical Group
  • Participant Provider: Dr. Aaron Jones, Summit Medical Group
  • Participant Provider: Dr. Keith Justice, Island Doctors
  • Participant Provider: Dr. David Kricsfeld, Encompass Medical Group
  • Participant Provider Delegate: Sora Park, Seoul Medical Group
  • Participant Provider Delegate: Betsy Suydam, The Vancouver Clinic
  • Participant Provider: Dr. Bhavana Vora, Summit Medical Group
  • Participant Provider: Dr. Justin Zaghi, Heal Doctors
  • Medicare Beneficiary: Richard (Dick) Shamrell, Retired USAF
  • Consumer Advocate: William (Bill) Edelstein, Retired

Identification of joint ventures between or among the ACO and any of its DC Participant Providers and Preferred Providers

  • None

Shared Savings and Shared Losses
PY21 Savings and Losses , PDF

Quality Measure Performance
Quality Measure Performance for PY23 will be reported once available

For more information, call 888-899-8660.

Frequently asked questions, PDF