ACO Name and Location:

Circle Health Alliance, LLC
295 Varnum Avenue
Lowell, MA 01854-2193

ACO Primary Contact:

Geraldine Vaughan, Gerri.Vaughan@LowellGeneral.org
(978) 937-6029

Organizational Information:

ACO Participants:

ACO Participants in joint ventures between ACO professionals and hospitals:

  • All participants are involved in the joint venture to create Circle Health Alliance ACO
  • ACO Participant List (PDF)

ACO Governing Body

Circle Health Alliance, LLC is governed by a Board of Managers to include:

  • Michael Jiser, MD, Voting Member and Chair, ACO Participant, Lowell Surgical Associates, PC
  • Mark Gilchrist, MD, Voting Member and Vice Chair, ACO Participant, Drs. Gilchrist, Sevigny & Galvin
  • David Berman, MD, Voting Member, ACO Participant, Merrimack Urology Associates, PC
  • Richard DeAmicis, MD, Voting Member, ACO Participant, Medical Healthcare Spec., PC
  • Nonnie-Marie Estella, MD, Voting Member, ACO Participant, N.M. Estella, MD, PC
  • Eric Ewald, MD, Voting Member, ACO Participant, LGH Merrimack Valley Cardiology Assoc., LLC
  • Damian Folch, MD, Voting Member, ACO Participant, Damian Folch, MD
  • Arthur Lauretano, MD, Voting Member, ACO Participant, Mass ENT Associates
  • Tushar Patel, MD, Voting Member, ACO Participant, Riverside Medical Group, PC
  • David Pickul, MD, Voting Member and Chair, ACO Participant, Mill City Medical Group, Ltd
  • Roopa Reddy, MD, Voting Member, ACO Participant, Chelmsford Primary Care, LLC
  • Scott Sigman, MD, Voting Member, ACO Participant, Orthopaedic Surg. Assoc. of Lowell, PC
  • James McMahon, Voting Member, Medicare Beneficiary Representative
  • Joseph (Jody) White III, President, Lowell General Hospital
  • Susan Green, Chief Financial Officer and Treasurer, Lowell General Hospital
  • Amy Hoey, Executive Vice President and COO, Lowell General Hospital
  • Geraldine Vaughan, Non-voting member, Executive Director, Lowell General PHO
  • Pauline Tsirigotis, Non-voting Member, Circle Health Alliance Medical Director
  • Frank Osborn, Non-voting Member, Merrimack Family Medicine
  • Emily Young, Director of Healthcare Operations and Clerk, Lowell General PHO

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: Geraldine Vaughan
  • Medical Director: Pauline Tsirigotis, MD
  • Compliance Official: William Wyman
  • Director of Healthcare Operations: Emily Young
  • Manager of Clinical Care Coordination: Stacey Neudeck, RN

Associated Committees and Committee Leadership:

  • IT Clinical Advisory Committee: Mariana Chemaly, MD, Chair
  • Compliance Committee: William Wyman, Corporate Compliance Officer, Committee Chair
  • Finance Committee: Michael Jiser, MD, Committee Chair, General Surgeon
  • Performance and Engagement Committee: David C. Pickul, MD, Committee Chair, Internal Medicine
    • PCP Performance and Engagement Committee:
      • Mark Gilchrist, MD, Committee Chair, Pediatrics
    • SCP Performance and Engagement Committee:
      • David Berman, MD, Committee Chair, Urology
  • Clinical Pathways Committee: Pauline Tsirigotis, MD, Committee Chair, Internal Medicine
  • Physician Advisory Committee: Richard DeAmicis, MD, Committee Chair, Internal Medicine
  • Hospital Engagement Committee: David C. Pickul, MD, Committee Chair, Internal Medicine

Types of ACO Participants, or combinations of participants, that formed the ACO:

Circle Health Alliance, LLC is a joint venture between Circle Health Alliance, LLC and the Lowell General Physician-Hospital Organization.

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Agreement period beginning 2012, Performance Year 11: $6,087,568
  • Agreement period beginning 2012, Performance Year 2014: $3,240,503
  • Agreement period beginning 2012, Performance Year 2015: $2,755,899

Shared Savings Distribution

  • Agreement period beginning 2012, Performance Year 1
    1. Proportion invested in infrastructure: 19%
    2. Proportion invested in redesigned care processes/resources: 28%
    3. Proportion of distribution to ACO Participants: 53%
  • Agreement period beginning 2012, Performance Year 2014
    1. Proportion invested in infrastructure: 29%
    2. Proportion invested in redesigned care processes/resources: 18%
    3. Proportion of distribution to ACO Participants: 53%
  • Agreement period beginning 2012, Performance Year 2015
    1. Proportion invested in infrastructure: 59%
    2. Proportion invested in redesigned care processes/resources: TBD
    3. Proportion of distribution to ACO Participants: 41%

1 Performance Year 1 for Shared Savings Program ACOs includes a 21- or 18-month period for ACOs with 2012 start dates and a 12-month period for ACOs with 2013 start dates.

Payment Rule Waivers

  • No, our ACO does not utilize the SNF 3-Day Rule Waiver.

Quality Performance Results