Atlas IPA is part of practice management of Essen Health Care. It leads payor negotiations, and support the practice with credentialing and IT solutions needed for the optimal care of patients. It also supports providers within and outside Essen with compliance regulations, administrative contracts and other overhead issues. The IPA aligns providers with a variety of goals including improving quality of care and reducing cost.

Essen House Calls has partnered with Atlas IPA to bring their same level of high-quality doctor’s office services into the comfort of your home! As New York City’s largest and most trusted visiting doctors’ program, Essen ’s caring and compassionate medical providers are equipped with the latest state-of-the-art offices and mobile medical technology to provide the highest level of quality care wherever you are! Services include: Routine primary care, specialty care, care management, chronic disease management, in-home diagnostic testing/imaging, coordination of home care services, transition of care, and more.

Medicare (Medicare.gov) describes an Accountable Care Organization (ACO) as a group of doctors, hospitals, and/or other health care providers who work together to improve the quality of care and experience of care you get.

These organizations help your doctors and other health care providers understand your health history, and talk to one another about your care and your health care needs. This can save you time and money by avoiding repeated tests and unneeded appointments. It may make it easier to spot potential problems before they become more serious – like drug interactions that can happen if one provider isn’t aware of what another has prescribed.

ACO providers communicate with each other and partner with you in making health care decisions. They share information and may use Electronic Health Records (EHRs), so you’ll likely have fewer repeated medical tests and may save time on paperwork.

The ACO Realizing Equity, Access, and Community Health (ACO REACH) Model, in which Atlas IPA participates, provides innovative tools and resources for health care providers to work together in an ACO to improve the quality of care for people with Traditional Medicare.

ACO goals are to:

• Transform risk-sharing arrangements in Medicare Fee-For-Service (FFS)
• Empower beneficiaries to personally engage in their own care delivery
• Reduce provider burden to meet health care needs effectively

ACOs form relationships with two types of providers and/or suppliers – Participant and Preferred Providers. Beneficiaries can align only to Participant Providers, not Preferred Providers.

The ACO REACH Model expands on the ACO goals to also include:

• Advance health equity to bring the benefits of accountable care to underserved communities.
• Promote provider leadership and governance.
• Protect beneficiaries and the Model with more participant vetting, monitoring, and greater transparency.

• Enrolled in Medicare Parts A and B
• Medicare as the primary payer
• Not covered under Medicare Advantage or other Medicare managed care plan
• Resident of the United States
• Reside in a county that is included in the ACO’s service area

For High Needs Population

• Have one or more conditions that impair the beneficiary’s mobility
• Have at least one significant chronic or other serious illness.

To find out if you or someone you know is eligible, you may call (718) 814-6001.