Chinese Community Accountable Care Organization

What Chinese Community Accountable Care Organization does

Chinese Community Accountable Care Organization (CCACO) is a physician-owned accountable care organization founded in 2011 and headquartered in Chinatown, Manhattan, that coordinates the Medicare Shared Savings Program (MSSP) for approximately 12,000 Medicare beneficiaries in the Chinese communities of New York City's Manhattan, Brooklyn, and Queens boroughs. The organization comprises 200+ physicians, including 100+ primary care physicians plus specialists in cardiology, gastroenterology, otolaryngology, endocrinology, OB/GYN, and pediatrics, supported by an 11-physician Board of Directors and a small operational team of 11-50 employees. CCACO's core offerings include MSSP participation and shared savings distribution to physicians, quality reporting assistance with MIPS exemption via a secure Quality Portal, complimentary Patient-Centered Medical Home (PCMH) consultation under NCQA standards, and a healthcare data analytics platform that delivers monthly and quarterly Medicare performance reports with EHR integration through MDLand and eClinicalWorks.

The organization generates revenue through outcome-based shared savings distributions from CMS under MSSP, having earned shared savings in 11 consecutive years with an average ~13% annual savings rate. In July 2019, CCACO formed a 50/50 strategic alliance with Balance ACO to create SOMOS ACO under the MSSP Track 3/Enhanced Model, combining the two top-performing NY State ACOs to serve 700+ physicians and 14,000+ Medicare patients across New York, New Jersey, and Massachusetts, with $80M+ in cumulative savings over six performance years. CCACO participates in hospital relationships across NYC, professional partnerships with ACAP and ECAP physician associations, and is extending into Medicaid Social Care Networks (DSRIP 2.0) through its SOMOS ACO interest. Distribution is community-led, relying on physician referral networks, quarterly education meetings, and cultural competence in care delivery as primary go-to-market mechanics.

Name

Chinese Community Accountable Care Organization

Legal name

Chinese Community Accountable Care Organization

Website

https://ccaco.org

Company type

Private

Founded year

2011

Operating status

Operating

Headcount range

11–50 employees

Short description

Chinese Community Accountable Care Organization is a physician-owned ACO founded in 2011 that coordinates Medicare Shared Savings Program participation for 200+ physicians serving 12,000 Chinese-community Medicare beneficiaries across NYC, distributing CMS shared savings and providing quality reporting and PCMH consulting.

Ownership category

akta.pro rank

Product category

Accountable Care Organization Services

NAICS

Nursing and Residential Care Facilities (623), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Primary Care Networks, Groups & MSOs (HLAFAGAE)

akta.pro secondary industries

Medicare Quality, Risk Adjustment & Stars Analytics/Services (FSAIAGAJ), Medigap Provider Network & Contracting Support (as applicable) (HLAEADAK)

Keywords

• Accountable care organization
• Medicare shared savings
• Value-based care coordination
• Quality reporting platform
• Physician network management

Headquarters

HQ city

Nyack

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others, Infrastructure

Revenue model

1. Medicare Shared Savings Program: CCACO participates in the CMS Medicare Shared Savings Program (MSSP). The organization earns shared savings by coordinating care for Medicare beneficiaries and reducing overall healthcare costs. Savings are distributed to participating physicians based on their performance. CCACO has earned shared savings for 11 consecutive years.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

CCACO is a physician-owned Accountable Care Organization that coordinates the Medicare Shared Savings Program (MSSP) for over 200 physicians serving approximately 12,000 Medicare beneficiaries in Chinese communities across NYC. Its offerings include MSSP participation and shared-savings distribution, CMS quality reporting (eCQM/Medicare CQM with MIPS exemption), monthly and quarterly healthcare data analytics, and complimentary PCMH consultation services for member practices. Through its 50% ownership of SOMOS ACO (with Balance ACO), it also participates in Social Care Networks (DSRIP 2.0) to address social determinants of health.

Product overview

CCACO operates as a physician-owned Accountable Care Organization founded in 2011, offering a coordinated healthcare platform focused on the Medicare Shared Savings Program (MSSP). The core offering includes Medicare Shared Savings Program coordination, Quality Reporting (eCQM and Medicare CQM submission), Healthcare Data Analytics (monthly/quarterly reports), and Patient-Centered Medical Home (PCMH) Consultation services. CCACO delivers these through its Quality Portal platform for data submission and reporting. Additionally, through its 50% ownership of SOMOS ACO, CCACO participates in the Social Care Networks (DSRIP 2.0) program addressing social determinants of health.

Differentiator

Problem solved

Functional benefit

Products and services

• Medicare Shared Savings Program (MSSP) Coordination Voluntary CMS program coordination in which groups of doctors and healthcare providers form an ACO to deliver coordinated, high-quality care to Medicare beneficiaries. CCACO distributes a portion of earned shared savings to participating physician members based on their performance, with average PMPM distributions of $539.95.
• Quality Reporting Service Annual quality reporting for participating providers covering CMS Web Interface quality measures (eCQM and Medicare CQM submission types). Includes an in-person assistance team; members are exempt from Merit-based Incentive Payment System (MIPS) reporting.
• Patient-Centered Medical Home (PCMH) Consultation Complimentary consultation service helping member practices obtain NYS PCMH recognition via the NCQA PCMH Recognition Program, building better relationships between patients and clinical care teams.
• Healthcare Data Analytics Monthly and quarterly analytics reports on member physicians' Medicare patients and practice performance, enabling practices to better understand patients and manage care more systematically.
• CCACO Quality Portal Secure HTTPS-encrypted web portal where practices can upload eCQM registry reports, review flagged patients, and submit quality data to CCACO for CMS reporting.
• Social Care Networks (SCNs) / DSRIP 2.0 Program Participation Participation in New York State's DSRIP 2.0 / Social Care Networks 1115 waiver program, addressing social determinants of health (housing, food security, transportation) through SOMOS ACO, which is 50% co-owned by CCACO.

Quantifiable outcome

• 10.61% savings rate achieved for Performance Year 2024, ranking #3 in NY State
• +3 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core and major.

• Balance ACOcoreStrategic or Co-development Partner · 1 July 2019In July 2019, CCACO formed a strategic alliance with Balance ACO to participate in the MSSP Track 3/Enhanced Model under the new entity named SOMOS ACO. This merger brought together the #3 ACO (CCACO) and #1 ACO (Balance ACO) in NYS, creating a combined entity with over $80M in savings achievements.
• SOMOS Community CarecoreStrategic or Co-development PartnerSOMOS Community Care is a culturally competent physician-led network of 2,500+ healthcare providers serving over 1 million Medicaid and Medicare beneficiaries in NYC's immigrant communities. CCACO co-owns SOMOS ACO 50% alongside Balance ACO.
• MDLandcoreTechnology or IntegrationMDLand is one of the largest private EMR companies in the country. Their healthcare platform connects thousands of providers, clinics, medical centers, labs, pharmacies and registries across the United States. MDLand provides EHR technology integration for CCACO's care coordination.
• Association of Chinese American Physicians (ACAP)coreStrategic or Co-development PartnerACAP is a not-for-profit professional organization of Chinese American physicians and physicians that care for the Chinese community. CCACO works with ACAP to address complex challenges in the healthcare field.
• Eastern Chinese American Independent Physician Association (ECAP)coreStrategic or Co-development PartnerECAP is a physician owned and operated independent practice association established in 2004. CCACO works with ECAP to coordinate care and provide services to Chinese communities.
• Hospitals and Healthcare Facilities NetworkmajorStrategic or Co-development PartnerCCACO has established relationships with hospitals including Lutheran Medical Center and Maimonides Medical Center (Brooklyn), Beth Israel Medical Center and New York Downtown Hospital (Manhattan), and New York Hospital Queens and Flushing Hospital Medical Center (Queens) to facilitate coordinated patient care and discharge planning.

Scale indicators9 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• P3 Health Partners: Value-based care platform managing care for Medicare Advantage and ACO REACH populations via affiliated primary care physicians. Comparable physician-network model with capitation and shared-savings economics targeting senior populations.
• Astrana Health (formerly Apollo Medical Holdings): Value-based, physician-centric healthcare platform managing care for Medicare Advantage, MSSP, and ACO REACH populations. Comparable as a physician-network operator in capitated and shared-savings Medicare programs across multiple geographies.
• Privia Health: Physician-enablement platform and MSO operating multi-specialty medical groups and ACOs across the U.S. Comparable as a physician network operator participating in MSSP and other value-based contracts, with similar technology-enabled care coordination.
• Cano Health: Value-based primary care provider serving Medicare Advantage and dual-eligible seniors, with strong focus on Hispanic and culturally diverse communities. Closely comparable cultural-competency and senior-focused care model, though operates owned rather than affiliated clinics.
• Aledade: Largest independent ACO operator in the U.S., partnering with independent primary care physicians to participate in MSSP and other value-based programs. Direct peer in independent-physician ACO enablement and shared-savings economics.
• Agilon Health: Value-based care platform partnering with primary care physicians to manage Medicare Advantage populations, with global capitation economics. Comparable physician-network model taking downside risk on senior populations, though focused on MA rather than MSSP.
• SOMOS Community Care: Sister physician-led network co-founded by Dr. Ramon Tallaj, serving 1M+ Medicaid and Medicare beneficiaries across NYC immigrant communities. Direct peer in cultural-competency physician network model and value-based care delivery.
• Balance ACO: Co-owner of SOMOS ACO with CCACO (50/50), serving Hispanic/Latino communities in the Bronx and New Jersey under the same MSSP Track 3/Enhanced model. Direct peer by virtue of shared ACO entity, identical MSSP economics, and mirrored community-focused physician network model.

Broad incumbents

• Oak Street Health: National value-based primary care provider serving Medicare beneficiaries, now owned by CVS Health. Comparable as a senior-focused primary care network operating under risk-bearing contracts, though operates owned clinics rather than physician-network model.

Emerging players

• InnovAge Holding Corp. Operator of the Program of All-Inclusive Care for the Elderly (PACE), providing coordinated medical and social care to frail seniors under Medicare/Medicaid capitation. Comparable in coordinating complex Medicare populations with cultural-competency overlay, though operates a different program structure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about Chinese Community Accountable Care Organization