An ACO for

Long-Term Care

Our Mission

Dedicated to serving providers with critical resources, we have made it our mission to support the development of innovative care practices to achieve quality improvement goals, cut costs, and alleviate risk.

About Value-Based Long Term Care

VBLTC is an Accountable Care Organization (ACO) participating in the Medicare Shared Savings Program (MSSP).

Our ACO focuses on patients in long-term care facilities and the health care providers who direct their care.

VBLTC partners with medical practices whose clinicians work primarily in nursing homes, helping them thrive under value-based care.

40%

Savings Opportunity

40%

Equity Share

0

Downside

Why We Started VBLTC

Hospital and physician-run ACOs have attempted to reduce the cost of care by targeting Skilled Nursing Facilities (SNFs).

This leaves Long Term Care providers and facilities as victims of ACOs. VBLTC’s vision is to turn this picture upside down and make Long-Term Care providers beneficiaries of the Shared Savings Program, not victims.

VBLTC sees Long-Term Care residents as an opportunity to create a favorable business atmosphere. Historically, they have high costs and benchmark prices in the ACO programs. Most of their costs are related to inpatient hospital care.

VBLTC caregiving

Reducing avoidable hospital stays represents a substantial savings opportunity, which translates into a revenue opportunity for an ACO.

How We Work

VBLTC contracts with Medicare as an ACO and contracts with provider groups to be members of the ACO.

Medicare calculates expected annual costs for members of the ACO and compares actual prices to those “benchmarks.”

When costs are below the benchmarks by at least 2%, Medicare writes a check to the ACO for 50% of the savings.

The ACO then distributes that amount to its constituents.

Our Team

VBLTC leadership combines experience in long-term care with value-based care experience.

Our leaders bring vision and insight to the unique needs of long-term care patients and providers that helps direct our strategy and partnerships.

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Jason H. Feuerman

Chief Executive Officer 

Jason H. Feuerman was the founder, President and CEO of LTC ACO, the first Medicare Shared Savings Program (“MSSP”) of its type dedicated exclusively to management of the full Medicare spend of nursing and assisted living facility residents throughout the United States.  As the first MSSP ACO serving residents of both nursing and assisted living facilities throughout the country, LTC ACO has been able to produce consistent and predictable results generating more than $100M in shared savings since 2018.  It currently operates in more than 1,500 skilled nursing facilities with in excess of 2,000 participating providers.  As the largest MSSP ACO of its type, it recently assumed risk for nearly 12,000 Medicare Fee-for-Service beneficiaries which consume in excess of $450M annually.

Prior to founding LTC ACO, Mr. Feuerman served as President of the Health Plan and Public Sector Divisions of Value Options, Inc.  Prior to joining Value Options, Mr. Feuerman served as President of Bravo Health, a subsidiary of Cigna, Inc. and as President of Senior Care Centers of America, a leading provider of adult day health services.  He holds a Bachelor of Science and MBA in Finance and Economics from the University of Maryland.

Patricia Tobin President VBLTC Image

Patricia Tobon

President

 

Doctor Feifer Chief Medical Officer VBLTC Image

Richard A. Feifer, MD, MPH, FACP

Chief Medical Officer

As a physician executive with broad healthcare industry experience, Dr. Rich Feifer helps organizations achieve their fullest potential in an ever-changing environment.  Equally comfortable as a healthcare business leader and as a clinical leader, areas of expertise include population health management, value-based payment models, clinical analytics, technology driven healthcare transformation, and inter-professional provider engagement strategies.

Dr. Feifer has dedicated his career to improving the quality and efficiency of healthcare and the health of populations served.  His focus involves helping providers succeed within value-based payment models, achieving the Quadruple Aim, through better leveraging of data and technology.

A graduate of Brown University and the University of Pennsylvania School of Medicine, Dr. Feifer is a board-certified internist with experience in population health, primary care, geriatrics, and urgent care medicine at the Fallon Clinic.  He received his MPH in Health Services Management from Columbia University, and is currently an Assistant Clinical Professor at the University of Connecticut.

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Kevin Manning

Vice President of Medical Economics

Kevin Manning is a distinguished healthcare executive with over 20 years of leadership experience spanning Medical and Behavioral Managed Care. Previously serving as the Vice President of Finance & Data Analytics at LTC ACO, Kevin was instrumental in the organization’s exponential growth, scaling revenue from $7M to $104M and achieving $32M in EBITDA in just three years.

A recognized Subject Matter Expert in network performance and medical economics, Kevin excels at building the foundation that drives clinical and financial success. Throughout his career at Fortune 500 and specialty insurers, he has pioneered Value-Based Purchasing models and established high-performing Health Analytics and Medical Economics divisions. Kevin is known for his ability to translate complex data into actionable strategy, consistently identifying opportunities that improve both the quality of care and the bottom line.

Mary Gabbert Chief of Staff VBLTC Image

Mary Gabbert

Chief of Staff

Mary Gabbert, LCSW, is a strategic Chief of Staff with expertise in operational leadership and population health management. Previously serving as Senior Operations Director for a value-based care organization, Mary brings a strong track record of improving performance, aligning cross-functional teams, and driving outcomes in complex healthcare environments.

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Rachel Landgrebe

Senior Director of Quality and Clinical Programs

Rachel Landgrebe, BSN, RN is the Senior Director of Quality and Clinical Programs at VBLTC, overseeing the strategic design, implementation, and optimization of quality and clinical programming.  She brings extensive experience in healthcare quality strategy and MSSP performance, with a strong focus on improving outcomes within the long-term care population. Rachel is passionate about advancing value-based care through data-driven quality initiatives and collaborative provider engagement.

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Laura McGuire

Compliance Officer

Laura McGuire is the Compliance Officer for VBLTC, with experience spanning healthcare compliance, privacy, operations, and regulatory affairs. She holds a Juris Doctor and brings a practical, legally-grounded approach to supporting compliant and effective healthcare operations.  In her spare time, Laura enjoys spending time with her family and playing tennis.

“Participation in the MSSP ACO allows Value-Based Long-Term Care to provide quality of care services to the populations of our members more efficiently and cost-effectively.

We are excited to participate in value-based opportunities that bring health equity to our frailest patient communities.”

-Manoj Wadhwani, Chairman of VBLTC

Dr. holding the hand of an elderly patient

For Practices/Providers

An ACO is only as strong as the group it surrounds itself with. By joining our dedicated community, practices and clinicians benefit in many ways from our program. Some of these include:

  • Shared savings bonus expected to add 25-60% more revenue with little added cost
  • Stock in the ACO is “earned” through savings and attribution
  • Advanced APM Bonus replaces MIPS and guarantees a 5% bonus check when ACO reaches Level E
  • Coordination and alignment with building operators who can have a stake in the ACO

With such compelling incentives, our community ensures that quality care is delivered at a lower cost to benefit the operations of our practitioner members. Not to mention that our organization allows some of the very best healthcare experts in the industry the opportunity to work hand-in-hand with one another.

What We Provide

VBLTC provides a wide range of services that assist qualified practices in delivering better care at a lower cost to Medicare beneficiaries.

Our providers operate in all 50 states and deliver care to patients in over 5,000 long-term care facilities.

Support provided by VBLTC includes:
• Medicare Paperwork Management and Filing
• Medicare Data Storage and Management
• Oversee Data Analytics and Metrics
• Advisement over All Rule Compliance and Regulations

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Join Us Today

VBLTC is thrilled to have you join our community.

With plenty of benefits resulting in the delivery of quality care at a lower price, our organization offers plenty of room to grow and a space to thrive in the world of care delivery.

Fill out the form below and take the first step toward joining our community. 

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