Direct Contracting Entity: Alignment Healthcare

The Direct Contracting Entity (DCE) shall report the following on a publicly accessible website maintained by the DCE:

I. Name and location of the DCE
Axceleran DCE1, LLC & Axceleran DCE2, LLC
2610 New Bern Avenue
Raleigh, NC 27610

II. Primary contact information for the DCE
Chutimar Altizer, President
Axceleran LLC
2610 New Bern Avenue
Raleigh, NC 27610
Email: caltizer@ahcusa.com

III. Identification of all DC Participant Providers and Preferred Providers

Axceleran DCE1, LLC
Access Primary Care Physicians
Mary Cerni, MD Ole Heggeness, MD Daniel Honigman, MD	Jackson Ma, MD Paul Mercer, MD Josephi Rossini, MD
Alignment Healthcare Medical Associates PC
Gabriela Kritz, NP Brittnie Oldenkamp, NP	Adam Wolk, MD
Internal Medicine Associates of Raleigh
A. Leigh Ibach, MD Michael James, MD	Steven M Liebowitz, MD John Lue, MD
Neuse Valley Internal Medicine
Troy Anderson, MD Elsa Bagnulo, NP	Lori Peele, MD
Raleigh Geriatrics, PA
Martin Janis, MD
Axceleran DCE2, LLC
Alexander N. Newman, MD
Elise Berkland, FNP Alexander Newman, MD	Emily Volk, PA
Cary Adult Medicine
Laura Lisicki, FNP Robert Resnik, MD
Family Medical Associates of Raleigh, PA
Josiah Carr II, MD Andrew Drabick, MD Conrad Flick, MD Cameron Hardee, NP	Jennifer Jo, MD Ryan Johnston, FNP Abigail Lancaster, MD Cheryl Proctor, FNP
Garner Internal Medicine, PA
Jeffrey Breiner, MD Karen Mayer, MD Amy McAlister, FNP James McCann, PA Angela Keene, NP	Julie Queen, PA Margery Springer, PA Emily Sudweeks, FNP Steven Turner, MD
Mary J. Forbes, MD, PLLC
Mary Forbes, MD
Metro Internal Medicine
Kenneth Holt, MD
North Raleigh Family Medicine
Rebecca Cloer, FNP Glenda Jeffries, NP	Thomas Jeffries, MD Jessica Langston, FNP
Richard D. Adelman, MD
Richard Adelman, MD Donna Griffin, PA	Kathleen Janus, FNP
Tricity Family Medicine & Urgent Care Clinic
Christa Fleming, PA Kristen Geyer, NP	Hoa Nguyen, PA Chaitany Patel, MD
Wake Family Medicine
Mrinalini Kodumagulla, MD
West Cary Family Physicians
Gunjan Nigam, MD Pedro Nunez, MD

IV. Identification of all joint ventures between or among the DCE and any of its DC Participant Providers and Preferred Providers
The Axceleran DCE1, LLC and Axceleran DCE2, LLC are subsidiaries of a joint venture between Alignment Healthcare USA, LLC ("AHCUSA") and TMG Holdings, LLC, a group of independent physicians in Wake County. The DC Participating Provider roster consists of 16 independent primary care practices comprising 55 providers who are primarily located in the service area of Wake County, North Carolina, and one practice in Orange County, California. 12 of the 16 practices in the DCEs are shareholders of TMG Holdings, LLC.

AHCUSA and its affiliates operate Medicare Advantage health plans in 17 markets, covering more than 70,000 Medicare beneficiaries.

V. Identification of the DCE's key clinical and administrative leaders and the name of any company by which they are employed

Administrative Leaders
Chutimar Altizer, President of North Carolina Market, Alignment Healthcare

Robert Resnik, MD, President of Triangle Senior Care IPA

Kim Nunnally, MBA, Director DCE, Alignment Healthcare

Clinical Leader
Adam Wolk, MD, Regional Chief Medical Officer, Alignment Healthcare

VI. Identification of members of the DCE's governing body and the name of any entity by which they are employed

Axceleran DCE1, LLC
Name	Title	Employer
Chutimar Altizer	President, Chief Executive Officer	Alignment Healthcare
Adam Wolk, MD	Chief Medical Officer; Board Chair	Alignment Healthcare
Thomas Freeman	Chief Financial Officer	Alignment Healthcare
Richard Cross	Secretary	Alignment Healthcare
Cynthia Lynch	Chief Compliance Officer	Alignment Healthcare
Josiah Carr, MD	Board Member	Family Medical Associates of Raleigh, PA
Henry Do, MD	Board Member	Alignment Healthcare
Aly Duzich	Board Member	Alignment Healthcare
Bonnie McGrath	Board Member	Customer Advocate
Joseph Rossini, MD	Board Member	Access Primary Care Physicians, Inc
Jim Williams	Board Member	Medicare Beneficiary
Axceleran DCE2, LLC
Name	Title	Employer
Chutimar Altizer	President, Chief Executive Officer, Board Member	Alignment Healthcare
Alex Newman, MD	Chief Medical Officer, Board Member	Alexander N Newman, MD, PA
Thomas Freeman	Chief Financial Officer	Alignment Healthcare
Richard Cross	Secretary	Alignment Healthcare
Cynthia Lynch	Chief Compliance Officer	Alignment Healthcare
Aly Duzich	Board Member	Alignment Healthcare
Don Furman, MD	Board Member	Alignment Healthcare
Dinesh Kumar, MD	Board Member	Alignment Healthcare
Bonnie McGrath	Board Member	Customer Advocate
Steve Turner, MD	Board Member	Garner Internal Medicine, PA
John David Wiseman	Board Member	Medicare Beneficiary
Adam Wolk, MD	Board Chair	Alignment Healthcare

VII. Shared Savings and Shared Losses information
Data Not Yet Available.

VIII. Notice regarding Axceleran DCE1, LLC

The participation agreement between CMS and Axceleran DCE1, LLC, will not be renewed for 2022. Therefore, effective as of midnight on 12/31/2021, providers currently in Axceleran DCE1, LLC, will no longer participate in Axceleran DCE1, LLC, a Medicare Direct Contracting Entity.

Your Medicare benefits have not changed. Your doctor will not change due to this notice, and this notice does not impact their ability to contract with Medicare. You still have the freedom of choice to go to any doctor, hospital, or other healthcare provider of your choice that accepts Medicare.

Should you have any questions, please reach out to us or your primary care provider about this notice.

Questions?
If you have questions about this notice, please call us at 1-833-943-1487, TTY 711, between 8 a.m. and 8 p.m. EST (5 a.m. and 5 p.m. PST). You may also call Medicare at 1-800-MEDICARE (1-800-633-4227; TTY users may call 1-877-486-2048), available 24 hours a day, seven days a week. You may learn more about Medicare Direct Contracting Entities at https://innovation.cms.gov/innovation-models/direct-contracting-model-options

D0175_Axceleran DCE1_LLC_2021_0012

Last Revised December 1, 2021