Discover the NEXT Healthcare Difference


A one-stop ACO administrative, management, consulting and IT services provider.

Our company is founded by a physician who has successfully formulated and launched six Medicare Shared Savings Programs (MSSP). IT services are provided through our preferred partners. Our service models are flexible and can be tailored to your requirements as a joint venture, turnkey or a la carte offerings.
We manage the entire CMS application process, helping aspiring groups of Primary Care Physicians & practices, Rural Health Clinics and Federally Qualified Health Clinics determine their readiness to form an ACO. We provide data analytics, quality reporting measures and Health Information Exchange and integration with other entities.


  • Enable entities in a seamless and smooth formation, implementation and management of ongoing operational support
  • Enable ACOs to achieve Triple Aim and significant shared savings


  • Enable formation of ACOs across the nation by leveraging our experience and expertise
  • Enable ACOs in the transformation to risk-based shared savings and population funding as the payment reform unravels

Our Team

  • Jay Chowdappa, MD | Founder & CEO
  • Philmer Lewis, MBA | Director of Operations
  • Joey M. Brillantes | Chief Technology Officer
  • Jonathan Hofeling | Information Officer
  • Venkat Bala | Director of Business Development


  • Awareness and Readiness
  • Prerequisites
  • Checklist
  • Application Processing and Timelines
  • Recommendations and Action Plans
  • Choice of Entity
  • Entity Structure and Governance
  • Physician (provider) <> ACO Agreements and Execution
  • Shared Savings Distribution Model customization to your group
  • ACO application: Preparation and Submission
  • Administrative Compliance
  • Business affiliate agreements
  • CMS beneficiary data collection and analysis
  • Clinical data integration and analytics
  • ACO Quality Measures training and reporting (GPRO)
  • Physician and Practice Mentoring
    • MRA guidance (HCC)
    • Coding Compliance
    • Chart/EMR Documentation compliance 
  • Practice Enhancements
    • Office staff training and liaison
    • Patient-centered medical homes (PCMH)
  • Physician ACO Portals (Qualantir)
  • Front and back-end administration and management of ACOs (on-site/remote)
  • Health Information Exchange (HIE) connectivity and interoperability
  • Provider Portals
  • Care Coordination Implementation
  • Performance Measurement, Reporting and Compliance
  • Risk Management and Mitigation Plans
  • Provider Engagement
  • Hospitals, SNF, Home Health and other allied affiliations

Why Us

  • Conceptualized and founded one of the first 27 Medicare Shared Savings Program (MSSP) ACOs approved by CMS in April 2012 - West Florida ACO, LLC
    • Dr. Jay Chowdappa serves as the Chairman of the governing body and CEO of West Florida ACO, LLC, currently an Enhanced Track ACO. West Florida ACO is ranked in the Top 5% for Quality Measures and Performance in the nation.
  • Conceptualized and Founded
  • 100% track record for achieving Shared Savings. West Florida ACO, Paradigm ACO, and Antelope Valley ACO have ALL achieved Shared Savings. Additionally, after their first year, ALL 2016 ACOs achieved Shared Savings.
  • Provided Feasibility and Formation services – Application submission, processing and CMS approval
  • Lead Medical Director for a premier Managed Services Organization (MSO)
  • Deep Knowledge, experience and expertise in Medicare risk management for over fifteen Years
  • Commitment to provide consistency, reliability, quality, and comprehensive value added services
  • Desire and willingness to GO the extra mile to offer affordable services