Committed to Advancing the State of Healthcare for Residents in LTC Facilities

Get to Know Us

LTC ACO began in 2016 as the first ACO focused specifically on the special needs of Medicare Beneficiaries residing in long-term care facilities. This includes, but is not limited to, the frail elderly, individuals living with Alzheimer’s disease or dementia, depression, amputations, developmental or physical disabilities, renal failure and individuals with multiple chronic diseases with complications. By participating in LTC ACO, physicians and LTC facilities will finally be recognized and rewarded for improving the quality and cost of care delivered to this vulnerable subset of the Medicare population. Unlike other managed Medicare programs, such as Medicare Advantage Institutional Special Needs Plans (I-SNPs), LTC ACO participating physicians and LTC facilities have NO downside risk and they do NOT contribute capital in order to participate in LTC ACO.

Our mission is to dramatically improve the quality and cost of healthcare delivered to these Medicare Beneficiaries, rewarding participating providers for achieving these outcomes. Using this approach, it is our vision to revolutionize the way healthcare is provided to Medicare Beneficiaries residing in long-term care facilities.

Today, LTC ACO is contracted with

400 LTC Facilities in 25 states

MEET OUR LEADERSHIP

Jason Feuerman President & Chief Executive Officer
Mr. Feuerman leads the LTC ACO, the only Medicare Shared Savings Program of its type dedicated exclusively to management of the full Medicare spend of long-term care facility residents throughout the United States. He is also responsible for leading managed care and strategic value-based initiatives for Genesis HealthCare, including the development and participation in advanced alternative payment models that provide effective post-acute solutions at lower costs. Prior to joining Genesis HealthCare, Mr. Feuerman served as Senior Vice President and President of the Public Sector and Health Plan 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 in Finance and Economics from the University of Maryland.
Rich Feifer, MD, MPH Chief Medical Officer
Dr. Rich Feifer is president of Genesis Physician Services and Chief Medical Officer of the LTC ACO, the only national ACO focused on long-term care facility patients. Genesis HealthCare is the nation's largest skilled nursing and long-term care provider, operating approximately 400 facilities in 30 states.  Dr. Feifer leads a team of over 450 clinicians in addition to the medical directors at every Genesis skilled nursing facility. More broadly across Genesis, he leads all aspects of pharmacy management.  His primary focus is the active transition from volume-based fee-for-service to value-based care and reimbursement.  Prior to joining Genesis, Dr. Feifer served as Aetna’s chief medical officer of National Accounts. He led Clinical Consulting, Strategy, and Analysis, which helped our nation’s largest employers improve the health and productivity of their employees and dependents.  Before Aetna, Dr. Feifer served as vice president of Clinical Program Innovation and Evaluation at Medco, where he was responsible for the organization’s portfolio of care enhancement programs.  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. He received his MPH in Health Services Management from Columbia University, and is currently an Assistant Clinical Professor at the University of Connecticut.
Marianne BatzlerChief Financial Officer
Ms. Batzler is an experienced healthcare financial executive.  She has been developing and managing all of the reporting and analysis for Genesis’ MSSP and BCPI programs. She has also provided Medicare Part D consulting services to several organizations along with financial analysis for several insurance carve-out entities. Prior to this, Ms. Batzler served as VP of Medical Economics for HealthSpring, a Cigna Company and Bravo Health for 20+ years. In that role, she was responsible for all Medicare Advantage Bid analysis, analysis and recording of all Medicare Part D activity, management of the Enrollment Department, all risk score projections and analysis, medical cost analysis and reporting to at-risk groups. Her initial role at Elder Health/Bravo Health was as Controller and Vice President of Finance, responsible for all financial reporting, payables and receivables, payroll and human resources. Prior to joining Elder Health/Bravo Health, Ms. Batzler served as Controller for Bon Secours Health System in Baltimore, a two-hospital system with several unregulated entities.  Prior to that she worked for five years for Arthur Andersen in Baltimore as a Certified Public Accountant and consultant. Ms. Batzler holds both a Masters in Business Administration and Bachelors of Business Administration from Loyola University of Maryland.
Ena Arthur PierceChief of LTC Partnership Development & Operations
Ena has over 25 years of experience in managed care operations, payment policy, medical economics, contracting, marketing, business development, state and federal regulatory affairs, state and federal licensure and contracting, and compliance.  Ena’s leadership experience includes business turn-around and transformation, federal and state regulatory relationship management, large scale project management, business integration and start-up implementations.

‍Ena currently serves as the Chief of LTC Partnership Development and Operations for LTC ACO and in that role develops relationships with LTC facilities necessary to support the goals of the ACO. She manages all aspects of operations necessary to support the effectiveness of those LTC providers, including integration with LTC participating providers and the ACO.

Prior to this, Ena led Magellan Complete Care of Florida, Florida’s Medicaid Serious Mental Illness Special Needs Plan.  Prior to her role at Magellan, Ena led Alegis Care, a Cigna company, in its expansion of home-based chronic care management,Medicaid and Medicare managed care in-home patient assessments and fee-for-service “house call” lines of business. Also at Cigna, Ena led federal and state readiness activities for the Medicare Medicaid Financial Alignment Demonstration in the Illinois Cigna-HealthSpring market.  Ena is a tireless advocate and experienced leader of Special Needs Plans at the federal and state levels, at one time leading HealthSpring’s Medicare Advantage Institutional Special Needs Plan.

A legacy Bravo Health executive, Ena served in various leadership roles, finally as the Chief Compliance Officer before the HealthSpring acquisition of Bravo Health. Other roles included Vice President of Marketing and a Director on the Business Development team, engaged in government relations and market development.  Prior managed care experience also includes consulting at the Center for Health Policy Studies and various roles at the Johns Hopkins Health Plan, which was subsequently acquired by Prudential Health Care.

Outside of her professional work, Ena has been an active Board Member to a number of arts and healthcare non-profit organizations.  She is a proud graduate of the Pennsylvania State University, receiving a degree in Health Policy and Administration.
Kristen KrzyzewskiChief Strategy & Program Development Officer
In her role, Ms. Krzyzewski worked to develop the initial concept for LTC ACO and obtained CMS approval of the initial and renewal applications.  She works closely with Mr. Feuerman to evaluate and design strategic initiatives to support the long term growth and success of LTC ACO.  Prior to this role, she consulted with healthcare organizations on various strategic projects, including a value-based managed care solution for oncology, due diligence coordination, RFP response development, market entry strategy, and business plan development. Prior to consulting, she served as the SVP, Corporate Planning and Development for Value Options, a managed care behavioral health company, where she led the organization’s dual eligible and Medicaid Aged, Blind and Disabled strategy.  Prior to that, she served as SVP, Business Development for HealthSpring, A Cigna Company, and Bravo Health/Elder Health where she was responsible for new market development and service area expansions, including state licensure and CMS approval; development of I-SNP, D-SNP, and Medicaid proposals (TX STAR+PLUS); and strategic planning and market/competitive research.  Ms. Krzyzewski earned a Masters in Business Administration degree from Harvard University Graduate School of Business and a Bachelor of Arts degree in Economics from Cornell University.
Janine M. ValdezChief Compliance Officer
Janine Valdez has over 23 years of experience in a variety of positions within long-term care. During her tenure with Sun Healthcare, she worked in a variety of roles in accounting and financial planning before joining the Sun Compliance Department. With Sun, she assisted with the negotiation and implementation of the company’s Corporate Integrity Agreement (CIA) with the United States Office of Inspector General.  After the successful closure of the CIA and the merger of Sun Healthcare with Genesis HealthCare, Janine was appointed as the Genesis Compliance Officer and the Compliance Officer of LTC ACO.  She has worked to ensure that the compliance program remains a vital component of the company’s overall management strategy.
Erin LairdOperations Director
Erin Laird is responsible for operations and performance management at LTC ACO, the nation’s first Medicare Shared Savings Program dedicated exclusively to management of the full Medicare spend of nursing facility residents throughout the United States. Prior to her current role Mrs. Laird managed Genesis HealthCare’s BPCI Model 3 program. Before joining Genesis HealthCare, Mrs. Laird served as the Director of Quality & STARS at Bravo Health, a subsidiary of Cigna, Inc. Prior to Bravo Health, Mrs. Laird worked as a Consultant for Global Financial Institutions and spent several years working on Wall Street. She holds a B.A. in Economics from Columbia University and an Executive MBA from Loyola University Maryland.

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