The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health and Jefferson Health, serving the Greater Philadelphia region. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service, a business model focused on volume, to a model focused on population health.
DVACO operates under the Medicare Shared Savings Program (MSSP) through an agreement with the Centers for Medicare and Medicaid Services (CMS). Currently DVACO is the region’s largest Medicare ACO with more than 2,000 physicians and 90,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds three performance-based contracts with private payers as well as the employees and dependents of its owners —enhancing DVACO’s total number of beneficiaries to above 250,000—a number that will likely increase in the future as DVACO participates with additional insurance payers in population health contracts.

Primary Care Physicians


Quality Measurements

What we do

DVACO’ s primary focus is outlined by the three-part aim:
  • Improve the Health of our Patient Population
  • Improve our Patients’ Experiences
  • Reduce the per-capita Cost of Care delivered to our Population

These goals are achieved through enhanced coordination of patient care and by dedication to quality improvement initiatives that increase the efficiency of care delivery within the outpatient setting.

Care Coordination and Practice Transformation

DVACO’s care coordination team works with patients in collaboration with their primary care providers, specialists, hospital-based care managers, practice-based care coordinators, and a multitude of agencies, in an effort to reduce fragmentation of patients’ care. Improving patient care requires utilizing experienced care coordinators who are primarily registered nurses or social workers, along with standardized processes for identifying patients within the population who are most likely to benefit from enhanced care coordination. Our care coordinators complement existing care coordinators within the health systems’ employed practices or other ambulatory settings. Our goal is to serve as an extension of the primary care providers’ staff. DVACO also helps monitor the patient’s transition of care from hospital to nursing home or home health, as well as to and from the patient’s own home setting. This includes evaluation of access and adherence to prescribed medications, scheduling of follow-up appointments, and assessment of patient barriers to recovery. Our care coordinators then develop a care plan with the patient and primary care provider to help track the identified problems, goals and interventions. DVACO’s Practice Transformation Team works closely with physician practices to help them smoothly transition from a fee-for-service reimbursement model towards a fee-for-value model, in which more of the practice revenue is based upon quality and outcome metrics. Practice Transformation Coaches work with practices to redesign traditional workflows and processes to address gaps in care and to facilitate a more proactive approach to population management. The team also provides support to practices that are working toward achieving PCMH recognition and helps educate practices on the importance of EHR optimization, HCC coding, quality reporting (GPRO), and Medicare preventative visits.

What is an ACO?

An Accountable Care Organization (ACO) refers to a group of providers and suppliers of services (e.g. hospitals, physicians and others involved in patient care) that work together to coordinate care for a defined population of patients (e.g. Medicare beneficiaries) with the goal of meeting or exceeding quality performance standards while also reducing the rate of growth in healthcare costs. 

Our Network

Our network includes hospitals and primary care physicians that are both employed and affiliated with Main Line Health, Jefferson University and Hospitals, and Magee Rehab. 

See Participants

Contact Information

Address PO Box 356, Villanova, PA 19085
Phone 610-225-6295
Toll Free Number 855-761-9345
TTY# 610-225-6275
Compliance Line 610-225-6211
Business Hours 9-5pm