ACO Executive: Michael Monsegur
Medical Director: Dr. Cameron Berg, MD
Compliance Officer: Bailey Acevedo-Carluccio
Quality Assurance/Improvement Officer: Jennifer Rabiner
ACO Compliance Committee
Bailey Acevedo, ACO Compliance Officer
Quality and Performance Committee
Jennifer Rabiner, EVP, Population Health and Technology, Health Equity
Finance and Data Committee
Patrick Mauro, Chief Data Science Officer
Pearl Care 4, LLC
220 5th Avenue, 17th Floor, New York, NY 10001
Michael Monsegur
(833) 769-0456
michael.monsegur@pearlhealth.com
Amount of Shared Savings/Losses
Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.
First Agreement Period
Performance Year 2025, N/A
Shared Savings Distribution
Our ACO has not yet received financial reconciliation results; therefore, this section is not applicable at this time.
First Agreement Period
Performance Year 2025:
2025 Quality Performance Results
Our ACO is participating in the Shared Savings Program in Performance Year 2025; however, we have not yet received our Performance Results, therefore this section is not applicable at this time.
The Secretary of the U.S. Department of Health and Human Services issued waivers of certain federal fraud and abuse laws for ACOs participating in the Medicare Shared Savings Program (“MSSP”) (see “Final Waivers in Connection With the Shared Savings Program” (See 80 Fed. Reg. 66,726 (Oct. 29, 2015)) (the “Final Rule”)). Pearl Care 4, LLC (the “ACO”) is currently participating in the MSSP pursuant to a Participation Agreement with the Centers for Medicare & Medicaid Services (“CMS”). Pursuant to the Final Rule, the ACO seeks ACO Participation waiver protection for the arrangements described below.
Disclosed Arrangements for the ACO Participation Waiver
On January 27, 2026, the ACO Board of Directors made a bona fide determination that the following arrangement is reasonably related to the purposes of the MSSP (all arrangements were subject to Board approval and, as such, were not final unless and until approved by the ACO Board of Directors):
The ACO entered into Preferred Provider Network Agreements with each of the providers listed below, effective January 1, 2026. Under these agreements, the providers deliver one of the following services: skilled nursing, home health, hospice, outpatient surgical, nutrition counseling, physical therapy, and laboratory services to the ACO's assigned Medicare fee-for-service beneficiaries, with accountability for quality measure performance and cost efficiency aligned with the purposes of the MSSP.
A list of each Preferred Provider subsidiary participating in this program can be found here: MSSP Website Disclosure Preferred Provider List
Pearl Care 4 has an Anonymous Compliance Reporting webform that is accessible to all individuals including Medicare Beneficiaries. This form will allow you to report any compliance concerns related to the ACO, and can be accessed by visiting pearlhealth.com/reportaconcern.
You can choose to report anonymously or provide your contact information. The information you provide will be transmitted to the ACO Compliance Officer who will follow-up on the report. The ACO has a non-retaliation policy which means you don’t need to fear making a good faith report. We rely on individuals like you to let us know when something is wrong.Providers may request to review important governing body documents by emailing compliance@pearlhealth.com.
If you ever feel that you are being retaliated against, please call the ACO Compliance Officer: Bailey Acevedo at 518-588-2988.
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