Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH) Model



  • Simply use the form below to confirm that Bloom Healthcare is your main doctor or health care professional for routine primary care, to help determine if Bloom Healthcare can help provide better care and benefits for you. You will receive routine primary care in your home or place of residence from our primary care providers. Routine care can include regular care and check-ups you get from a doctor or other health care professional and care for other chronic health problems, such as asthma, diabetes, hypertension, CHF, COPD, etc.
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    PHYSICAL LOCATION/MAILING ADDRESS:
    Bloom Health Network LLC (d/b/a Bloom Healthcare)
    10900 W 44th Ave., Suite 200
    Wheat Ridge, CO 80033
    Franke P. Elliott
    President, Bloom Health Network LLC
    felliott@bloomhealthcare.com

    JOINT VENTURES BETWEEN OR AMONG THE ACO AND ANY OF ITS ACO PARTIPANT AND PREFERRED PROVIDERS:
    None to report at this time, please note Bloom Health Network LLC and Physician Housecalls LLC are both affiliates of Bloom Healthcare Inc.



    -DISCLAIMER-

  • Note: Whether or not you complete this form or select Bloom Healthcare as your main doctor or other health care professional, you remain eligible to receive the same Medicare benefits and you still have the right to use any doctor, other health care professional, or hospital that accepts Medicare, at any time. This form will simply help determine if Bloom Healthcare can help provide improved care and better service for you.

  • Bloom Health Network LLC and Physician Housecalls LLC are both affiliates of Bloom Healthcare Inc.

  • Selecting Bloom Healthcare or any other doctor or other health care professional by completing this form is your choice AND you can change your mind later. If you complete this form and select Bloom Healthcare (or any other doctor) as your main doctor or health care professional, you should do so yourself. No one else, other than a Power of Attorney or Legal Guardian, should complete this form for you.

  • You can also do it online through www.MyMedicare.gov and we can provide you with instructions how to do so HERE. Whatever is easiest for you! If you make a selection on this form and make a different selection through MyMedicare.gov, Medicare will prioritize the selection you make through MyMedicare.gov. No one is allowed to attempt to influence your choice to complete this form or select a doctor or other health care professional through MyMedicare.gov by offering or withholding anything in exchange for you to complete or not complete the form or to make a selection online. If you feel pressured to sign or not sign this form or to make a selection online, please call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

  • If you have questions, feel free to call Bloom Healthcare at 720-923-1302. You can also call Medicare at 1-800-MEDICARE (1-800-633-4227) to ask about “ACOs”. TTY users should call 1-877-486-2048.

  • If you change your mind later about whether you consider Bloom Healthcare to be the main doctor or other health care professional you see for routine care, you can call (303) 993-1330 or update your selection online, at anytime.

  • Importante: esta informacion esta disponibles en espanol, solicitalo llamando al (720) 923-1302.

  • You can also get more information about ACOs at the CMS Website: https://innovation.cms.gov/innovation-models/aco-reach