ABOUT
Primary Care
Practices
Long-Stay
Facilities
medicare
beneficiaries
Resources
contact
contact us
X CLOSE MENU
HOMEABOUT
Who We Are »Latest News »About ACOs »Newsletters »
Primary Care PracticesMEDICARE BENEFICIARIES
Our Benefits & FAQ»Beneficiary Notices»
CLINICAL RESOURCESIMPLEMENTATION HUB
Long-Stay Facilities: Participant Posters »
CONTACT US

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

OUR TEAM
»
OUR STORY
»
PUBLIC REPORTING
»

Get to Know Us

LTC ACO is the first Accountable Care Organization to serve Medicare beneficiaries who live in long-stay facilities. Since 2016, we have focused on this high needs population which includes the frail elderly, individuals living with Alzheimer’s disease or dementia, depression, amputations, developmental or physical disabilities, renal failure and those with multiple chronic diseases and complications. 
‍
LTC ACO is a pioneer in leveraging the benefits of an accountable care organization in the long-term care industry and is deeply committed to the success of its participating partner practices. By participating in LTC ACO, primary care clinicians and long-stay facilities are empowered by an expert team committed to helping them advance the state of healthcare for residents in their care.
‍
We empower long-term care clinicians and facilities to deliver value-based care by analyzing and providing actionable data and insights that drive improved quality and cost performance. Additionally, unlike other managed Medicare programs, such as Medicare Advantage Institutional Special Needs Plans (I-SNPs), LTC ACO partner practices have NO downside risk and NO capital contribution is needed to participate.
‍
Our mission is to enable the success of our partners in value-based care, by continuously delivering the most innovative and effective value-based care insights and interventions to our partner practices. Using this approach, it is our vision to transform the quality of healthcare for people residing in long-stay facilities with preferred, industry-leading value-based care solutions.

Today, LTC ACO has a geographic reach that includes...

all 50 states

a large colorful map of the U.S. to show LTC ACO's reach across all 50 states

MEET OUR LEADERSHIP

Al Shainepresident

Al Shaine, MBA, serves as President of LTC ACO, the Medicare Shared Savings Program dedicated exclusively to improving the coordination and quality of health care provided to Medicare beneficiaries residing in long-term care and assisted living facilities throughout the United States. Mr. Shaine also serves as the President of AlignMed Partners, a founding member and current participant in LTC ACO. AlignMed Partners collaborates with clinical and operational leaders to enhance clinical capabilities in skilled nursing and long-term care settings.

Prior to joining AlignMed Partners as COO in 2019, Al served as a Regional Vice President for Privia Health, where he managed operations across the Mid-Atlantic region and implemented strategies to drive ACO performance. Before Privia, Al served as a Senior Director with The Advisory Board Company, where he advised health systems’ in-network development strategy and revenue cycle performance improvement.

Al holds an MBA from Georgetown University’s McDonough School of Business and a Bachelor's degree from Wesleyan University in Middletown, CT.

Kristen KrzyzewskiActing President of LTC ACO

Kristen Krzyzewski is the co-founder and Acting President of LTC ACO, pioneering Medicare Shared Savings Program (MSSP) Accountable Care Organization participation for providers serving Medicare beneficiaries residing in long-term care facilities. Over a decade later, LTC ACO ranks among the nation’s highest-performing MSSP ACOs with $300 million in generated shared savings on $2.5 billion in Medicare spend since 2018, making LTC ACO the most trusted partner for long-term care providers that value real results. Prior to LTC ACO, Ms. Krzyzewski held senior leadership roles with managed care organizations serving high-risk Medicare and Medicaid populations, including Value Options, a behavioral health company, and Bravo Health, a Medicare Advantage plan specializing in Special Needs Plans for Dual Eligible and Institutional beneficiaries. She holds an MBA from Harvard Business School and a BA in Economics from Cornell University.

Brittain BrantleyChief Operating Officer

Brittain Brantley serves as Chief Operating Officer of LTC ACO, bringing a multifaceted background in value-based care and managed care. Prior to joining LTC ACO, Brittain served as Senior Vice President of Clinical Operations at Wellpath, where he led strategy and operations for Care Coordination, Utilization Management, Quality, Virtual Care, and Claims Processing departments, overseeing programming for more than 1 million healthcare patients across 36 states. During this time he co-founded Zenova, a division of Wellpath that delivered innovative care programs with community-based providers. Before Wellpath, he designed and launched value-based care operations at Tryon Direct, a healthcare startup serving patients in Direct Primary Care and ACOs (commercial and Medicare), achieving net shared savings in the first year of operations. Earlier in his career, he held leadership and research roles with Remedy Partners, the RAND Corporation, the Centers for Disease Control and Prevention, and the Brookings Institution. Brittain began his healthcare career as a Community Health Worker with the Peace Corps serving in Nicaragua.

Brittain completed his DrPH training in Health Policy and Management from Johns Hopkins University (ABD), and earned an MPH from Emory University and a BA from Kenyon College.

Walter Lin, MD, MBAClinical Strategy Officer

As the Clinical Strategy Officer for LTC ACO, Dr. Lin focuses on the development of the ACO’s clinical strategy to support improved clinical outcomes for the ACO and its participating groups. He is the Founder and CEO of Generation Clinical Partners (GCP), a medical practice focused exclusively on caring for those in senior living organizations. Dr. Lin has first-hand experience with numerous value based programs, including ACOs, Institutional Special Needs Plans (I-SNPs), Bundled Payments for Care Improvement (BPCI), Program of All-Inclusive Care for the Elderly (PACE), and home-based medical care for the seriously ill, and serves on the Physician-Focused Payment Model Technical Advisory Committee (PTAC) for the Department of Health and Human Services. Prior to founding GCP, Dr. Lin worked as a healthcare venture capitalist for Ascension Ventures and led Clinical Innovations for Catholic Healthcare West. Dr. Lin trained in internal medicine at Yale and earned his MD from the University of California, San Francisco, MBA from the University of Pennsylvania's Wharton School of Business, Masters of Science from the University of California, Berkeley, and undergraduate degree from Stanford University.

Teresa S. Molsbee, CPCO, CPC, CDEO, CRCCompliance Officer

Ms. Molsbee joined LTC ACO in October 2022, serving as Director of Quality Coding and Provider Compliance prior to stepping into the role as LTC ACO Compliance Officer in July 2025. She has over 35 years of healthcare industry experience, including experience in risk management, contract management, healthcare compliance, clinical documentation, primary care in long-term care, healthcare coding and billing, healthcare privacy and security, and value-based care.  Prior to joining LTC ACO, she served as Chief Compliance Officer with a Primary Care Physician Group in Texas, serving patients in long-term care, assisted living and independent living facilities, and community clinics. In that role, she oversaw the compliance and ethics program for the practice, clinical documentation education, a coding and billing team, managed office staff, credentialing, contract management, and facility and practice operations. Ms. Molsbee attended college at North Texas State. She holds credentials through AAPC as a Certified Professional Compliance Officer, a Certified Clinical Documentation Expert, a Certified Professional Coder, and a Certified Professional Risk Adjustment Coder. Ms. Molsbee is passionate about promoting a positive culture of integrity and compliance through education with team members and partnering practitioners in an effort to ensure the lives served receive quality, value-based care in a compliant and respectful manner.

Laura Slack, MD, CMDMedical director

Dr. Slack serves as the medical director for LTC ACO. Dr. Slack brings a wealth of experience to LTC ACO, having practiced as a board-certified geriatrician in long-term care for over 15 years and served as regional medical director for many states. She is active in AMDA/PALTC with a special passion for medication management, palliative care and wound care. She attended college at the University of North Carolina Wilmington, where she graduated with honors. While pursuing her medical degree, Dr. Slack focused on elderly patients during medical electives and mission work in China, the United Kingdom, West Indies, and West Africa. Dr. Slack completed her family practice residency and geriatric fellowship at Florida Hospital South and Florida Hospital Winter Park respectively. 

Want to Join Our Growing Team?

Please check back here for future opportunities!

Press Releases

LTC ACO Demonstrates Continued Strength, Completing All 2024 Provider Payments
»
LTC ACO Ranks Top 3 Nationally in Savings Per Beneficiary While Advancing Quality in 2024
»
New joint alliance aims to help assisted living providers engage in value-based care programs
»

Additional Resources

Public ReportingComplianceFacility participant postersbeneficiary notices

About

Who We AreAbout ACOsNewsletters

Who we serve

Physicians
Medicare Beneficiaries

compliance »

Privacy PolicyLatest News

contact us »

©LTC ACO 2025 — Made by MCD