Public Reporting Information

ACO Name and Location

ACO Primary Contact

Organizational Information

ACO governing body:

Key ACO clinical and administrative leadership:

ACO Executive: Edward Gold MD
Medical Director: Philip Woodham MD
Compliance Officer: Thomas Flynn
Quality Assurance/Improvement Officer: Edward Gold MD

Associated committees and committee leadership:

Types of ACO participants, or combinations of participants, that formed the ACO:

• Partnership of joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

• First Agreement Period
  • Performance Year 2013, $5,266,358
  • Performance Year 2014, $2,832,988
  • Performance Year 2015, $15,640,878
• Second Agreement Period
  • Performance Year 2016, $22,835,022
  • Performance Year 2017, $18,157,748
  • Performance Year 2018, $21,607,983
  • Performance Year 2019, $4,577,792
• Third Agreement Period
  • Performance Year 2019, $4,577,792
  • Performance Year 2020, $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution:

• First Agreement Period
  • Performance Year 2013
    • Proportion invested in infrastructure: 40%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2014
    • Proportion invested in infrastructure: 40%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2015
    • Proportion invested in infrastructure: 40%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 50%
• Second Agreement Period
  • Performance Year 2016
    • Proportion invested in infrastructure: 15.95%
    • Proportion invested in redesigned care processes/resources: 15.95%
    • Proportion of distribution to ACO participants: 68.10%
  • Performance Year 2017
    • Proportion invested in infrastructure: 15.45%
    • Proportion invested in redesigned care processes/resources: 15.45%
    • Proportion of distribution to ACO participants: 69.10%
  • Performance Year 2018
    • Proportion invested in infrastructure: 20.30%
    • Proportion invested in redesigned care processes/resources: 20.3%
    • Proportion of distribution to ACO participants: 59.40%
  • Performance Year 2019
    • Proportion invested in infrastructure: 40%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 50%
• Third Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 40%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 50%
  • Performance Year 2020
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 0%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2020 Quality Performance Results:

Please note: the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov. Updated: 9/24/2021