ACO Public Reporting Information

Reducing health care costs

Providing safe, quality care for patients is our top priority, but we also strive to reduce the cost of healthcare. As an accountable care organization (ACO), WellSpan works with doctors, hospitals and other health care providers to improve the quality and experience of the care you receive.

ACOs receive a portion of any savings resulting from reducing costs and meeting quality requirements.

We're required to report information about our care and results. The following information is provided per Medicare Shared Savings Program (MSSP) regulations 42 CFR §425.308.

Public reporting information

ACO name and location
York Health Plan
601 Memory Lane
York, PA 17402

ACO primary contact
Brandon Danz, Vice President of Population Health
Phone number: 717-851-6649
Email address: WSHCustomerService@wellspan.org

Organizational information

ACO participants	ACO participant in joint venture (Yes or no)
David Bene	N
Premier Ankle & Foot Specialists, PC	N
Lebanon Internal Medicine Associates, PC	N
Dallastown Medical Associates, LLP	N
Gettysburg Family Practice Inc.	N
WellSpan Medical Group	N
Hanover Family Practice Associates, LLC	N
Apple Hill Podiatry Associates, PC	N
Family First Health Corporation	N
Lebanon Valley Family Medicine Inc.	N
Schaefferstown Family Practice Inc.	N
Keystone Rural Health Center	N
Evangelical Medical Services Organization	N

ACO governing body

Member			Member's voting power	Membership type	ACO participant TIN legal business name/DBA, if applicable
Last name	First name	Title/position	Member's voting power	Membership type	ACO participant TIN legal business name/DBA, if applicable
Dannehl	William	Chairman	7.14%	Community stakeholder	N/A
Colli, MD	Mike	Vice Chairman	7.14%	ACO participant representative	Keystone Rural Health Center
Aquilina, DO	Anthony	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group
Brown	Richard	Voting Member	7.14%	Medicare beneficiary	N/A
Buczkowski	Laura	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group
Eisenberg, DO	Maureen	Voting Member	7.14%	ACO participant representative	Hanover Family Practice Associates, LLC
Gasperack, DO	David	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group
Kerber, MD	Ayn	Voting Member	7.14%	ACO participant representative	Evangelical Medical Services Organization
Klinedinst	John	Voting Member	7.14%	Community stakeholder	N/A
Patel, MD	Hetal	Voting Member	7.14%	ACO participant representative	Family First Health
Rao, MD	G. Panisri	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group
Rogers, MD	Kenneth	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group
Switaj, MD	Timothy	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group
Vega, MD	David	Voting Member	7.14%	ACO participant representative	WellSpan Medical Group

Due to rounding, "Member's voting power" may not equal 100%.

Key ACO clinical and administrative leadership

Brandon Danz	ACO Executive
Debra Bell, MD	Medical Director
Wendy Trout	Compliance Officer
Debra Bell, MD	Quality Assurance/Improvement Officer

Associated committees and committee leadership

Committee name	Committee leader name and position
Quality Committee	Debra Bell, MD — Chair
Credentialing Committee	Debra Bell, MD — Chair

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

Networks of individual practices of ACO professionals

Shared savings and losses

Amount of shared savings and losses

Fifth agreement period
- Performance year 2026: N/A
- Performance year 2025, N/A
Fourth agreement period
- Performance year 2024: $27,077,295
Third agreement period
- Performance year 2023: $12,133,445
- Performance year 2022, $16,115,023
Second agreement period
- Performance year 2021, $0
- Performance year 2020, $0
- Performance year 2019, $0
- Performance year 2018, $0

First agreement period
- Performance year 2017, $0
- Performance year 2016, $0
- Performance year 2015, $0

Shared savings distribution

Fifth agreement period

Performance year 2026
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2025
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

Fourth agreement period

Performance year 2024
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%

Third agreement period

Performance year 2023
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%
Performance year 2022
- Proportion invested in infrastructure: 0%
- Proportion invested in redesigned care processes/resources: 0%
- Proportion of distribution to ACO participants: 100%

Second agreement period

Performance year 2021
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2020
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

First agreement period

Performance year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Performance year 2015
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A

Quality performance results 2025

Measure	Measure Title	Collection Type	Performance Rate	Current Year Mean Performance Rate (Shared Savings Program ACOs)
321	CAHPS for MIPS	CAHPS for MIPS Survey	6.01	6.67
479*	Hospital-Wide, 30-Day, AIl-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1485	0.1517
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	41.8	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	91.73	88.99
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	82.87	68.6
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	62.5	79.98
113	Colorectal Cancer Screening	CMS Web Interface	79.78	77.81
112	Breast Cancer Screening	CMS Web Interface	85.55	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	91.77	86.5
370	Depression Remission at Twelve Months	CMS Web Interface	4.69	17.35
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	7.14	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	86.3	81.46
236	Controlling High Blood Pressure	CMS Web Interface	76.08	79.49
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	84.97	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.86	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	93.73	92.43
CAHPS.4	Access to Specialists	CAHPS for MIPS Survey	69.69	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	62.56	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	58.98	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.91	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	86.36	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	27.29	26.98

For previous years' financial and quality performance results, please visit data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver: Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612

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ACO Public Reporting Information

Reducing health care costs