Public Reporting Information

The York Health Plan ACO provides the following information in accordance with Medicare Shared Savings Program (MSSP) regulations at 42 CFR §425.308.

ACO Name and Location

York Health Plan
3421 Concord Road
York, Pennsylvania 17402

ACO Primary Contact

Primary Contact Name: Brandon Danz
Primary Contact Phone Number: 717-851-1492
Primary Contact Email Address: bdanz@WellSpan.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Associates in Family Medicine LLC N
David Bene N
Robina Santaniello N
Premier Ankle & Foot Specialists PC N
Jeffrey Witman N
The Good Samaritan Hospital N
The Gettysburg Hospital N
York Hospital N
Ephrata Community Hospital N
Gastroenterology Assoc Of York, P.C. N
Lebanon Internal Medicine Associates, P.C. N
York ENT Associates N
Charles E Schlager, MD LTD N
Dallastown Medical Associates LLP N
Cancer Care Associates of York Inc N
Martin Podiatry PC N
Gettysburg Diagnostic Imaging PC N
Yorktowne Urology PC N
Gettysburg Family Practice Inc N
Partners in Family Health PC N
WellSpan Medical Group N
Hanover Family Practice Associates LLC N
Keystone Podiatric Medical Associates PC N
WellSpan Specialty Services N
Apple Hill Podiatry Associates PC N
Family First Health Corporation N
Lebanon Valley Family Medicine Inc N
Leader Surgical Associates N
Fredericksburg Community Health Center PC N
Dermatology & Skin Surgery Center of York LLC N
Spring Garden Family Practice PC N
V Tiruchelvam LLC N
Emmitsburg Osteopathic Primary Care Center Inc N
Wound Specialists LLC N
Schaefferstown Family Practice Inc. 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
Tabatabai Amir Chairman 1 ACO Participant Representative Cancer Care Associates of York Inc
McCullum Kevin Vice Chairman 1 ACO Participant Representative WellSpan Medical Group
Brown Richard Voting Member 1 Medicare Beneficiary n/a
Dalton, MD Tatiana Voting Member 1 ACO Participant Representative York Hospital
Eyer Douglas Voting Member 1 ACO Participant Representative Gettysburg Family Practice Inc
Flowers, MD Brian Voting Member 1 ACO Participant Representative York ENT Associates
Klinedinst John Voting Member 1 Community Stakeholder n/a
Mirsky, MD Howard Voting Member 1 ACO Participant Representative Yorktowne Urology PC
Mosser, MD Kevin Voting Member 1 ACO Participant Representative York Hospital
Moyer, MD Alyssa Voting Member 1 ACO Participant Representative WellSpan Medical Group
Figdore, MD Meg Voting Member 1 ACO Participant Representative York Hospital
O'Connor Michael Voting Member 1 ACO Participant Representative York Hospital
Prats, MD Ignacio Voting Member 1 ACO Participant Representative Leader Surgical Associates
Scott William Voting Member 1 Community Stakeholder n/a
Shoemaker William Voting Member 1 Community Stakeholder n/a
Sholtis, DO Heather Voting Member 1 ACO Participant Representative WellSpan Medical Group

 

Key ACO clinical and administrative leadership:

Charles Chodroff ACO Executive
Jonathan Whitney Medical Director
Wendy Trout Compliance Officer
Kristin Thomas Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name Committee Leader Name and Position
Population Health Council Charles Chodroff, MD - Chair
Quality Committee Jon Whitney, MD – Chair
Credentialing Committee Jon Whitney, 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/Losses

  • First Agreement Period
    • Performance Year 2017, $0
    • Performance Year 2016, $0
    • Performance Year 2015, $0

Shared Savings Distribution

  • 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

2016 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 87.19 80.60
ACO-2 CAHPS: How Well Your Providers Communicate 95.11 93.13
ACO-3 CAHPS: Patients' Rating of Provider 93.95 92.31
ACO-4 CAHPS: Access to Specialists 85.91 83.32
ACO-5 CAHPS: Health Promotion and Education 63.21 60.30
ACO-6 CAHPS: Shared Decision Making 77.55 75.85
ACO-7 CAHPS: Health Status/Functional Status 74.89 73.05
ACO-34 CAHPS: Stewardship of Patient Resources 24.79 25.68
ACO-8 Risk-Standardized, All Condition Readmission 14.37 15.01
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) 15.32 18.46
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 50.51 53.95
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 73.67 79.16
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 56.73 61.74
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.45 1.93
ACO-11 Percent of PCPs who Successfully Meet Meaningful Use Requirements 100.00 98.48
ACO-12 Medication Reconciliation 91.19 75.32
ACO-13 Falls: Screening for Future Fall Risk 75.52 74.38
ACO-44 Imaging Studies for Low Back Pain 56.50 67.32
ACO-14 Preventive Care and Screening: Influenza Immunization 85.12 72.52
ACO-15 Pneumonia Vaccination Status for Older Adults 87.94 72.92
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up 68.55 70.69
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 74.90 90.48
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 63.16 61.98
ACO-19 Colorectal Cancer Screening 74.90 64.58
ACO-20 Breast Cancer Screening 78.88 70.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 82.82 79.89
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 10.04 16.74
ACO-41 Diabetes: Eye Exam 59.44 50.37
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 72.80 71.47
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 92.89 86.86

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.

 

Note: In the Quality Performance Results file(s) above, search for “York Health Plan” or "WellSpan Population Health Services" to view the quality performance results. This ACO can also be found by using the ACO ID A11353 in the public use files on data.cms.gov.

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.

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