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
601 Memory Lane
York, Pennsylvania 17402

ACO Primary Contact

Primary Contact Name: Brandon Danz, Senior Director of Value Based Care
Primary Contact Phone Number: 717-851-1492
Primary Contact Email Address: bdanz@WellSpan.org

Organizational Information

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
David Bene	N
Premier Ankle & Foot Specialists PC	N
Lebanon Internal Medicine Associates, P.C.	N
Charles E Schlager, MD LTD	N
Dallastown Medical Associates LLP	N
Cancer Care Associates of York Inc	N
Martin Podiatry PC	N
Yorktowne Urology PC	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
Chambersburg Health Services	N
Summit Physician Services	N
Keystone Rural Health Center	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
Tabatabai	Amir	Chairman	7.14%	ACO Participant Representative	Cancer Care Associates of York Inc
Dannehl	William	Vice Chairman	7.14%	Community Stakeholder	n/a
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
Colli, MD	Michael	Voting Member	7.14%	ACO Participant Representative	Keystone Rural Health Center
Eisenberg, DO	Maureen	Voting Member	7.14%	ACO Participant Representative	Hanover Family Practice Associates LLC
Figdore, MD	Meg	Voting Member	7.14%	ACO Participant Representative	WellSpan Medical Group
Gasperack, DO	David	Voting Member	7.14%	ACO Participant Representative	WellSpan Medical Group
Hoffmann, DO	David	Voting Member	7.14%	ACO Participant Representative	Summit Physician Services
Klinedinst	John	Voting Member	7.14%	Community Stakeholder	n/a
Nicholson, MD	Geoff	Voting Member	7.14%	ACO Participant Representative	WellSpan Medical Group
Patel, MD	Hetal	Voting Member	7.14%	ACO Participant Representative	WellSpan Medical Group
Rao, MD	G. Panisri	Voting Member	7.14%	ACO Participant Representative	WellSpan Medical Group

Key ACO clinical and administrative leadership:

Philip Geoffrey Nicholson	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/Losses

Third Agreement Period
- 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

Third Agreement Period

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

2022 Quality Performance Results:

Measure #	Measure Name	Collection Type	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	84.22	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	93.57	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	92.53	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75.90	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	63.29	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	58.22	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	73.27	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	86.15	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	94.37	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	25.40	25.62
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	7.97	10.71
Quality ID# 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	80.88	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	69.02	76.16
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	93.16	87.83
Quality ID# 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	84.71	77.34
Quality ID# 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	93.75	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	77.42	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	80.77	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease [2]	CMS Web Interface	88.57	86.37
Quality ID# 370	Depression Remission at Twelve Months [2]	CMS Web Interface	10.00	16.03
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	Administrative Claims	13.45	15.10
Measure# 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	29.86	30.97
[1] A lower performance rate corresponds to higher quality. [2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not scored.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov