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
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
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
Wound Specialists LLC	N
Schaefferstown Family Practice Inc.	N
Waynesboro Hospital	N
Chambersburg Health Services	N
Summit Physician Services	N
The Chambersburg Hospital	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	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
Gapstur, PhD	Roxanna	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

2017 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.

For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu

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.