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, Director of Value Transformation
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) |
| 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 |
| 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 |
| Yorktowne Urology PC |
N |
| Gettysburg Family Practice Inc |
N |
| WellSpan Medical Group |
N |
| Hanover Family Practice Associates LLC |
N |
| WellSpan Specialty Services |
N |
| Apple Hill Podiatry Associates PC |
N |
| Family First Health Corporation |
N |
| Lebanon Valley Family Medicine Inc |
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 |
| 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 |
| 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 |
| Heath, MD |
Ricky |
Voting Member |
1 |
ACO Participant Representative |
WellSpan Medical Group |
| Eyer |
Douglas |
Voting Member |
1 |
ACO Participant Representative |
Gettysburg Family Practice Inc |
| Flowers, MD |
Brian |
Voting Member |
1 |
ACO Participant Representative |
York ENT Associates |
| Hoffmann, DO |
David |
Voting Member |
1 |
ACO Participant Representative |
Summit Physician Services |
| 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 |
| Gasperack, DO |
David |
Vothing Member |
1 |
ACO Participant Representative |
WellSpan Medical Group |
| Rao, MD |
G. Panisri |
Voting Member |
1 |
ACO Participant Representative |
WellSpan Medical Group |
| Figdore, MD |
Meg |
Voting Member |
1 |
ACO Participant Representative |
York Hospital |
| Buczkowski |
Laura |
Voting Member |
1 |
ACO Participant Representative |
York Hospital |
| Scott |
William |
Voting Member |
1 |
Community Stakeholder |
n/a |
| Shoemaker |
William |
Voting Member |
1 |
Community Stakeholder |
n/a |
Key ACO clinical and administrative leadership:
| Geoffrey Nicholson |
ACO Executive |
| Debra Bell |
Medical Director |
| Wendy Trout |
Compliance Officer |
| Kristin Thomas |
Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name |
Committee Leader Name and Position |
| Value & Affordability Council |
Geoffrey Nicholson - Chair |
| 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
- Second Agreement Period
- 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
Second Agreement Period
- 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
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- 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
2019 Quality Performance Results:
|
ACO#
|
Measure Name
|
Rate
|
ACO Mean
|
|
ACO-1
|
CAHPS: Getting Timely Care, Appointments, and Information
|
87.01
|
85.86
|
|
ACO-2
|
CAHPS: How Well Your Providers Communicate
|
95.19
|
94.11
|
|
ACO-3
|
CAHPS: Patients' Rating of Provider
|
93.40
|
92.69
|
|
ACO-4
|
CAHPS: Access to Specialists
|
78.43
|
81.54
|
|
ACO-5
|
CAHPS: Health Promotion and Education
|
60.37
|
60.44
|
|
ACO-6
|
CAHPS: Shared Decision Making
|
64.49
|
62.78
|
|
ACO-7
|
CAHPS: Health Status/Functional Status
|
75.76
|
73.79
|
|
ACO-34
|
CAHPS: Stewardship of Patient Resources
|
24.32
|
26.17
|
|
ACO-45
|
CAHPS: Courteous and Helpful Office Staff
|
92.72
|
92.84
|
|
ACO-46
|
CAHPS: Care Coordination
|
87.49
|
86.89
|
|
ACO-8
|
Risk-Standardized, All Condition Readmission
|
14.13
|
14.86
|
|
ACO-38
|
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
|
55.31
|
58.15
|
|
ACO-43
|
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
|
1.46
|
1.87
|
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
90.41
|
84.04
|
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
84.08
|
74.77
|
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
86.36
|
78.04
|
|
ACO-18
|
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
|
84.31
|
70.40
|
|
ACO-19
|
Colorectal Cancer Screening
|
77.37
|
70.76
|
|
ACO-20
|
Breast Cancer Screening
|
82.53
|
73.84
|
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
83.88
|
82.17
|
|
ACO-27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control
|
10.34
|
13.88
|
|
ACO-28
|
Hypertension (HTN): Controlling High Blood Pressure
|
70.99
|
75.04
|
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov
