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 |
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