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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, 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)
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
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
Aquilina, DO Anthony Voting Member 1 ACO Participant Representative WellSpan Medical Group
Brown Richard Voting Member 1 Medicare Beneficiary n/a
Buczkowski Laura Voting Member 1 ACO Participant Representative York Hospital
Dannehl William Voting Member 1 Community Stakeholder N/A
Eyer Douglas Voting Member 1 ACO Participant Representative Gettysburg Family Practice Inc
Figdore, MD Meg Voting Member 1 ACO Participant Representative York Hospital
Gasperack, DO David Vothing Member 1 ACO Participant Representative WellSpan Medical Group
Heath, MD Ricky Voting Member 1 ACO Participant Representative WellSpan Medical Group
Hoffmann, DO David Voting Member 1 ACO Participant Representative Summit Physician Services
Klinedinst John Voting Member 1 Community Stakeholder n/a
McCullum Kevin Vice Chairman 1 ACO Participant Representative WellSpan Medical Group
Mirsky, MD Howard Voting Member 1 ACO Participant Representative Yorktowne Urology PC
Rao, MD G. Panisri Voting Member 1 ACO Participant Representative WellSpan Medical Group
Tabatabai Amir Chairman 1 ACO Participant Representative Cancer Care Associates of York Inc

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 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

Second Agreement Period

  • 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

2020 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

0.79

0.95

ACO-13

Falls: Screening for Future Fall Risk

86.14

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

82.49

76.03

ACO-17

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

81.82

81.67

ACO-18

Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

78.88

71.46

ACO-19

Colorectal Cancer Screening

77.97

72.59

ACO-20

Breast Cancer Screening

80.49

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.85

83.37

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

11.81

14.70

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

63.01

72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

 

Beneficiary Notification
Per § 425.312 of the Medicare Shared Savings Program regulations, ACOs must meet the following beneficiary notification requirements:

  • Notify Beneficiaries of ACO Participant and its ACO Providers/Suppliers’ Participation in the Shared Savings Program.
  • Notify Beneficiaries of Option to Decline Sharing Their Health Care Information (i.e., claims data sharing under 42 CFR 425.708).
  • Notify Beneficiaries of Ability to Identify or Change Voluntary Alignment Designations.

The Beneficiary Notification can be accessed here:
2022 Medicare Shared Savings Program 2022 Beneficiary Notification (ENGLISH)
2022 Medicare Shared Savings Program 2022 Beneficiary Notification (SPANISH)

  1. Brandon Danz Senior Director of Value Based Care