Home Heritage Valley Healthcare Network ACO, LLC

Heritage Valley Healthcare Network ACO, LLC

ACO Name and Location

Heritage Valley Healthcare Network ACO, LLC
1000 Dutch Ridge Road
Beaver, PA 15009

ACO Primary Contact

Primary Contact Name Craig Barr, Executive Director
Primary Contact Phone Number 724.773.4578
Primary Contact Email Address cbarr@hvhs.org

Organizational Information

ACO participants

ACO Participants Participant in Joint Venture (Enter Y or N)
Amy D’Antonio, M.D., LLC No
Annmarie Ray (MDVIP) No
Beaver Valley Foot Clinic, P.C. No
Beaver Valley Pathology Associates, Ltd.. No
Brighton Radiology Associates, P.C. No
Center for Digestive Health and Nutrition No
Chris T. O’Donnell, M.D. PC No
College Hill Podiatry Inc. No
Daniel J. Nadler, M.D. PC No
Dentistry for Children & Teens, Inc. No
ENT & Allergy Specialists of Western PA, P.C. No
Gerald M. Goltz, M.D. & Associates No
Greater Pittsburgh Orthopaedic Associates No
Heritage Valley Multispecialty Group, Inc. No
Jeffrey T Molinaro DPM PC (Oakdale Foot and Ankle Center) No
Joseph J. Ciocca, MD, LLC No
Pain Diagnostics and Interventional Care, LLC No
Sewickley Eye Center, LTD No
Teredesai, McCann, & Associates No
Tibor Ketzan, M.D. No
Heritage Valley OB/GYN No
Valley Gastroenterology Associates No
Valley Medical Facilities, Inc. No

ACO Governing Body

Last Name First Name Title/Position Member’s Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Jackson, MD Timothy Chairperson 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Mitry Norman CEO 6.66% Other – parent organization Valley Medical Facilities, Inc.
Osten, MD Kathleen Medical Director 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
O’Donnell, MD Chris Secretary/Treasurer 6.66% ACO Participant Chris T. O’Donnell M.D., PC
Cratty, MD Michael Member 6.66% ACO Participant Valley Medical Facilities, Inc.
Perry, MD Stephanie Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Wohar, MD John Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Woodske, MD Matthew Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Kim, MD Richard Member 6.66% ACO Participant Center for Digestive Health and Nutrition, Inc.
D’Auria, MD Stephen Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Morgan, MD Christopher Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Keitzer, MD Lauren Member 6.66% ACO Participant Valley Medical Facilities, Inc.
Sheffler, DO Zachary Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Kostrub, MD Justine Member 6.66% ACO Participant Heritage Valley Multispecialty Group, Inc.
Feldmeier, MD Curtis Member 6.66% Medicare Beneficiary Representative N/A
Barr Craig Executive Director 0 Other – parent organization Valley Medical Facilities, Inc. (Heritage Valley Health System)

Key ACO Clinical and Administrative Leadership

Norman Mitry ACO Executive
Kathleen Osten, MD Medical Director
Victoria Alberti Compliance Officer
Kathleen Osten, MD Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Finance Committee Richard Kim, MD, Chairperson
Credentials Committee Chris O’Donnell, MD, Chairperson
Quality Assurance Committee Kathleen Osten, MD, Chairperson

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    –  Performance Year 2022: $1,532,570
  • First Agreement Period
    –  Performance Year 2021: $3,666,939
    –  Performance Year 2020: $2,322,000
    –  Performance Year 2019: $1,702,462
    –  Performance Year 2018: $1,287,971

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2022
      –  Proportion invested in infrastructure: 10%
      –  Proportion invested in redesigned care processes/resources: 20%
      –  Proportion of distribution to ACO participants: 70%
  • First Agreement Period
    • Performance Year 2021
      –  Proportion invested in infrastructure: 8%
      –  Proportion invested in redesigned care processes/resources: 20%
      –  Proportion of distribution to ACO participants: 72%
    • Performance Year 2020
      –  Proportion invested in infrastructure: 7%
      –  Proportion invested in redesigned care processes/resources: 20%
      –  Proportion of distribution to ACO participants: 73%
    • Performance Year 2019
      –  Proportion invested in infrastructure: 6%
      –  Proportion invested in redesigned care processes/resources: 20%
      –  Proportion of distribution to ACO participants: 74%
    • Performance Year 2018
      – Proportion invested in infrastructure: 5%
      – Proportion invested in redesigned care processes/resources: 20%
      – Proportion of distribution to ACO participants: 75%

Quality Performance Results

2022 Quality Performance Results: Quality performance results are based on CMS Web Interface

Measure # Measure Name Rate Current Year Mean Performance Rate (SSP ACOs)
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] 7.09 10.71
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 81.53 76.97
236 Controlling High Blood Pressure 70.87 76.16
318 Falls: Screening for Future Fall Risk 83.20 87.83
110 Preventative Care and Screening: Influenza Immunization 78.97 77.34
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.25 79.27
113 Colorectal Cancer Screening 81.50 75.32
112 Breast Cancer Screening 85.32 78.07
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.86 86.37
370 Depression Remission at Twelve Months 12.22 16.03
321 CAHPS for MIPS [3] N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] 0.1481 0.1510
CAHPS-1 Getting Timely Care, Appointments, and Information 87.33 83.96
CAHPS-2 How Well Providers Communicate 95.74 93.47
CAHPS-3 Patient’s Rating of Provider 94.68 92.06
CAHPS-4 Access to Specialists 79.96 77.00
CAHPS-5 Health Promotion and Education 63.99 62.68
CAHPS-6 Shared Decision Making 70.71 60.97
CAHPS-7 Health Status and Functional Status 75.52 73.06
CAHPS-8 Care Coordination 88.75 85.46
CAHPS-9 Courteous and Helpful Office Staff 94.03 91.97
CAHPS-11 Stewardship of Patient Resources 28.27 25.62

 

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

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Waiver for Payment for Telehealth Services:
Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver: The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement. For each arrangement, provide the following information:
    • Parties to the arrangement: None
  • ACO Participation Waiver: The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. For each arrangement, provide the following information:
    • Parties to the arrangement: None

Corporate Compliance Hotline: In cooperation with HVHS, HVHN ACO is utilizing the HVHS Hotline, to which all HVHN ACO Personnel can anonymously report any corporate compliance concerns, issues or potential violations of the CCP requirements.  The Hotline number is 724-773-3473.  All reports will be handled per HVHS established policies and procedures.

HVHN ACO Personnel may at any time report directly to the HVHN ACO CCO.  The CCO can be reached through e-mail at valberti@hvhs.org or by calling 412-749-7652.