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
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
KBS Anesthesia, Inc No
Pain Diagnostics and Interventional Care, LLC No
Sewickley Eye Center, LTD No
Teredesai, McCann, & Associates No
Tri-State Obstetrics and Gynecology (Heritage Valley Obstetrics & Gynecology, Inc) 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 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Mitry Norman CEO 7.143% Other – parent organization Valley Medical Facilities, Inc.
Osten, MD Kathleen Medical Director 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
O’Donnell, MD Chris Secretary/Treasurer 7.143% ACO Participant Chris T. O’Donnell M.D., PC
Pangburn, MD Thomas Chief Medical Officer 7.143% ACO Participant Valley Medical Facilities, Inc.
Perry, MD Stephanie Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Wohar, MD John Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Woodske, MD Matthew Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Kim, MD Richard Member 7.143% ACO Participant Center for Digestive Health and Nutrition, Inc.
D’Auria, MD Stephen Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Morgan, MD Christopher Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Keitzer, MD Lauren Member 7.143% ACO Participant Valley Medical Facilities, Inc.
Sheffler, DO Zachary Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Kostrub, MD Justine Member 7.143% ACO Participant Heritage Valley Multispecialty Group, Inc.
Feldmeier, MD Curtis Member 7.143% 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 2023: NA
    • 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 2023
      –  Proportion invested in infrastructure: NA
      –  Proportion invested in redesigned care processes/resources: NA
      –  Proportion of distribution to ACO participants: NA
    • 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

2023 Quality Performance Results are based on CMS Web Interface collection type.

Measure # Measure Name Collection Type Rate Current Year Mean Performance Rate (SSP ACOs)
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 6.85 9.84
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 86.80 80.97
236 Controlling High Blood Pressure CMS Web Interface 77.60 77.80
318 Falls: Screening for Future Fall Risk CMS Web Interface 91.60 89.42
110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 72.80 70.76
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 58.33 79.29
113 Colorectal Cancer Screening CMS Web Interface 85.20 77.14
112 Breast Cancer Screening CMS Web Interface 79.12 80.36
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 85.41 87.05
370 Depression Remission at Twelve Months CMS Web Interface 10.53 16.58
321 CAHPS for MIPS [3] CMS Web Interface 7.47 6.25
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] CMS Web Interface 0.1518 0.1553
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] CMS Web Interface — 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.14 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.00 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.09 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 75.38 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 62.78 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 68.12 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.50 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.22 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.36 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 32.07 26.69

 

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

Payment Rule Waivers

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: None
  • ACO Participation Waiver: 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.