Types of ACO Participants, or Combinations of Participants, that formed the ACO

• Networks of individual practices of ACO professionals
• Networks of Individual practices of ACO professionals
• Partnerships or joint venture arrangements between integrated care networks and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

• Second Agreement Period
  • Performance Year 2023, $ 7,998,546.23
  • Performance Year 2022, $ 4,180,487.23
  • Performance Year 2021, $ 4,441,123.86
  • Performance Year 2020, $ 3,997,054.67

• First Agreement
  • Performance Year 2019, $ 2,929,207.96
  • Performance Year 2018, $ 0.00
  • Performance Year 2017, $ 0.00

Shared Savings Distribution:

• Second Agreement Period
  • Performance Year 2023
  • Proportion invested in infrastructure: 27%
  • Proportion invested in redesigned care processes/resources: 7%
  • Proportion of distribution to ACO participants: 66%
  • Performance Year 2022
  • Proportion invested in infrastructure: 27%
  • Proportion invested in redesigned care processes/resources: 7%
  • Proportion of distribution to ACO participants: 66%
  • Performance Year 2021
  • Proportion invested in infrastructure: 27%
  • Proportion invested in redesigned care processes/resources: 7%
  • Proportion of distribution to ACO participants: 66%
• First Agreement Period
  • Performance Year 2019
  • Proportion invested in infrastructure: 30%
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 60%
  • Performance Year 2017-2018
  • Proportion invested in infrastructure: NA%
  • Proportion invested in redesigned care processes/resources: NA%
  • Proportion of distribution to ACO participants: NA%
• 2022 Quality Performance Results:

Quality performance results are based on Web Interface collection type.

Quality

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
Quality ID #001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1]	Web Interface	5.17	9.84
Quality ID #134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	Web Interface	83.63	80.97
Quality ID #236	Controlling High Blood Pressure	Web Interface	77.92	77.80
Quality ID #318	Falls: Screening for Future Fall Risk	Web Interface	95.90	89.42
Quality ID #110	Preventive Care and Screening: Influenza Immunization	Web Interface	68.45	70.76
Quality ID #226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	Web Interface	90.91	79.29
Quality ID #113	Colorectal Cancer Screening	Web Interface	84.01	77.14
Quality ID #112	Breast Cancer Screening	Web Interface	84.70	80.36
Quality ID #438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease [3]	Web Interface	85.46	87.05
Quality ID #370	Depression Remission at Twelve Months [3]	Web Interface	30.43	16.58
Quality ID #321	CAHPS for MIPS [2]	CAHPS	6.76	6.25
Measure #479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1]	Administrative Claims	0.1582	0.1553
Measure #484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	40.16	35.39

Footnotes: [1] A lower performance rate corresponds to higher quality. [2] CAHPS for MIPS Survey is a composite measure, so numerator and denominator values are not applicable (N/A). The Reported Performance Rate column shows the CAHPS for MIPS Survey composite score. The CAHPS for MIPS Survey composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs). Refer to Table 5 for details on CAHPS for MIPS Survey performance. [3] For PY 2023, the CMS Web Interface measures Quality ID#: 438 and Quality ID#: 370 do not have benchmarks, and therefore, were not scored. They are, however, required to be reported in order to complete the Web Interface measure set. If they are not reported, the CMS Web Interface measure set denominator is increased by 10 points for each measure that is not reported, resulting in a lower health equity adjusted quality performance score. For more information, refer to the Performance Year 2023 APM Performance Pathway: CMS Web Interface Measure Benchmarks for ACOs: For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

Payment Rule Waivers

• Skilled Nursing Facility (SNF) 3-Day Rule Waiver: NA
• Payment for Telehealth Services:
  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.