ACO Name and Location:
Accountable Care Organization of Pennsylvania, LLC
Trade Name/DBA: Delaware Valley ACO
240 North Radnor Chester Road, Suite 270, Radnor, PA, 19087, U.S.A.
ACO Primary Contact
Mr. Robert Kagarise
2152057264
kagariser@dvaco.org
Organizational Information
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| ARIA HEALTH ORTHOPAEDICS | No |
| Aria Health Physician Services | No |
| BALMONT FAMILY PRACTICE | No |
| BROKER,CRAMER & SWANSON ENT, PC | No |
| DANIEL C LAZOWICK DO LLC | No |
| DEEBEANNE M TAVANI DO PHD PC | No |
| DELAWARE VALLEY I.D. ASSOCIATES, P.C. | No |
| ENDEAVOR HEALTH LLC | No |
| GERARD MILLER | No |
| GREAT VALLEY MEDICAL ASSOCIATES, PC | No |
| GREAT VALLEY NEUROLOGICAL ASSOCIATES LLC | No |
| INTERNISTS ASSOCIATES | No |
| JEFFERSON HEALTH- NORTHEAST | No |
| JEFFERSON UNIVERSITY PHYSICIANS | No |
| JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY PC | No |
| JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLC | No |
| JON YARDNEY, M.D. LLC | No |
| LAWRENCE I KATIN MD PC | No |
| LOWER MERION REHABILITATION | No |
| MAGEE REHABILITATION HOSPITAL | No |
| MAIN LINE ALLERGY , L.L.P | No |
| MAIN LINE EMERGENCY MED ASSOCIATES LLC | No |
| Main Line Health HomeCare and Hospice | No |
| MAIN LINE HEALTH IMAGING, LP | No |
| MAIN LINE HEALTHCARE | No |
| Main Line Hospitals, Inc. | Yes |
| MAIN LINE PATHOLOGY ASSOCIATES, PC | No |
| MAZZONI CENTER | No |
| METHODIST ASSOCIATES IN HEALTHCARE INC | No |
| METHODIST ASSOCIATES IN HEALTHCARE OF NEW JERSEY, P.C. | No |
| MUKESH PATEL | No |
| Paoli Family Medicine | No |
| PHILADELPHIA HEALTH ASSOCIATES - ADULT MEDICINE, P.C. | No |
| RADIOLOGY ASSOCIATES OF THE MAIN LINE PC | No |
| Riddle Memorial Hospital | No |
| ROSS PODELL, M.D., P.C. | No |
| SMITH MEDICINE PC | No |
| SUBURBAN ENDOCRINOLOGY ASSOCIATES, PC | No |
| Thomas Jefferson University Hospitals, Inc. | Yes |
| UNITED ANESTHESIA SERVICES PC | No |
| WILLIAM GREER, M.D., P.C. | No |
ACO Governing Body:
Member's voting power may have been rounded to reflect a total voting power of 100 percent.
| Member First Name | Member Last Name | Member Title/Position | Member's Voting Power (Expressed as a percentage) | Membership Type | ACO Participant Legal Business Name, if applicable |
|---|---|---|---|---|---|
| Anna | Flattau | Chair | 6.667% | ACO Participant Representative | Thomas Jefferson University Hospitals, Inc. |
| Catriona | Harrop | Board | 6.666% | ACO Participant Representative | Thomas Jefferson University Hospitals, Inc. |
| Dasha | Runnions | Board | 6.667% | Other | N/A |
| Don | Klingen | Board | 6.667% | ACO Participant Representative | MAIN LINE HEALTHCARE |
| Ernest | Gillan | Board | 6.667% | ACO Participant Representative | Paoli Family Medicine |
| Jennifer | Stephens | Board | 6.667% | ACO Participant Representative | Thomas Jefferson University Hospitals, Inc. |
| Jonathan | Arend | Board | 6.666% | ACO Participant Representative | MAIN LINE HEALTHCARE |
| Jonathan | Stallkamp | Chair | 6.667% | ACO Participant Representative | Main Line Hospitals, Inc. |
| Kristine | Swartz | Board | 6.667% | ACO Participant Representative | JEFFERSON UNIVERSITY PHYSICIANS |
| Lawrence | Livornese | Board | 6.667% | ACO Participant Representative | DELAWARE VALLEY I.D. ASSOCIATES, P.C. |
| Leonard | Malamud | Board | 6.667% | ACO Participant Representative | Aria Health Physician Services |
| Oraida | Roman | Board | 6.667% | Other | N/A |
| Robert | Murphy | Board | 6.666% | ACO Participant Representative | Thomas Jefferson University Hospitals, Inc. |
| Stanton | Smullens | Board | 6.666% | Medicare Beneficiary Representative | N/A |
| William | Greer | Board | 6.666% | ACO Participant Representative | WILLIAM GREER, M.D., P.C |
Key ACO Clinical and Administrative Leadership:
ACO Executive:
Robert Kagarise
Medical Director:
Todd Prewitt
Compliance Officer:
Teresa Schorr
Quality Assurance/Improvement Officer:
Lauren Talley
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Audit and Finance Committee | Robert Kagarise (Chair) |
| Clinical Integration Committee | Todd Prewitt, M.D. (Chair) |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- ACO professionals in a group practice arrangement
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Hospital employing ACO professionals
Shared Savings and Losses
Amount of Shared Savings/Losses:
- Fourth Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
- Performance Year 2024, $49,396,726.21
- Performance Year 2023, $32,874,619.96
- Third Agreement Period
- Performance Year 2022, $21,781,842.00
- Performance Year 2021, $0.00
- Performance Year 2020, $0.00
- Second Agreement Period
- Performance Year 2019, $0.00
- Performance Year 2018, $0.00
- Performance Year 2017, N/A
- First Agreement Period
- Performance Year 2016, N/A
- Performance Year 2015, N/A
- Performance Year 2014, $6,567,266.87
Shared Savings Distribution:
- Fourth Agreement Period
- Performance Year 2026
- 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 2025
- 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 2024
- Proportion invested in infrastructure: 12%
- Proportion invested in redesigned care processes/resources: 35%
- Proportion of distribution to ACO participants: 53%
- Performance Year 2023
- Proportion invested in infrastructure: 23%
- Proportion invested in redesigned care processes/resources: 27%
- Proportion of distribution to ACO participants: 50%
- Performance Year 2026
- Third Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 16.25%
- Proportion invested in redesigned care processes/resources: 16.25%
- Proportion of distribution to ACO participants: 67.5%
- 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 2022
- Second Agreement Period
- 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
- 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 2019
- First Agreement Period
- 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
- Performance Year 2014
- Proportion invested in infrastructure: 15%
- Proportion invested in redesigned care processes/resources: 15%
- Proportion of distribution to ACO participants: 70%
- Performance Year 2016
Quality Performance Results
2024 Quality Performance Results:
Quality performance results are based on the CMS Web Interface collection type.
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (Shared Savings Program ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 6.68 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.1622 | 0.1517 |
| 484* | Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | 37.06 | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 92.8 | 88.99 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 76.06 | 68.6 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 83.33 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 81.95 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 88.52 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 93.8 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 12.82 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 5.81 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 87.69 | 81.46 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 82.21 | 79.49 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 81.27 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 94.93 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 94.02 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 72.31 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 70.74 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 61.84 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 74.75 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 86.18 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 92.37 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 24.9 | 26.98 |
For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov.
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.