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Public Reporting A2024

As required by CMS, the information on this webpage contains our Public Reporting information

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 ParticipantsACO Participant in Joint Venture
ARIA HEALTH ORTHOPAEDICSNo
Aria Health Physician ServicesNo
BALMONT FAMILY PRACTICENo
BROKER,CRAMER & SWANSON ENT, PCNo
DANIEL C LAZOWICK DO LLCNo
DEEBEANNE M TAVANI DO PHD PCNo
DELAWARE VALLEY I.D. ASSOCIATES, P.C.No
ENDEAVOR HEALTH LLCNo
GERARD MILLERNo
GREAT VALLEY MEDICAL ASSOCIATES, PCNo
GREAT VALLEY NEUROLOGICAL ASSOCIATES LLCNo
INTERNISTS ASSOCIATESNo
JEFFERSON HEALTH- NORTHEASTNo
JEFFERSON UNIVERSITY PHYSICIANSNo
JEFFERSON UNIVERSITY PHYSICIANS OF NEW JERSEY PCNo
JEFFERSON UNIVERSITY RADIOLOGY ASSOCIATES LLCNo
JON YARDNEY, M.D. LLCNo
LAWRENCE I KATIN MD PCNo
LOWER MERION REHABILITATIONNo
MAGEE REHABILITATION HOSPITALNo
MAIN LINE ALLERGY , L.L.PNo
MAIN LINE EMERGENCY MED ASSOCIATES LLCNo
Main Line Health HomeCare and HospiceNo
MAIN LINE HEALTH IMAGING, LPNo
MAIN LINE HEALTHCARENo
Main Line Hospitals, Inc.Yes
MAIN LINE PATHOLOGY ASSOCIATES, PCNo
MAZZONI CENTERNo
METHODIST ASSOCIATES IN HEALTHCARE INCNo
METHODIST ASSOCIATES IN HEALTHCARE OF NEW JERSEY, P.C.No
MUKESH PATELNo
Paoli Family MedicineNo
PHILADELPHIA HEALTH ASSOCIATES - ADULT MEDICINE, P.C.No
RADIOLOGY ASSOCIATES OF THE MAIN LINE PCNo
Riddle Memorial HospitalNo
ROSS PODELL, M.D., P.C.No
SMITH MEDICINE PCNo
SUBURBAN ENDOCRINOLOGY ASSOCIATES, PCNo
Thomas Jefferson University Hospitals, Inc.Yes
UNITED ANESTHESIA SERVICES PCNo
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 NameMember Last NameMember Title/PositionMember's Voting Power (Expressed as a percentage)Membership TypeACO Participant Legal Business Name, if applicable
AnnaFlattauChair6.667%ACO Participant RepresentativeThomas Jefferson University Hospitals, Inc.
CatrionaHarropBoard6.666%ACO Participant RepresentativeThomas Jefferson University Hospitals, Inc.
DashaRunnionsBoard6.667%OtherN/A
DonKlingenBoard6.667%ACO Participant RepresentativeMAIN LINE HEALTHCARE
ErnestGillanBoard6.667%ACO Participant RepresentativePaoli Family Medicine
JenniferStephensBoard6.667%ACO Participant RepresentativeThomas Jefferson University Hospitals, Inc.
JonathanArendBoard6.666%ACO Participant RepresentativeMAIN LINE HEALTHCARE
JonathanStallkampChair6.667%ACO Participant RepresentativeMain Line Hospitals, Inc.
KristineSwartzBoard6.667%ACO Participant RepresentativeJEFFERSON UNIVERSITY PHYSICIANS
LawrenceLivorneseBoard6.667%ACO Participant RepresentativeDELAWARE VALLEY I.D. ASSOCIATES, P.C.
LeonardMalamudBoard6.667%ACO Participant RepresentativeAria Health Physician Services
OraidaRomanBoard6.667%OtherN/A
RobertMurphyBoard6.666%ACO Participant RepresentativeThomas Jefferson University Hospitals, Inc.
StantonSmullensBoard6.666%Medicare Beneficiary RepresentativeN/A
WilliamGreerBoard6.666%ACO Participant RepresentativeWILLIAM 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:

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%
  • 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
  • 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
  • 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%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #Measure TitleCollection TypePerformance RateCurrent Year Mean Performance Rate (Shared Savings Program ACOs)
321CAHPS for MIPSCAHPS for MIPS Survey6.686.67
479*Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.16220.1517
484*Clinician and Clinician Group Riskstandardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)Administrative Claims37.0637
318Falls: Screening for Future Fall RiskCMS Web Interface92.888.99
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface76.0668.6
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface83.3379.98
113Colorectal Cancer ScreeningCMS Web Interface81.9577.81
112Breast Cancer ScreeningCMS Web Interface88.5280.93
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface93.886.5
370Depression Remission at Twelve MonthsCMS Web Interface12.8217.35
001*Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface5.819.44
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface87.6981.46
236Controlling High Blood PressureCMS Web Interface82.2179.49
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey81.2783.7
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey94.9393.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey94.0292.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey72.3175.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey70.7465.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey61.8462.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey74.7574.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey86.1885.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey92.3792.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey24.926.98

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.