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 (Delaware Valley ACO)
240 North Radnor Chester Road
Suite 270
Radnor, Pennsylvania 19087

ACO Primary Contact

Primary Contact Name	Joel Port
Primary Contact Phone Number	215-297-6310
Primary Contact Email Address	PortJ@dvaco.org

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Abington Memorial Hospital (Abington, Abington-Lansdale and Employed Physicians)	N
ABS Medicine LLC (Simpson Allergy & Asthma)	N
Aria Health Orthopaedics	N
Aria Health Physician Services	N
Associates in Plastic Surgery, Inc	N
Balmont Family Practice	N
Broker, Cramer & Swanson ENT, PC (ENT and Allergy Specialists)	N
Daniel C. Lazowick, D.O., LLC	N
Deebeanne M Tavani DO PhD PC	N
Delaware Valley I.D. Associates, P.C.	N
Edward Stankiewicz	N
Endeavor Health LLC	N
Geoffrey W. Temple Family Medical Associates, P.C.	N
Gerard Miller	N
Great Valley Medical Associates PC	N
Great Valley Neurological Associates LLC	N
Jefferson Health – Northeast	N
Jefferson University Physicians	N
Jefferson University Physicians of New Jersey PC	N
Jefferson University Radiology Associates LLC	N
Jon Yardney, M.D. LLC	N
Joseph LaBricciosa DO PC	N
Lawrence I Katin MD PC	N
Lower Merion Rehabilitation	N
Magee Rehabilitation Hospital	N
Main Line Allergy, L.L.P.	N
Main Line Emergency Med Associates LLC	N
Main Line Health HomeCare and Hospice	N
Main Line Health Imaging, LP	N
Main Line HealthCare	N
Main Line Hospitals, Inc. (Bryn Mawr Hospital, Bryn Mawr Rehabilitation Hospital, Lankenau Medical Center, Mirmont Treatment Center, Paoli Hospital, Riddle Hospital)	Y
Main Line Institute of Plastic Surgery Inc	N
Main Line Pathology Associates, PC	N
Main Line Radiation Oncology PC	N
Mazzoni Center	N
Medical Associates of the Main Line, PC	N
Methodist Associates in Healthcare, Inc.	N
Methodist Associates in Healthcare Of New Jersey, P.C.	N
Mukesh Patel	N
Paoli Family Medicine	N
Peter Christie	N
Philadelphia Health Associates – Adult Medicine, P.C.	N
Pulmonology Associates Inc	N
Radiology Associates of the Main Line PC	N
Rehabilitation Associates of the Main Line, P.C.	N
Rheumatology Medical Specialists PC	N
Riddle Memorial Hospital (a Main Line Health Hospital)	Y
Ross Podell, M.D., P.C.	N
Roy M Lerman MD PC (Main Line Spine)	N
Smith Medicine, PC	N
Suburban Endocrinology Associates, PC	N
Thomas Jefferson University Hospitals, Inc. (Jefferson Hospital for Neuroscience, Methodist Hospital, Thomas Jefferson University Hospital)	Y
United Anesthesia Services PC	N
William Greer, M.D., P.C.	N
William J. Lewis, M.D., P.C. (Main Line Ear, Nose and Throat/Head and Neck Surgery)	N
William R. Schetman, M.D., LLC	N

ACO Governing Body:

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, M.D.	Co-Chair	6.25%	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Eric	Mankin, M.D.	Co-Chair	6.25%	ACO Participant Representative	Main Line Hospitals, Inc.
TBD			6.25%
Ernest	Gillan, M.D.		6.25%	ACO Participant Representative	Main Line Hospitals, Inc.
William	Greer, M.D.		6.25%	ACO Participant Representative	Main Line Hospitals, Inc.
Catriona	Harrop, M.D.		6.25%	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Kathleen	Leary, M.D.		6.25%	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Lawrence	Livornese, M.D.		6.25%	ACO Participant Representative	Main Line Hospitals, Inc.
Leonard	Malamud, D.O.		6.25%	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Christopher	Notte, M.D.		6.25%	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Edmund	Pribitkin, M.D.		6.25%	ACO Participant Representative	Thomas Jefferson University Hospitals, Inc.
Oraida	Roman		6.25%	Other	N/A
Seth	Rubin, M.D.		6.25%	ACO Participant Representative	Main Line Hospitals, Inc.
Dasha	Runnions		6.25%	Other	N/A
Stanton	Smullens, M.D.		6.25%	Medicare Beneficiary Representative	N/A
Jonathan	Stallkamp, M.D.		6.25%	ACO Participant Representative	Main Line Hospitals, Inc.

Key ACO Clinical and Administrative Leadership:

ACO Executive:	Robert Kagarise
Medical Director:	Todd Prewitt, M.D.
Compliance Officer	Teresa Schorr
Quality Assurance/Improvement Officer:	Nadia Ince-Lovelace

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
Hospital employing ACO professionals
Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period
- Performance Year 2022, $21,781,842.09
- Performance Year 2021, $0
- Performance Year 2020, $0

Second Agreement Period
- Performance Year 2019, $0
- Performance Year 2018, $0
- Performance Year 2017, $0

First Agreement Period
- Performance Year 2016, $0
- Performance Year 2015, $0
- Performance Year 2014, $6,567,267

Shared Savings Distribution

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

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

Measure #	Measure Name	Collection Type	Rate	ACO Mean
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	85.12	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	94.48	93.47
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	93.73	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	72.86	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	60.91	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	60.08	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.25	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	85.44	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	89.49	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	28.66	25.62
Measure #: 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]	CMS Web Interface	10.20	10.71
Measure #: 134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	66.94	76.97
Measure #: 236	Controlling High Blood Pressure	CMS Web Interface	77.42	76.16
Measure #: 318	Falls: Screening for Future Fall Risk	CMS Web Interface	95.32	87.83
Measure #: 110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	84.09	77.34
Measure #: 226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	90.91	79.27
Measure #: 113	Colorectal Cancer Screening	CMS Web Interface	79.52	75.32
Measure #: 112	Breast Cancer Screening	CMS Web Interface	88.31	78.07
Measure #: 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	93.36	86.37
Measure #: 370	Depression Remission at Twelve Months	CMS Web Interface	11.76	16.03
Measure#: 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]	Administrative Claims	0.1633	0.1510
Measure#: 484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]	Administrative Claims	37.51	30.97

For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.

[1] A lower performance rate corresponds to higher quality.

Fraud and Abuse Waivers

Complete Medicare Shared Savings Program Waiver Disclosures can be found here.