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Medicare Shared Savings ACO Public Reporting

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ACO Name and Location

Einstein Care Partners, LLC
3300 Henry Avenue
Falls 2 Suite 601
Philadelphia, Pennsylvania 19129-1121

ACO Primary Contact

Primary Contact Name  Shivanandh Chandrasekaran
Primary Contact Phone Number 215-774-4134
Primary Contact Email Address chandras@einstein.edu

 

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Fornance Physician Services Inc N
Einstein Practice Plan Inc N
Einstein Community Health Associates, Inc        N

 

ACO Governing Body:

Member Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

Nicholas, MD

Angela

Co-Chair

1

ACO Participant Representative

Fornance Physician Services

Sivak, MD Steven Co-Chair 1 ACO Participant Representative Einstein Practice Plan
Behme, MD Matthew Member 1 ACO Participant Representative Einstein Practice Plan
Datner, MD Elizabeth Member 1 ACO Participant Representative
Einstein Practice Plan
Dubois Ruth Member 1 Medicare Beneficiary Representative
 

Duffy

Beth

Member

1

ACO Participant Representative

Fornace Physician Services

Gulati, MD
Rohit
Member
1 ACO Participant Representative
Einstein Practice Plan
James Dixie Member 1 Other Albert Einstein Medical Center
Johnson, MD Ahashta Member 1 ACO Participant Representative Fornance Physician Services
Leighton, MD John Member 1 ACO Participant Representative Einstein Practice Plan
Levitan Ken Member 1 Other Einstein Healthcare Network
Rose, MD Gina Member 1 ACO Participant Representative Fornance Physician Services
Scaven, MD Christopher Member 1 ACO Participant Representative Einstein Community Health Associates

Chandrasekaran, MD

Shivanandh

Member

0

Other

Einstein Care Partners, LLC

Key ACO Clinical and Administrative Leadership:

Shivanandh Chandrasekaran, MD

ACO Executive

Shivanandh Chandrasekaran, MD

Medical Director

Marianne DeJesus

Compliance Officer

Shivanandh Chandrasekaran, MD

Quality Assurance/Improvement Officer

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Clinical Performance and Integration Committee

Jason Aronovitz, DO (Co-Chairperson) and Shivanandh Chandrasekaran, MD (Co-Chairperson)

Membership and Nominating Committee

Angela Nicholas, MD (Co-Chairperson) and Steven Sivak, MD (Co-Chairperson)

Types of ACO Participants, or Combinations of Participants, That Formed The ACO:

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

  • Performance Year 2019: $0

First Agreement Period

  • Performance Year 2018: $1,905,474

Shared Savings Distribution

First 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

Second Agreement Period

Performance Year 2018

  • Proportion invested in infrastructure: 10%
  • Proportion invested in redesigned care processes/resources: 10%
  • Proportion of distribution to ACO participants: 80%

 


Quality Performance Results

2019 Quality Performance Results

ACO # Measure Name Rate  ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information
 77.48  85.86
ACO-2
CAHPS: How Well Your Providers Communicate
 94.31  94.11
ACO-3
CAHPS: Patients’ Rating of Provider
 91.83  92.69
ACO-4
CAHPS: Access to Specialists
 78.97  81.54
ACO-5
CAHPS: Health Promotion and Education
 59.77  60.44
ACO-6
CAHPS: Shared Decision Making
 56.32  62.78
ACO-7
CAHPS: Health Status/Functional Status
 72.14  73.79
ACO-34
CAHPS: Stewardship of Patient Resources
 18.39  26.17
ACO-45
CAHPS: Courteous and Helpful Office Staff
 88.89  92.84
ACO-46
CAHPS: Care Coordination
 84.71  86.89
ACO-8
Risk Standardized, All Condition Readmission
 15.40  14.86
ACO-38
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions  62.08  58.15
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)
 2.13  1.87
ACO-13
Falls: Screening for Future Fall Risk  85.71  84.04
ACO-14
Preventative Care and Screening: Influenza  66.43  74.77
ACO-17
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention  66.15  78.04
ACO-18
Preventative Care and Screening: Screening for Depression and Follow-up Plan
 62.37  70.40
ACO-19
Colorectal Cancer Screening  61.41  70.76
ACO-20
Breast Cancer Screening  72.52  73.84
ACO-42
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  86.63 82.17
ACO-27
Diabetes: Hemoglobin A1c Poor Control
 23.04  13.88
ACO-28
Controlling High Blood Pressure  70.97  75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.

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


Download this information in a document (PDF) here.

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