MSSP

ACO Name and Location

Healthcare Solutions Network, LLC
625 Eden Park Dr.
Floor 10
Cincinnati, OH 45202

ACO Primary Contact

Primary Contact Name Stephen Wolery
Primary Contact Phone Number 513-246-4823
Primary Contact Email Address Stephen_Wolery@TriHealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
TriHealth Physicians of Indiana, Inc. N
TriHealth Hospital, Inc. N
Cincinnati Pain Physicians LLC N
Raj Karnik MD Inc N
Kevin Eggerman N
Scott H Andrew Dpm Llc N
St. Elizabeth Medical Center, Inc. N
Radiology Associates of Northern Kentucky, PLLC N
Head and Neck Surgery Associates, PSC N
Tristate Arthritis & Rheumatology Psc N
Infectious Disease Consultants Inc N
Tri-State Gastroenterology Associates, Psc N
OrthoCincy N
Summit Medical Group Inc N
Kendall E. Hansen, M.D., Plc N
Syamoq Eldercare, Inc. N
Ads Health Llc N
Crescent Health, Inc N
RANK DAWSON N
CINCINNATI OBSERVATION AND PROFESSIONAL STAFFING INC N
PHYSICIAN ASSOCIATES OF KEMPER,INC N
BIANCA CHIN MD N
J W LEE INC N
THOMSON MEDICAL LLC N
HAUW HAN M.D. LLC N
SIFRI EYE CENTER, LTD, LLC N
FRANK WELSH MD INC N
JAMES THOMSON N
HEALTH SERVICES CORPORATION OF SOUTHEASTERN INDIANA N
DEARBORN COUNTY HOSPITAL N
DOMINIC A RIZZO DPM CLERI N
SUNITA DHEENAN N
CINCINNATI ALLERGY ASSOCIATES LLC N
ALLERGY & ASTHMA CARE INC N
OXFORD FAMILY PRACTICE, INC. N
Gretchen Serota, MD N
Ahmad Attar MD N
Seniors First, Inc. N
Podiatry Associates of Cincinnati, Inc. N
Craig Bierer N
Gerimed, INC N
TriHealth Physician Practices, LLC N
Physician Associates of Northern Cincinnati, LLC N
John Loughrey N
Premier EMG, LLC N
TriHealth H LLC N
TriHealth HF LLC N
Masood Ahmad N
Edward Long N
Sanford Osher N
Margretta Gennantonio N
Bethesda Hospital Inc N
The Good Samaritan Hospital of Cincinnati, Ohio N
Mayfield Clinic, Inc. N
Anesthesia Group Practice, Inc. N
McCullough-Hyde Memorial Hospital, Inc. N
Cincinnati Allergy & Asthma Center Inc N
Tristate IMG (Imaging Medical Group) Inc N
Assoc In Womens Healthcare Inc N
Podiatry of Hamilton, Inc. N
Seven Hills Medical Arts, Inc. N
Compass Emergency Physicians PSC N
Surgical Associates Of Southwest Ohio Inc N
Colon & Rectal Disease Center, Inc. N
TriHealth Physician Institute N
Qualified Emergency Specialists, Inc. N
Chetna Mital MD Llc N
Oxford Radiology, Inc. N
Southern Ohio Pathology Consultants, Inc. N
Plastic Surgery Group Inc N
Riverhills Healthcare, INC N
TRISTATE CENTERS FOR SIGHT INC N
Allergy & Asthma Associates, Inc. N
CEI Physicians PSC, LLC N
Beacon Orthopaedics & Sports Medicine Ltd N
Talawanda Emergency Physicians, Inc. N
Seven Hills OB/GYN Associates, Inc. N
Centers For Foot & Ankle Care Llc N
Donna Krummen Md Plastic & Reconstructive Surgery Llc N
Rising Sun Medical Center, Inc. N
Deborah A. Fritz, M.D., LLC N

ACO Governing Body:

Member Last Name Member First Name Member Title/Position Member's Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Colvin Garren Chair 5% ACO Representative St. Elizabeth Medical Center, Inc.
Clement Mark Vice-Chair 5% ACO Representative TriHealth Hospital, Inc.
Blank Gary Member 5% ACO Representative Compass Emergency Physicians PSC
Ritchey-Baldwin Lori Member 5% ACO Representative St. Elizabeth Medical Center, Inc.
DeVoe Andrew Member 5% ACO Representative The Good Samaritan Hospital of Cincinnati, Ohio
Giolando Sarah Member 5% ACO Representative St. Elizabeth Medical Center, Inc.
Hanlon-Bremer Terri Member 5% ACO Representative TriHealth Hospital, Inc.
Banks Bill Member 5% ACO Representative St. Elizabeth Medical Center, Inc.
Carle Chris Member 5% ACO Representative Riverhills Healthcare, INC
Price Don Member 5% ACO Representative Summit Medical Group, LLC
Strader Bryan Member 5% ACO Representative TriHealth Physician Practices
Roebker James Member 5% ACO Representative Radiology Associates of Northern Kentucky, PLLC
Gracey Steve Member 5% ACO Representative TriHealth Hospital, Inc.
Koselka Helen Member 5% ACO Representative TriHealth Physician Practices
Otabil Tashawna Member 5% ACO Representative TriHealth
Metzger Raymond Member 5% ACO Representative TriHealth Physician Practices
Noble Gregory Member 5% ACO Representative TriHealth Physician Practices
Murley Heidi Member 5% ACO Representative St. Elizabeth Physicians
Tapke Dick Member 5% Medicare Beneficiary Representative N/A
Jones Ted Member 5% Medicare Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive:Andrew DeVoe

Medical Director: Raymond Metzger, MD

Compliance Officer:Shelley Simpson

Quality Assurance/Improvement Officer:Shelley Simpson

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Quality & Provider Committee Lee Niemeyer, MD – Chair
Operations & Development Committee Andrew DeVoe – Chair

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2021, $ 9,825,436
    • Performance Year 2020, $ 10,027,191
  • First Agreement Period
    • Performance Year 2017, $ 0
    • Performance Year 2018, $ 0
    • Performance Year 2019, $ 0

Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2021
      • Proportion invested in infrastructure: TBD
      • Proportion invested in redesigned care processes/resources: TBD
      • Proportion of distribution to ACO participants: TBD
    • Performance Year 2020
      • Proportion invested in infrastructure: 37%
      • Proportion invested in redesigned care processes/resources: 0%
      • Proportion of distribution to ACO participants: 63%
  • First Agreement Period
    • Performance Year 2017 – 2019
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

Quality Performance Results

2021 Quality Performance Results:

Measure # Measure Name Rate ACO Mean
001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 3.63 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 72.06 74.38
236 Controlling High Blood Pressure 76.98 74.87
318 Falls: Screening for Future Fall Risk 97.58 87.03
110 Preventative Care and Screening: Influenza Immunization 88.28 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 96.77 80.97
113 Colorectal Cancer Screening 85.33 73.63
112 Breast Cancer Screening 82.97 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 93.33 84.24
370 Depression Remission at Twelve Months N/A N/A
321 CAHPS for MIPS3 N/A N/A
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 0.1620 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 43.19 33.99

For previous years’ financial and quality performance results, please visit data.cms.gov

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.