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 |
---|---|---|---|---|---|
Garren | Colvin | Chair | 5% | ACO Representative | St. Elizabeth Medical Center, Inc. |
Mark | Clement | Vice-Chair | 5% | ACO Representative | TriHealth Hospital, Inc. |
Gary | Blank | Member | 5% | ACO Representative | Compass Emergency Physicians PSC |
Lori | Ritchey-Baldwin | Member | 5% | ACO Representative | St. Elizabeth Medical Center, Inc. |
Andrew | DeVoe | Member | 5% | ACO Representative | The Good Samaritan Hospital of Cincinnati, Ohio |
Sarah | Giolando | Member | 5% | ACO Representative | St. Elizabeth Medical Center, Inc. |
Terri | Hanlon-Bremer | Member | 5% | ACO Representative | TriHealth Hospital, Inc. |
Bill | Banks | Member | 5% | ACO Representative | St. Elizabeth Medical Center, Inc. |
Chris | Carle | Member | 5% | ACO Representative | Riverhills Healthcare, INC |
Don | Price | Member | 5% | ACO Representative | Summit Medical Group, LLC |
Bryan | Strader | Member | 5% | ACO Representative | TriHealth Physician Practices |
James | Roebker | Member | 5% | ACO Representative | Radiology Associates of Northern Kentucky, PLLC |
Steve | Gracey | Member | 5% | ACO Representative | TriHealth Hospital, Inc. |
Helen | Koselka | Member | 5% | ACO Representative | TriHealth Physician Practices |
Tashawna | Otabil | Member | 5% | ACO Representative | TriHealth |
Raymond | Metzger | Member | 5% | ACO Representative | TriHealth Physician Practices |
Gregory | Noble | Member | 5% | ACO Representative | TriHealth Physician Practices |
Heidi | Murley | Member | 5% | ACO Representative | St. Elizabeth Physicians |
Dick | Tapke | Member | 5% | Medicare Beneficiary Representative | N/A |
Ted | Jones | Member | 5% | Medicare Beneficiary Representative | N/A |
Key ACO Clinical and Administrative Leadership:
ACO Executive:Lori Ritchey-Baldwin
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 2022, $ 6,119,586
- 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 2022
- Proportion invested in infrastructure: TBD
- Proportion invested in redesigned care processes/resources: TBD
- Proportion of distribution to ACO participants: TBD
- Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: TBD
- Proportion of distribution to ACO participants: 90%
- 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
2022 Quality Performance Results:
Measure # | Measure Name | Collection Type | Rate | ACO Mean |
---|---|---|---|---|
001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 | CMS Web Interface | 7.63 | 10.71 |
134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 90.04 | 76.97 |
236 | Controlling High Blood Pressure | CMS Web Interface | 82.26 | 76.16 |
318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 98.79 | 87.83 |
110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 89.98 | 77.34 |
226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 94.44 | 79.27 |
113 | Colorectal Cancer Screening | CMS Web Interface | 85.48 | 75.32 |
112 | Breast Cancer Screening | CMS Web Interface | 89.80 | 78.07 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 91.30 | 86.37 |
370 | Depression Remission at Twelve Months | CMS Web Interface | 27.59 | 16.03 |
321 | CAHPS for MIPS | CAHPS for MIPS Survey | N/A | N/A |
479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 | Administrative Claims | 0.1603 | 0.1510 |
484 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 | Administrative Claims | 43.62 | 30.97 |
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.