MSSP
ACO Name and Location
Healthcare Solutions Network, LLC
625 Eden Park Dr.
Floor 10
Cincinnati, OH 45202
ACO Primary Contact
Primary Contact Name | Eric Peters |
Primary Contact Phone Number | 513-569-1965 |
Primary Contact Email Address | Eric_Peters@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 or number) | Membership Type | ACO Participant Legal Business Name and D/B/A, if applicable |
---|---|---|---|---|---|
Colvin |
Garren |
Chair |
1 |
ACO Representative |
St. Elizabeth Medical Center, Inc. |
Clement |
Mark |
Vice-Chair |
1 |
ACO Representative |
TriHealth Hospital, Inc. |
Blank |
Gary |
Member |
1 |
ACO Representative |
Compass Emergency Physicians PSC |
Ritchey-Baldwin |
Lori |
Member |
1 |
ACO Representative |
St. Elizabeth Medical Center, Inc. |
DeVoe |
Andrew |
Member |
1 |
ACO Representative |
The Good Samaritan Hospital of Cincinnati, Ohio |
Giolando |
Sarah |
Member |
1 |
ACO Representative |
St. Elizabeth Medical Center, Inc. |
Hanlon-Bremer |
Terri |
Member |
1 |
ACO Representative |
McCullough-Hyde Memorial Hospital, Inc. |
Prichard |
Robert |
Member |
1 |
ACO Representative |
Summit Medical Group, Inc. |
Banks |
Bill |
Member |
1 |
ACO Representative |
St. Elizabeth Medical Center, Inc. |
Carle |
Chris |
Member |
1 |
ACO Representative |
Riverhills Healthcare, INC |
Price |
Don |
Member |
1 |
ACO Representative |
Summit Medical Group, LLC |
Strader |
Bryan |
Member |
1 |
ACO Representative |
TriHealth H LLC |
Roebker |
James |
Member |
1 |
ACO Representative |
Radiology Associates of Northern Kentucky, PLLC |
Tapke |
Dick |
Member |
1 |
Medicare Beneficiary Representative |
N/A |
Jones |
Ted |
Member |
1 |
Medicare Beneficiary Representative |
N/A |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Lori Ritchey-Baldwin
Medical Director: Raymond Metzger, MD
Compliance Officer: Amy Baldridge
Quality Assurance/Improvement Officer: Amy Baldridge
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 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 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
2020 Quality Performance Results:
ACO Quality Measure Number | Measure Name | Rate | ACO Mean |
---|---|---|---|
ACO-8 |
Risk Standardized, All Condition Readmissions |
~ |
~ |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
~ |
~ |
ACO-43 |
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) |
0.95 |
0.95 |
ACO-13 |
Falls: Screening for Future Fall Risk |
95.16 |
84.97 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
85.38 |
76.03 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
96.30 |
81.67 |
ACO-18 |
Preventive Care and Screening: Screening for Depression and Follow-up Plan |
64.92 |
71.46 |
ACO-19 |
Colorectal Cancer Screening |
84.65 |
72.59 |
ACO-20 |
Breast Cancer Screening |
82.04 |
74.05 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
90.50 |
83.37 |
ACO-40 |
Depression Remission at Twelve Months |
50.00 |
13.99 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
7.26 |
14.70 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
81.47 |
72.87 |
For previous years’ financial and quality performance results, please visit data.cms.gov
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.