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

Gretchen Serota, MD

N

Ahmad Attar MD

N

Seniors First, Inc.

N

Craig Bierer

N

Podiatry Associates of Cincinnati, Inc.

N

Physician Associates of Kemper, Inc.

N

Kulumani Narasimhan

N

Gerimed, INC

N

TriHealth Physician Practices, LLC

N

TriHealth G LLC

N

Physician Associates of Northern Cincinnati, LLC

N

Rank Dawson

N

Hauw Han M.D. LLC

N

Geriatrics Consultants, LLC

N

John Loughrey

N

Premier EMG, LLC

N

TriHealth H LLC

N

TriHealth HF LLC

N

Masood Ahmad

N

Margretta Gennantonio

N

Edward Long

N

Sanford Osher

N

Paul Grote

N

J W Lee Inc

N

Najma Khan

N

James Thomson

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

Medical X-Ray, Inc.

N

Northeast Radiology, Inc.

N

Assoc in Womens Healthcare Inc

N

Podiatry of Hamilton, Inc.

N

Seven Hills Medical Arts, Inc.

N

Mills Sherman Gilliam & Goodwin PSC

N

Surgical Associates Of Southwest Ohio Inc

N

Frank Welsh MD Inc

N

Colon & Rectal Disease Center, Inc.

N

TriHealth Physician Institute

N

Qualified Emergency Specialists, Inc.

N

Chetna Mital MD Llc

N

Bethesda Family Practice Center

N

Crescent Women's Medical Group

N

Associates In Adult Health Care Inc

N

Oxford Radiology, Inc.

N

Allergy and Asthma Center of the Tri-State, 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

Sifri Eye Center, LTD. LLC

N

Eye Care Associates of Greater Cincinnati, Inc.

N

CEI Physicians PSC, Inc.

N

Beacon Orthopaedics & Sports Medicine LTD

N

Talawanda Emergency Physicians, Inc.

N

Seven Hills OB/GYN Associates, Inc.

N

Centers for Foot and Ankle Care LLC

N

Lohr Surgical Specialists LTD

N

Donna Krummen MD Plastic & Reconstructive

N

Rising Sun Medical Center, Inc.

N

Deborah A. Fritz, M.D., LLC

N

Thomson Medical LLC

N

TriHealth Physicians of Indiana, Inc.

N

TriHealth Hospital, Inc.

N

Cincinnati Pain Physicians, LLC

N

Raj Karnik MD Inc

N

Healogics Specialty Physicians of Ohio, LLC

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

Independent Anesthesiologists, PSC

N

Tristate Arthritis & Rheumatology Psc

N

Infectious Disease Consultants, Inc.

N

Tri-State Gastroenterology Associates, PSC

N

Commonwealth Orthopaedic Centers, PSC

N

Summit Medical Group

N

Kendall E. Hansen, M.D., PLC

N

Syamoq Eldercare, Inc.

N

Western Ohio Anesthesia Associates

N

Ads Health LLC

N

Cincinnati Observation and Professional Staffing

N

Bianca Chin MD

N

Crescent Health, Inc.

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.

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

Summit Medical Group, LLC

Price

Don

Member

1

ACO Representative

Summit Medical Group, LLC

Strader

Bryan

Member

1

ACO Representative

Bethesda Hospital, Inc.

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

15.16

15.07

ACO-28

Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions

56.89

49.50

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

61.20

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.

For General Questions Regarding the Shared Savings Program

1-800-MEDICARE (1-800-633-4227)

Teletypewriter users should call 1-877-486-2048