ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number
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1 ACO ame and Location Integrated Health Collaborative, LLC Previous ames: /A c/o Aultman Health Foundation 2600 Sixth Street SW Canton, OH ACO Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber Primary Contact Address Organizational Information ACO participants: Massillon Family Care Inc ACO s Internal Medicine Clinic, Ltd Partners In Family Practice Family Medicine Inc Manal Assaad (Glaucoma & Eye Specialists) Myers & Miller Podiatry Inc Alliance Community Medical Foundation, LLC (ACMF - Alliance Family Physicians) (ACMF - Alliance Institute of Musculoskeletal Medicine) (ACMF - Carnation Clinic) (ACMF - Center for Pain Management) (ACMF - Family Physicians Glamorgan) (ACMF - Gastroenterolgy) (ACMF - General and Vascular Surgery) (ACMF - Hospitalists) (ACMF - Otolaryngology, Audiology and Allergy) (ACMF - Urology) Pinnacle Care Providers, LLC Chinyere Orafu (Ohio Women's Health and Wellness) Total Women's Care, Inc Health Professionals of Holmes County, Inc. ACO in Joint Venture (Enter Y or )
2 Ohio Physician Professional Corporation (AMG - Aultman Family Medicine) (AMG - Behavioral Health & Counseling Center) (AMG - Breast Surgery Specialists) (AMG - Canton Plastic Surgeons) (AMG - Cardiovascular Consultants) (AMG - Family Medicine of Carrollton) (AMG - Gynecologic Oncology) (AMG - Heart Core) (AMG - Inpatient Medicine) (AMG - Maternal-Featal Medicine) (AMG - Orrville Endocrinology) (Aultman Palliative Care) (Dunlap OB/GY) (Surgical Associates of Canton) Pomerene Hospital (Holmes County Joel Pomerene Memorial Hospital) 201 Medicine Inc Kurt C Garren, M.D., Inc. Aultman Hospital Alliance Community Hospital Atrium Ob/Gyn., Inc. Mansard Medical Associates, Inc. Aultman orth Canton Medical Group (AMG - Bolivar Medical Center) (AMG - Cancer Center) (AMG - Canton General Surgery) (AMG - Canton South Medical Center) (AMG - Canton Urology) (AMG - Family Medicine of orth Canton) (AMG - Family Practice of Massillon) (AMG - Kevin Hill, M.D.) (AMG - Louisville Internal Medicine) (AMG - Medcorp) (AMG - avarre) (AMG - orth Canton Medical Center) (AMG - Steven Weaver, MD) (Family Medicine of Stark County a of AMG) (Stark County Surgeons) Radiology Associates Of Canton, Inc Stark County Women's Clinic Inc Suppan Foot And Ankle Clinic Inc Ohio Head And eck Surgeons, Inc Stark Radiation Oncology Incorporated
3 eurocare Center, Inc. Kun am (Stark County Physicians, LLC) Canton Aultman Emergency Physicians Inc Bi County Foot Care, Ltd. Health Alliance, Inc. (ACH - Family Care, Urgent Care Center) (ACH - Palliative Care) Bethany Medical Center Inc West Medical, Inc. Jackson Family Practice Inc Kusum Singh, M.D. Little Flower Family Practice Astute Medical Associates Inc Tuscarawas County OB-Gyn Inc. Gastroenterology Specialists Inc Edgar R Delacruz MD Inc Ohio Specialty Physicians Corporation (AMG - eurosurgery) Gastroenterology and Hepatology Specialists Inc Ohio Hospital Based Physician Corporation Millersburg Clinic Inc Regional Vascular & Vein Institute Inc Union Internal Medicine Specialties Ltd Steven Chismar Stark County Internal Medicine Inc Premier Health Associates Inc. Thomas A Perkowski DO Ltd Premier Gynecology, Inc. Stark County Physicians LLC Danielle Kiko Md Llc. (Generation Women s Health) Total Medical Care Foundation Foot & Ankle LLC
4 Andrew J. Wherley, M.D., Ltd. Urology One Inc Glaucoma & Eye Specialists Llc Falcon Healthcare, Inc. Alliance Medical Associates, Inc. ACO governing body: Last ame First ame Title/Position 's Voting Power Expressed as a percentage or number ship Type ACO Legal Business ame/dba, if Applicable McClain Brian Vice Chair am Steve Treasurer Ahmed Ashraf Voting Humble Lewis Voting Johns James Voting Kelly Steven Voting Mallamaci David Voting Metzger Howard Voting Mirande Melanie Voting Musa Roger Voting 1 Other /A Pinnacle Care Providers, LLC Stark County Physicians, LLC Premier Health Associates Inc Ohio Physician Professional Corporation Little Flower Family Practice Ohio Physician Professional Corporation Jackson Family Practice Inc Aultman orth Canton Medical Group Family Medicine Inc Oprandi Allison Voting O Toole Timothy Voting Ohio Physician Professional Corporation Canton Aultman Emergency Physicians Inc
5 Prodafikas John Voting Remark Chris Voting Sabota Robert Voting Snyder Tony Voting Westerbeck John Voting Wilson James Voting Zollinger Charles Voting Zurick Andrew Voting Blocker Douglas Voting 1 Medicare Beneficiary Representative Ohio Physician Professional Corporation Aultman orth Canton Medical Group 201 Medicine Inc Health Professionals of Homes County, Inc. West Medical, Inc. Atrium OB/Gyn., Inc. eurocare Center, Inc. /A 1 Other /A Degenhard Anthony Chair 1 Other /A Roth Ed Voting 1 Other /A Key ACO clinical and administrative leadership: Allison Oprandi ACO Executive Eric ewsom Karen Wulff Eric ewsom Medical Director Compliance Officer Quality Assurance/Improvement Officer Associated committees and committee leadership: Committee ame Committee Leader ame and Position Performance Improvement & Quality James Johns, MD, Chair Finance & Contracting Steve am, MD, Chair Credentialing & Professional Standards Melanie Mirande, MD, Chair ominating Committee John Westerbeck, MD, Chair
6 Types of ACO participants, or combinations of participants, that formed the ACO: Hospital employing ACO professionals Partnerships or joint venture arrangements between hospitals and ACO professionals etworks of individual practices of ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2017, $0 o Performance Year 2016, $0 Shared Savings Distribution First Agreement Period o Performance Year 2017 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A o Performance Year 2016 Proportion invested in infrastructure: /A Proportion invested in redesigned care processes/resources: /A Proportion of distribution to ACO participants: /A Quality Performance Results 2017 Quality Performance Results: ACO# Measure ame Rate ACO Mean 1 CAHPS: Getting Timely Care, Appointments, and Information CAHPS: How Well Your Providers Communicate CAHPS: Patients Rating of Provider CAHPS: Access to Specialists CAHPS: Health Promotion and Education CAHPS: Shared Decision Making
7 7 CAHPS: Health Status/Functional Status CAHPS: Stewardship of Patient Resources Risk Standardized, All Condition Readmission Skilled ursing Facility 30-day All-Cause Readmission measure (SFRM) All-Cause Unplanned Admissions for Patients with Heart Failure All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) Use of Certified EHR Technology Medication Reconciliation Falls: Screening for Future Fall Risk Imaging Studies for Low Back Pain Preventive Care and Screening: Influenza Immunization Pneumonia Vaccination Status for Older Adults Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan Colorectal Cancer Screening Breast Cancer Screening Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Diabetes Mellitus: Hemoglobin A1c Poor Control Diabetes: Eye Exam Hypertension (HT): Controlling High Blood Pressure
8 30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic Please note, the 40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples and the 36 All-Cause Unplanned Admissions for Patients with Diabetes quality measure is not included in public reporting due to a non-material technical error. For 2017 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care- O/gk7c-vejx/data For 2016 Quality Performance Results please visit: Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care- O/3jk5-q6dr/data ote: In the Quality Performance Results file(s) above, search for Integrated Health Collaborative, LLC to view the quality performance results. This ACO can also be found by using the ACO ID A03133 in the public use files on data.cms.gov. Payment Rule Waivers o, our ACO does not use the SF 3-Day Rule Waiver.
ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name
ame and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber
ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name
ame and Location Integrated Health Collaborative, LLC c/o Aultman Health Foundation 2600 Sixth Street SW Canton, Ohio 44710 Primary Contact Primary Contact ame Matt Ritzert Primary Contact Phone umber
ACO Name and Location. ACO Primary Contact. Organizational Information
ACO ame and Location Care4Texans, LLC 6901 Medical Parkway Waco, Texas 76712 ACO Primary Contact Primary Contact ame Katrina George Primary Contact Phone umber 254-751-4754 Primary Contact Email Address
ACO Name and Location. ACO Primary Contact. Organizational Information N N N N N N
ACO ame and Location CHI Continuum LLC dba CaroMont ACO 2525 Court Drive Gastonia, orth Carolina 28054 ACO Primary Contact Primary Contact ame Betty J. Herbert Primary Contact Phone umber 704-834-4532
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ACO ame and Location Central Florida ACO, LLC Previous ames: /A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact ame Jayadeva Chowdappa, MD Primary Contact Phone umber 727-474-9030
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ACO ame and Location Central US ACO, LLC 2405 Aspen Rd Highlandville, Missouri 65669 ACO Primary Contact Primary Contact ame Greg Shockey Primary Contact Phone umber 417-224-8166 Primary Contact Email
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ACO ame and Location Space Coast ACO LLC Previous ames: /A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact ame Jayadeva Chowdappa, MD Primary Contact Phone umber 727-474-9030 Primary
ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Phone Number
ACO Name and Location Next ACO LLC Previous Names: N/A 3535 Little Rd Trinity, FL 34655 ACO Primary Contact Primary Contact Name Jayadeva Chowdappa, MD Primary Contact Phone Number 727-474-9030 Primary
ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Adrienne Opalka
ACO ame and Location Hudson Accountable Care, LLC Previous ames: /A 4888 Loop Central Drive Suite 300 Houston, TX 77081 ACO Primary Contact Primary Contact ame Adrienne Opalka Primary Contact Phone umber
ACO Name and Location. ACO Primary Contact. Brad Roberts. Organizational Information. Primary Contact Name. Primary Contact Phone Number
ACO ame and Location Texas Panhandle Clinical Partners ACO LLC Previous ames: /A 367 S. Gulph Road King of Prussia, PA 19406 ACO Primary Contact Primary Contact ame Brad Roberts Primary Contact Phone umber
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ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary
ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name
ame and Location Accountable Care Organization, LLC 750 Brunswick Avenue Trenton, ew Jersey 08638 Primary Contact Primary Contact ame Robert Remstein DO Primary Contact Phone umber 609-537-6081 Primary
ACO Name and Location. ACO Primary Contact. Organizational Information
ACO ame and Location Ascension Care Management Health Partners Evansville, LLC Previous Legal Business Entity ame: MissionPoint Evansville, LLC 523 Mainstream Dr ashville, Tennessee 37228-1238 ACO Primary
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ACO Name and Location Previous Names: N/A 2800 Tenth Avenue North PO Box 37000 Billings, MT 59107 ACO Primary Contact Primary Contact Name Jan Bechtold Primary Contact Phone Number (406) 255-8468 Primary
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ACO ame and Location Chrysalis Medical Services, LLC 4888 Loop Central Drive Suite 700 Houston, Texas 77081 ACO Primary Contact Primary Contact ame Jeff Spight Primary Contact Phone umber 914-597-2073
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ACO ame and Location Adirondacks ACO, LLC 75 Beekman Street Plattsburgh, ew York 12901 ACO Primary Contact Primary Contact ame Karen L. Ashline Primary Contact Phone umber 518-314-3663 Primary Contact
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ACO Name and Location Medicine Alliance for Patients, LLC 6704 Curtis Court Glen Burnie, Maryland 21060 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 443-287-4519 Scott Berkowitz,
Paul P. Hinchey, President and CEO
ACO Name and Location St Joseph's/Candler Advocate Health Network, LLC Previous Names: N/A 5353 Reynolds Street Savannah, GA 31405 ACO Primary Contact Primary Contact Name Primary Contact Phone Number
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ACO Name and Location Pinehurst Accountable Care Network, Inc. 5 First Village Drive Pinehurst, North Carolina 28374 ACO Primary Contact Primary Contact Name Jim Faircloth Primary Contact Phone Number
ACO Name and Location. ACO Primary Contact. Organizational Information. Primary Contact Name. Michael Paez Primary Contact Phone Number
ACO ame and Location South Texas ACO Clinical Partners LLC Previous ames: /A 367 S. Gulph Road King of Prussia, PA 19406 ACO Primary Contact Primary Contact ame Michael Paez Primary Contact Phone umber
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ACO ame and Location Meritus Health ACO, LLC 11116 Campus Road 3 Link, Suite 3945 Hagerstown, Maryland 21742 ACO Primary Contact Primary Contact ame Andrea Horton, R, BS, ACM-R Primary Contact Phone umber
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ACO ame and Location Renown Accountable Care, LLC Previous Legal Business Entity ame: R TotalHealth, LLC 1155 Mill Street 14 Reno, evada 89502 ACO Primary Contact Primary Contact ame Primary Contact Phone
ACO Name and Location. ACO Primary Contact. Organizational Information. Don Franke. Primary Contact Name. Primary Contact Phone Number
ACO ame and Location Accountable Care Organization, LLC Previous Legal Business Entity ame: Alexian Brothers Accountable Care Organization, LLC 3040 Salt Creek Lane Arlington Heights, Illinois 60005 ACO
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Piedmont Community Health Collaborative, LLC 557 Brookdale Drive Statesville, North Carolina 28677 ACO Primary Contact Primary Contact Name Tyler Wilson Primary Contact Phone Number 704-874-4277 Primary
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ACO Name and Location Healthy Communities ACO, LLC 255 Lafayette Ave. Suffern, New York 10901 ACO Primary Contact Primary Contact Name Michele Muldoon Primary Contact Phone Number (845) 368-5083 Primary
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ACO ame and Location The Premier HealthCare etwork LLC Post Office Box 54157 Atlanta, Georgia 30308 ACO Primary Contact Primary Contact ame Laverne W. Poindexter Primary Contact Phone umber 770-270-5229
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ACO Name and Location St Joseph's/Candler Advocate Health Network, LLC 5353 Reynolds Street Savannah, Georgia 31405 ACO Primary Contact Primary Contact Name Primary Contact Phone Number 912-819-6901 Paul
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ACO ame and Location Beacon Rural Health, LLC 797 Wilson Street Brewer, Maine 04412 ACO Primary Contact Primary Contact ame Carrie Arsenault Primary Contact Phone umber (207)973-5692 Primary Contact Email
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ACO ame and Location Physician Organization of Michigan ACO, LLC Previous ames: /A 400 orth Ingalls Room G148 Ann Arbor, MI 48109 ACO Primary Contact Primary Contact ame Terrisca Des Jardins Primary Contact
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