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ACO 5


ACO NAME AND LOCATION

agilon health Mid-Atlantic ACO, Inc.
d/b/a Senior Health Connect ACO 5
440 Polaris Parkway, Suite 550
Westerville, OH 43082

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
[email protected]
562-256-3800

ACO HOURS OF OPERATION

11 am – 8 pm EST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Senior Health Connect ACO 5 and any of its Participating Providers or Preferred Providers and Facilities.

CLINICAL AND ADMINISTRATIVE LEADERS

  • ACO Executive: Eric Becker, agilon health
  • ACO Head of Operations: Quenyona Patterson, agilon health
  • Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
  • Chief Technology Officer: Girish Venkatachaliah, agilon health
  • Finance Director: Kenny Bellendir, agilon health
  • Chief Legal Officer: Denise Zamore, agilon health
  • Quality Improvement Leader: Adina Guthrie, agilon health
  • Medical Director: Michael Daley, MD, Pinehurst Medical Clinic

GOVERNING BODY

  • Michael Daley, MD, Chair & Medical Director, Voting Member, Pinehurst Medical Clinic, 25%
  • Jennifer Szurgot, MD, Voting Member, Pinehurst Medical Clinic, 25%
  • Brandon Enfinger, Voting Member, Pinehurst Medical Clinic, 25%
  • Ravi Sachdev, Voting Member, Partner of Clayton, Dubilier & Rice, 5%
  • Karthik Rao, MD, Voting Member, Senior Medical Director of agilon health, 5%
  • Kenny Bellendir, Voting Member, SVP Finance of agilon health, 5%
  • George Little, Consumer Advocate, Voting Member, Self-employed, 5%
  • Bill Murphy, Medicare Beneficiary, Voting Member, Retired, 5%

SHARED SAVINGS AND LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

  • First Agreement Period
    • Performance Year 2022: $14,088,922.23

SHARED SAVINGS DISTRIBUTION:

  • First Agreement Period
    • Performance Year 2022
      • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 45%
      • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 55%

QUALITY PERFORMANCE RESULTS

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

  • Overall Quality Score: 100%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 14.88
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.68
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 76.10
CAHPS for ACO Survey Measures Reported Performance  Rate Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information  87.65       81.97
How Well Providers Communicate  94.96       93.10
Care Coordination  88.56       84.70
Shared Decision Making  62.37       61.56
Patient Rating for Provider  93.19       91.74
Courteous & Helpful Office Staff  94.60       91.10
Health Promotion & Education  58.84       61.84
Stewardship of Patient Resources  26.27       24.96

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov.

D0156_REACHPubDiscTempv2_IA 04/01/24

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