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ACO 4

Historical ACO REACH Information


ACO NAME AND LOCATION

agilon health Pennsylvania ACO, Inc.
d/b/a Senior Health Connect ACO 4
440 Polaris Parkway, Suite 550
Westerville, OH 43082

Learn more about your ACO and why we sent you a letter

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 4 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: Porsha Reed-Weidner, agilon health
Chief Technology Officer: Girish Venkatachaliah, agilon health
Financial Director: Kenny Bellendir, agilon health
Chief Legal Officer: Denise Zamore, agilon health
Quality Improvement Leader: Karen Phillippi, agilon health
Medical Director: Frank Civitarese, DO, Preferred Primary Care Physicians

GOVERNING BODY

  • Frank Civitarese, DO, Chair & Medical Director, Voting Member, Preferred Primary Care Physicians, 25%
  • Greg Erhard, Voting Member, Preferred Primary Care Physicians, 25%
  • Rich Cook II, MD, Voting Member, Preferred Primary Care Physicians, 25%
  • Claire Mulhearn, Voting Member, Chief Communications & Public Affairs Officer of agilon health, 5%
  • Ben Shaker, Voting Member, Chief Markets Officer of agilon health, 5%
  • Ravi Sachdev, Voting Member, Partner of Clayton, Dubilier & Rice, 5%
  • James R, Long, Ph.D., Consumer Advocate, Voting Member, Retired, 5%
  • John Morris, Medicare Beneficiary, Voting Member, Retired 5%

SHARED SAVINGS & SHARED LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

  • First Agreement Period
    • Performance Year 2024: $6,395,485.82
    • Performance Year 2023: $2,050,349.49
    • Performance Year 2022: $4,436,811.38
    • Performance Year 2021: $94,053

Performance Year 2024 results reflect CMS Final Settlement data released July 2026.

SHARED SAVINGS DISTRIBUTION

  • First Agreement Period
    • Performance Year 2024
      • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 39%
      • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 61%
    • Performance Year 2023
      • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 79%
      • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 21%
    • 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: 56%
      • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 44%
    • Performance Year 2021
      • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 67.4%
      • Proportion of Shared Savings distributed to Participant Providers and Preferred Providers: 32.6%

QUALITY PERFORMANCE RESULTS

2024 QUALITY PERFORMANCE RESULTS:

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

  • Overall Quality Score: 98.4%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 15.43
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.42
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 80.37
CAHPS for ACO Survey Measures Reported Performance Rate Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information 89.54 81.64
How Well Providers Communicate 96.21 93.70
Care Coordination 88.11 85.07
Shared Decision Making 70.56 64.12
Patient Rating for Provider 95.40 92.29
Courteous & Helpful Office Staff 95.25 91.69
Health Promotion & Education 71.77 65.43
Stewardship of Patient Resources 24.90 26.30

2023 QUALITY PERFORMANCE RESULTS:

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

  • Overall Quality Score: 71.9%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 15.39
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 37.44
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 72.09
CAHPS for ACO Survey Measures Reported Performance  Rate Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information  85.81       81.52
How Well Providers Communicate 95.71       93.48
Care Coordination  89.00       84.99
Shared Decision Making  69.54       63.03
Patient Rating for Provider  92.28       92.14
Courteous & Helpful Office Staff  92.81       91.38
Health Promotion & Education  68.75       63.57
Stewardship of Patient Resources  21.05       25.48

2022 QUALITY PERFORMANCE RESULTS:

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

  • Overall Quality Score: 96%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 15.52
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 37.64
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 72.46
CAHPS for ACO Survey Measures Reported Performance  Rate Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information  85.85       81.97
How Well Providers Communicate  93.25       93.10
Care Coordination  87.50       84.70
Shared Decision Making  70.16       61.56
Patient Rating for Provider  92.42       91.74
Courteous & Helpful Office Staff  92.46       91.10
Health Promotion & Education  66.14       61.84
Stewardship of Patient Resources  20.44       24.96

2021 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): 15.26
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 36.54

CONTACT US

If you have questions, comments or complaints related to the SNF 3-Day Waiver, you have two ways to contact us.

Call us at:

1-866-407-1660

Mail a letter to:

Senior Health Connect ACO 4
Attention: ACO Customer Inquiries
701 Technology Drive, Suite 150
Canonsburg, PA 15317

For general questions about Senior Health Connect ACO 4, please call us at 1-866-407-1660. Or, you may call Medicare at 1-800-MEDICARE (1-800-633-4227; TTY users may call 1-877- 486-2048). You may learn more about the Medicare Direct ACO Realizing Equity, Access, and Community Health (ACO REACH) Model here.

D0113_REACHPubDiscTempv5_IA 07/22/2026


This ACO terminated participation in the ACO REACH Model effective 12/31/2025.

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