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
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: Kimberly Busenbark, Wilems Resource Group
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 2023: $2,050,349.49
- Performance Year 2022: $4,436,811.38
- Performance Year 2021: $94,053
SHARED SAVINGS DISTRIBUTION
- First Agreement Period
- 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%
- Performance Year 2023
QUALITY PERFORMANCE RESULTS
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%
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 12/09/2024