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Collectively committed to clinical excellence by improving the quality and value of care for the patients we serve.

Seamless Care for Medicare Patients

PPWPA believes in setting the highest care for our Medicare patients, we've become an Accountable Care Organization (ACO) through the Centers for Medicare & Medicaid Services. As a Track 1 ACO, we're committed to providing patients the right time while avoiding errors and unnecessary duplications to services.

In 2017, Physician Partners of Western Pennsylvania (PPWPA) was selected to be an Accountable Care Organization (ACO), a program sponsored by the Centers for Medicare and Medicaid Services (CMS). This information explains PPWPA’s participation in that program.

ACO Name and Location

Physician Partners of Western PA LLC

120 Fifth Avenue Place

FAP AHN-CORP

Pittsburgh, PA 15222

ACO Primary Contact

Tina Hahn - Executive Director

Phone: (412) 330-2498

Email: kristina.hahn@ahn.org

Organizational Information

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Allegheny Clinic N
Allegheny Clinic Radiology N
Armstrong County Memorial Hospital N
Associates in Neurology of Pittsburgh N
Brentwood Medical Group, Inc N
Cardiovascular Disease Specialists of Pittsburgh PC N
Center for Orthopaedics and Sports Medicine PC N
Chautauqua Medical Practice, P.C. N
Cherry Tree Medical Associates Inc N
Dr Edward Jew III Internal Medicine N
Dudzinski Enterprises, Inc N
Emmanuel Family Practice Associates, PC N
Erie Osteopathic Medicine, LLC N
Family Practice Medical Associate South Inc. N
Gary Esper N
Geskin Medical LLC N
Glade Run Medical Associates Inc N
Golla ENT N
Indiana Diabetes & Endocrinology PLLC N
Indiana Healthcare Physician Services Inc N
Izzo Foot and Ankle P.C. N
Jawdat Nikoula N
Jefferson Cardiology Association N
Jefferson Hills Surgical Specialists N
Jefferson Internal Medicine PC N
Johnstown Heart and Vascular Center, Inc N
JRMC Specialty Group Practice N
KLAIN, HEASLEY, NETTLETON MD, PC N
Levi Walker, M.D., P.C. N
MacIsaac Family Medicine N
Martin G Gregorio MD and Associates PC N
Montgomery Medical, Inc. N
OB-GYN Associates of Erie, PC N
Park Cardiothoracic and Vascular Institute N
Partners in Family Care P C N
Paul G. Linder, M.D. & Associates, P.C. N
Prabhat Seth N
Premier Medical Associates, PC N
Primary Care Group 11 Inc N
Primary Care Group 3 Inc N
Primary Care Group 7, Inc N
Prime Medical Group PCG1 N
Punxsutawney Area Hospital Inc N
Raja Chakrapani N
Rc Medical Associates Pc N
Saint Vincent Consultants in Cardiovascular Diseases N
Sciamanda Total Health and Wellness N
Shadyside Cardiovascular, PLLC N
South Hills Family Medicine, LLC N
South Pittsburgh Urology Associates N
St Vincent Medical Education and Research Institute Inc N
Warren General Hospital N

ACO GOVERNING BODY

Member

First 

Last Name

Member Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Peter Lund Chair/Voting Member 5.263% ACO Participant Representative Saint Vincent Medical Education and Research Institute Inc.
Robert Crossey Secretary/Voting Member 5.263% ACO Participant Representative Premier Medical Associates PC
Joseph Aracri Voting Member 5.263% ACO Participant Representative Allegheny Clinic
Jon Belasco Voting Member 5.263% ACO Participant Representative Armstrong
Amy  Crawford-Faucher Voting Member 5.264% ACO Participant Representative Allegheny Clinic
Tony Farah Voting Member 5.264% ACO Participant Representative Allegheny Clinic
Danielle Hansen  Voting Member 5.263% Community Stakeholder Representative N/A
William Johnjullio Medical Director 0% ACO Participant Representative Allegheny Clinic
Brian Johnson Voting Member 5.263% ACO Participant Representative Allegheny Clinic
Kevin Kraeling Voting Member 5.263% Community Stakeholder Representative N/A
Kevin Kusic Voting Member 5.263% Other N/A
Margaret Morton Voting Member 5.263% ACO Participant Representative Emmanuel Family Practice Associates, PC
Richard  Neff Voting Member 5.263% ACO Partcipant Representative Indiana Regional Medical Center
Katie Farah Voting Member 5.264% ACO Participant Representative N/A
Diana Raub Voting Member 5.263% ACO Participant Representative AHN
Sam  Reynolds Voting Member 5.263% ACO Participant Representative Allegheny Clinic
Timothy Sauber Voting Member 5.263% ACO Participant Representative Allegheny Clinic
David Shin Voting Member 5.263% ACO Participant Representative Allegheny Clinic
James Solava Voting Member 5.263% ACO Participant Representative Prime Medical Group PCG1
Tom Tabor Voting Member 5.263% Medicare Beneficiary Representative N/A

KEY ACO CLINICAL AND ADMINISTRATIVE LEADERSHIP

ACO Executive: Kristina Hahn
Medical Director: William Johnjulio, MD
Compliance Officer: Holly Miller
Quality Assurance/Improvement Officer: Katie Farah, MD

ASSOCIATED COMMITTEES AND COMMITTEE LEADERSHIP

Committee Name

Committee Leader Name and Position

Finance and Contracting Committee Kevin Kusic - Chair
Clinical, Quality Improvement and Credentialing Committee Katie Farah, MD - Chair
Nominating Committee Amy Crawford-Faucher, MD - Chair

Types of ACO participants, or combinations of participants, that formed the ACO

Networks of individual practices of ACO professionals

SHARED SAVINGS AND LOSSES

Amount of Shared Savings/Losses

Amount of Shared Savings/Losses

Second Agreement Period

  • Performance Year 2023: $0
  • Performance Year 2022: $0

First Agreement Period

  • Performance Year 2021: $8,857,581.75
  • Performance Year 2020: $6,126,529
  • Performance Year 2019: $11,573,492.92
  • Performance Year 2018: $0
Shared Savings Distribution

Second Agreement Period

  • Performance Year 2023
    • Proportion invested in infrastructure: n/a
    • Proportion invested in redesigned care processes/resources: n/a
    • Proportion of distribution to ACO participants: n/a
  • Performance Year 2022
    • Proportion invested in infrastructure: n/a
    • Proportion invested in redesigned care processes/resources: n/a
    • Proportion of distribution to ACO participants: n/a

First Agreement Period

  • Performance Year 2021
    • Proportion invested in infrastructure: 5%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 80%
  • Performance Year 2020
    • Proportion invested in infrastructure: 5%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 80%
  • Performance Year 2019
    • Proportion invested in infrastructure: 5%
    • Proportion invested in redesigned care processes/resources: 15%
    • Proportion of distribution to ACO participants: 80%
  • Performance Year 2018
    • 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

2023 QUALITY PERFORMANCE RESULTS

Quality Performance Results are based on CMS Web Interface

Measure ID #

Measure Name

Rate

ACO Mean


001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 7.97 9.84
110 Preventative Care and Screening: Influenza Immunization 81.48 70.76
112 Breast Cancer Screening 84.27 80.36
113 Colorectal Cancer Screening 81.63 77.14
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 89.93 80.97
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Invervention 87.50 79.29
236 Controlling High Blood Pressure 79.69 77.80
318 Falls: Screening for Future Fall Risk 95.55 89.42
370 Depression Remission at Twelve Months 9.86 16.58
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.85 87.05
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS .01572 .1553
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions 38.4700 35.39000
CAHPS-1 Getting Timely Care, Appointments, and Information 86.15 83.68
CAHPS-2 How Well Providers Communicate 94.99 93.69
CAHPS-3 Patient's Rating of Provider 93.28 92.14
CAHPS-4 Access to Specialists 75.69 75.97
CAHPS-5 Health Promotion and Education 64.67 63.93
CAHPS-6 Shared Decision Making 61.50 61.60
CAHPS-7 Health Status and Functional Status 76.71 74.12
CAHPS-8 Care Coordination 87.49 85.77
CAHPS-9 Courteous and Helpful Office Staff 94.05 92.31
CAHPS-11 Stewardship of Patient Resources 23.24 26.69
For Previous Years' Financial and Quality Performance Results, please visits data.cms.gov. 

PAYMENT RULE WAIVERS

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR Section 425.612
  • Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR Section 425.612(f) and 42 CFR Section 425.613.

ACO Primary Care Flex Model