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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)

Adiba Ahmed 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
Corry Memorial Hospital Association N
D. Singh MD and Associates N
Decker Family Medicine, LLC 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
Flores & Flores Medical Associates, Inc. N
Gary Esper N
Glade Run Medical Associates Inc N
Golla ENT N
Horodnic Family Medicine, LLC N
Indiana Healthcare Physician Services Inc N
Irwin Family Care Pc 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
Lake Erie Medical Group PC N
Lamperski Internal Medicine, LLC N
Levi Walker, M.D., P.C. N
MacIsaac Family Medicine N
Malkit Singh MD N
Martin G Gregorio MD and Associates PC N
Matthew N. Klain MD PC N
Mead Avenue Family Practice, Inc. N
Medical Associates of Erie N
Montgomery Medical, Inc. N
OB-GYN Associates of Erie, PC N
Osteopathic Internal Medicine Associates, Inc 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, MD 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
Private Physicians Medical Practice LLC N
Rc Medical Associates Pc N
Robert Waligura 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
Timothy Stanton N
Vincent Fierro N
Warren General Hospital N

ACO GOVERNING BODY

Member

First 

Last Name

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 5.26% ACO Participant Representative Saint Vincent Medical Education and Research Institute Inc.
Robert Crossey Secretary/Voting Member 5.26% ACO Participant Representative Premier Medical Associates PC
Joseph Aracri Voting Member 5.26% ACO Participant Representative Allegheny Clinic
Jon Belasco Voting Member 5.26% ACO Participant Representative Armstrong
Amy  Crawford-Faucher Voting Member 5.26% ACO Participant Representative Allegheny Clinic
Tony Farah Voting Member 5.26% Other N/A
Danielle Hansen  Voting Member 5.26% ACO Participant Representative Medical Associates of Erie
William Johnjullio Medical Director 0% ACO Participant Representative Allegheny Clinic
Brian Johnson Voting Member 5.26% ACO Participant Representative Allegheny Clinic
Kevin Kraeling Voting Member 5.26% ACO Participant Representative Meadville Medical Center
Kevin Kusic Voting Member 5.26% Other N/A
Margaret Morton Voting Member 5.26% ACO Participant Representative Emmanuel Family Practice Associates, PC
Richard  Neff Voting Member 5.26% ACO Partcipant Representative Indiana Regional Medical Center
Brian Parker Voting Member 5.26% ACO Participant Representative N/A
Diana Raub Voting Member 5.26% ACO Participant Representative AHN
Sam  Reynolds Voting Member 5.26% ACO Participant Representative Allegheny Clinic
Timothy Sauber Voting Member 5.26% ACO Participant Representative Allegheny Clinic
David Shin Voting Member 5.26% ACO Participant Representative Allegheny Clinic
James Solava Voting Member 5.26% ACO Participant Representative Prime Medical Group PCG1
Tom Tabor Voting Member 5.26% Medicare Beneficiary Representative N/A

KEY ACO CLINICAL AND ADMINISTRATIVE LEADERSHIP

ACO Executive: Kristina Hahn
Medical Director: William Johnjulio, MD
Compliance Officer: Sandy Sessoms
Quality Assurance/Improvement Officer: Sam Reynolds, 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 Sam Reynolds, 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 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 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

2022 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 9.52 10.71
110 Preventative Care and Screening: Influenza Immunization 79.40 77.34
112 Breast Cancer Screening 82.33 78.07
113 Colorectal Cancer Screening 79.10 75.32
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 82.53 78.07
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Invervention 76.67 79.27
236 Controlling High Blood Pressure 77.51 76.16
318 Falls: Screening for Future Fall Risk 95.56 87.83
370 Depression Remission at Twelve Months 13.92 16.03
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 87.72 86.37
479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS 0.1574 0.1510
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions 34.1175 30.9700
CAHPS-1 Getting Timely Care, Appointments, and Information 86.05 83.96
CAHPS-2 How Well Providers Communicate 96.66 93.47
CAHPS-3 Patient's Rating of Provider 94.22 92.06
CAHPS-4 Access to Specialists 74.99 77.00
CAHPS-5 Health Promotion and Education 66.23 62.68
CAHPS-6 Shared Decision Making 65.89 60.97
CAHPS-7 Health Status and Functional Status 73.78 73.06
CAHPS-8 Care Coordination 87.60 85.46
CAHPS-9 Courteous and Helpful Office Staff 94.73 91.97
CAHPS-11 Stewardship of Patient Resources 22.87 25.62
For Previous Years' Financial and Quality Performance Results, please visits data.cms.gov

PAYMENT RULE WAIVERS

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.