Physician Partners of Western PA

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.

Center for Medicare & Medicaid 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.

Physician Partners of Western PA LLC

120 Fifth Avenue Place

FAP HM-192B

Pittsburgh, PA 15222

Tina Hahn - Executive Director

Phone: (412) 330-2498

Email: kristina.hahn@ahn.org

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	5.55%	ACO Participant Representative	Saint Vincent Medical Education and Research Institute Inc.
Robert	Crossey	Secretary/Voting Member	5.55%	ACO Participant Representative	Premier Medical Associates PC
Joseph	Aracri	Voting Member	5.55%	ACO Participant Representative	Allegheny Clinic
James	Backstrom	Voting Member	5.55%	ACO Participant Representative	Armstrong County Memorial Hospital
Amy	Crawford-Faucher	Voting Member	5.55%	ACO Participant Representative	Allegheny Clinic
Tony	Farah	Voting Member	5.55%	Other	N/A
Danielle	Hansen	Voting Member	5.55%	ACO Participant Representative	Medical Associates of Erie
William	Johnjullio	Medical Director	0%	ACO Participant Representative	Allegheny Clinic
Brian	Johnson	Voting Member	5.55%	ACO Participant Representative	Allegheny Clinic
Kevin	Kraeling	Voting Member	5.55%	ACO Participant Representative	Meadville Medical Center
Kevin	Kusic	Voting Member	5.55%	Other	N/A
Margaret	Morton	Voting Member	5.55%	ACO Participant Representative	Emmanuel Family Practice Associates, PC
Richard	Neff	Voting Member	5.55%	ACO Partcipant Representative	Indiana Regional Medical Center
Brian	Parker	Voting Member	5.55%	ACO Participant Representative	N/A
Sam	Reynolds	Voting Member	5.55%	ACO Participant Representative	Allegheny Clinic
Timothy	Sauber	Voting Member	5.55%	ACO Participant Representative	Allegheny Clinic
David	Shin	Voting Member	5.55%	ACO Participant Representative	Allegheny Clinic
James	Solava	Voting Member	5.55%	ACO Participant Representative	Prime Medical Group PCG1
Mason	Tootell	Voting Member	5.55%	ACO Participant Representative	Crescent Park Family Practice

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.