an Accountable Care Organization in Augusta County, VA

an Accountable Care Organization in Augusta County, VA

About Us

ACO Name & Location

Augusta Care Partners, LLC
78 Medical Center Drive
Fishersville, VA 22939

ACO Primary Contact

Primary Contact Name
Clint Merritt
Primary Contact Phone Number
(540) 332-4818
Primary Contact Email Address
CMerritt@augustahealth.com

Organizational Information

ACO Participants

ACO Participants
ACO Participant in Joint Venture (Enter Y or N)
Shenandoah Emergency Medicine Specialists, LLC
N
Medical Center Women’s Health, Inc
N
Blue Ridge Footcare and Surgery, PLC
N
Augusta Medical Group
N
Blue Ridge Urological, PC
N
Comprehensive Health Systems, PLC
N
Valley Community Services Board
N
Orthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)
N
Blue Ridge Pathologists, PC
N
Augusta Health Care, Inc
N
Eyeone, PLC
N
Shenandoah Valley Radiation Oncology Associates, PC
N
Jaclyn Mouras, PSY.D. 
N
Staunton Eye Clinic, PLC
N

ACO Governing Body

Board of Managers

Member Member’s Voting Power -Expressed as a percentage of total votes Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Otteni Jack Voting Member and Secretary 12.5% ACO Participant Representative Orthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)
Snyder John Voting Member and Chair 12.5% ACO Participant Representative Augusta Medical Group
Fosnocht David Voting Member 12.5%
ACO Participant Representative Shenandoah Emergency Medicine Specialists, LLC
Pitsilos Stephanie Voting Member 12.5% ACO Participant Representative Augusta Medical Group
Mannix Mary Voting Member 12.5%
ACO Participant Representative Augusta Health Care, Inc
Maybee Nelly Voting Member & Vice Chair 12.5% ACO Participant Representative Augusta Medical Group
Szeles Robert Voting Member 12.5%
ACO Participant Representative Augusta Medical Group
Fenton Barbara Voting Member 12.5%
Medicare Beneficiary Representative  

Key ACO Clinical and Administrative Leadership

ACO Executive
Clint Merritt, MD
Medical Director
Clint Merritt, MD
Compliance Officer
D. Scott Jones
Quality Assurance/Improvement Officer
Leisa Whitesell, RN
Director of Operations
Janell Sauder, RN-BSN

Associated Committees and Committee Leadership

Committee Name
Committee Leader Name and Position
Finance & Network Development
John Mattern, DO, Chair
Quality & Care Process
Stephanie Pitsilos, MD, Chair

Types of ACO Participants or Combinations of Participants that Formed the ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance year 2022, $1,372,448.19
    • Performance year 2021, $1,885,837.23
    • Performance year 2020, $1,967,858.08
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%

    • Performance Year 2021
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%

    • Performance year 2020
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 20%
      • Proportion of distribution to ACO participants: 70%
  • Second Agreement Period
    • Performance Year 2019
      • 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 2018
      • 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 2017
      • 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 2016
      • 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 2015
      • 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 2014
      • 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 Number
Measure Name
Collection
Type
Reported Performance Rate
Current Year Mean Performance Rate (SSP ACOS)

MCC-1
All-Cause Unplanned Admissions for Patients with
Multiple Chronic Conditions for ACOs
Administrative Claims
25.19
30.97
479
Hospital-Wide, 30-day, All-Cause Unplanned
Readmission (HWR) Rate For MIPS Groups
Administrative Claims
0.1232
0.1510
318
Falls: Screening for Future Fall Risk
CMS Web Interface
99.44
87.83
110
Preventive Care and Screening:
Influenza Immunization
CMS Web Interface
88.74
77.34
226
Preventive Care and Screening: Tobacco Use:
Screening and Cessation Intervention
CMS Web Interface
94.12
79.27
134
Preventive Care and Screening:
Screening for Clinical Depression and Follow-up Plan
CMS Web Interface
94.29
76.97
113
Colorectal Cancer Screening
CMS Web Interface
82.10
75.32
112
Breast Cancer Screening
CMS Web Interface
84.45
78.07
438
Statin Therapy for the Prevention and
Treatment of
Cardiovascular Disease
CMS Web Interface
90.65
86.37
001
Diabetes Mellitus: Hemoglobin A1c
Poor Control
CMS Web Interface
8.98
10.71
236
Hypertension (HTN): Controlling
High Blood Pressure
CMS Web Interface
74.33
76.16
370
Depression Remission at 12 Months
CMS Web Interface
11.65
16.03
CAHPS-1
Getting Timely Care Appointments and Information
CAHPS
82.30
83.96
CAHPS-2
How Well Providers Communicate
CAHPS
94.52
93.47
CAHPS-3
Patient’s Rating of Provider
CAHPS
92.50
92.06
CAHPS-4
Access to Specialists
CAHPS
80.35
77.00
CAHPS-5
Health Promotion and Education
CAHPS
66.70
62.68
CAHPS-6
Shared Decision Making
CAHPS
65.04
60.97
CAHPS-7
Health Status and Functional Status
CAHPS
76.63
73.06
CAHPS-8
Care Coordination
CAHPS
85.40
85.46
CAHPS-9
Courteous and Helpful Office Staff
CAHPS
95.26
91.97
CAHPS-11
Stewardship of Patient Resources
CAHPS
27.30
25.62

For Previous Years’ Financial and Quality Performance Results, please visit  data.cms.gov/browse

 

Payment Rule Waivers