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 |
Gerald Showalter | 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 |
AUGUSTA SURGERY INC | N |
SHENANDOAH VALLEY RADIATION ONCOLOGY ASSOCIATES, PC | N |
AUGUSTA HEALTH CARE FOR WOMEN, PLC | N |
GERALD SHOWALTER, PSY.D., PC | 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/Treasurer | 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 |
Szeles | Robert | 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 and Vice-Chair | 12.5% | ACO Participant Representative | Augusta Medical Group |
Fenton | Barbara | Voting Member | 12.5% | Medicare Beneficiary Representative | |
Pitsilos | Stephanie | Voting Member | 12.5% | ACO Participant Representative | Augusta Medical Group |
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 | Janell Sauder, RN-BSN |
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, $1,372,448.20
- 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
- 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
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- 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
2021 Quality Performance Results
Quality performance results are based on CMS web interface.
ACO Quality Measure Number | Measure Name | Rate | ACO Mean |
484 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs | 25.19 | 30.97 |
479 | Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate For MIPS Groups | 0.1232 | 0.1510 |
318 | Falls: Screening for Future Fall Risk | 99.44 | 87.83 |
110 | Preventive Care and Screening: Influenza Immunization | 88.74 | 77.34 |
226 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 94.12 | 79.27 |
134 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 94.29 | 76.97 |
113 | Colorectal Cancer Screening | 82.10 | 75.32 |
112 | Breast Cancer Screening | 84.45 | 78.07 |
438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 90.65 | 86.37 |
001 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 8.98 | 10.71 |
236 | Hypertension (HTN): Controlling High Blood Pressure | 74.33 | 76.16 |
Please note, the quality ID #370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
Quality Performance Results – CAHPS for MIPS
Measure ID | Measure Name | Reported Performance Rate | Current Year Mean Performance Rates (SSP-ACOs) |
CAHPS-1 | Getting Timely Care Appointments and Information | 82.30 | 83.96 |
CAHPS-2 | How Well Providers Communicate | 94.52 | 93.47 |
CAHPS-3 | Patient’s Rating of Provider | 92.50 | 92.06 |
CAHPS-4 | Access to Specialists | 80.35 | 77.00 |
CAHPS-5 | Health Promotion and Education | 66.70 | 62.68 |
CAHPS-6 | Shared Decision Making | 65.04 | 60.97 |
CAHPS-7 | Health Status and Functional Status | 76.63 | 73.06 |
CAHPS-8 | Care Coordination | 85.40 | 85.46 |
CAHPS-9 | Courteous and Helpful Office Staff | 95.26 | 91.97 |
Payment Rule Waivers
See “Fraud and Abuse Waivers” Tab