About Us

ACO Name & Location

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

ACO Primary Contact

Primary Contact NameClint Merritt
Primary Contact Phone Number(540) 332-4818
Primary Contact Email AddressCMerritt@augustahealth.com

Organizational Information

ACO Participants

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Shenandoah Emergency Medicine Specialists LLCN
Medical Center Women”s Health, IncN
Gerald ShowalterN
BLUE RIDGE FOOTCARE AND SURGERY PLCN
Augusta Medical GroupN
BLUE RIDGE UROLOGICAL, PCN
COMPREHENSIVE HEALTH SYSTEMS, PLCN
VALLEY COMMUNITY SERVICES BOARDN
Orthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)N
BLUE RIDGE PATHOLOGISTS PCN
Augusta Health Care, Inc.N
Eyeone, PlcN
AUGUSTA SURGERY INCN
SHENANDOAH VALLEY RADIATION ONCOLOGY ASSOCIATES, PCN
AUGUSTA HEALTH CARE FOR WOMEN, PLCN
GERALD SHOWALTER, PSY.D., PCN
Staunton Eye Clinic PLCN

ACO Governing Body

Board of Managers

Member

Member’s Voting Power -Expressed as a percentage of total votesMembership TypeACO Participant Legal Business Name/DBA, if Applicable
Last NameFirst NameTitle/Position
OtteniJackVoting Member and Chair12.5%ACO Participant RepresentativeOrthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)
SnyderJohnVoting Member and Vice-Chair12.5%ACO Participant RepresentativeAugusta Medical Group
BarocoPatrickVoting Member and Secretary/Treasurer12.5%ACO Participant RepresentativeAugusta Medical Group
FosnochtDavidVoting Member12.5%ACO Participant RepresentativeShenandoah Emergency Medicine Specialists, LLC
JustScottVoting Member12.5%ACO Participant RepresentativeAugusta Medical Group
MannixMaryVoting Member12.5%ACO Participant RepresentativeAugusta Health Care, Inc
MaybeeNellyVoting Member12.5%ACO Participant RepresentativeAugusta Medical Group
FentonBarbaraVoting Member12.5%Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership

ACO ExecutiveClint Merritt, MD
Medical DirectorClint Merritt, MD
Compliance OfficerD. Scott Jones
Quality Assurance/Improvement OfficerClint Merritt, MD

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Finance & Network DevelopmentJohn Mattern, DO, Chair
Quality & Care ProcessStephanie 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 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 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

2021 Quality Performance Results

Quality performance results are based on CMS web interface.

ACO Quality Measure NumberMeasure NameRateACO Mean
MCC-1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs27.5033.99
479Hospital-Wide, 30-day, All-Cause Unplanned Readmission (HWR) Rate For MIPS Groups0.12900.1540
318Falls: Screening for Future Fall Risk99.4887.03
110Preventive Care and Screening: Influenza Immunization86.7680.52
226Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention95.0080.97
134Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan90.4974.38
113Colorectal Cancer Screening82.2973.63
112Breast Cancer Screening85.6675.11
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease90.9184.24
001Diabetes Mellitus: Hemoglobin A1c Poor Control8.4212.46
236Hypertension (HTN): Controlling High Blood Pressure81.4274.87

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 IDMeasure NameReported Performance RateCurrent Year Mean Performance Rates (SSP-ACOs)
CAHPS-1Getting Timely Care Appointments and Information82.1784.67
CAHPS-2How Well Providers Communicate93.0493.56
CAHPS-3Patient’s Rating of Provider91.3392.19
CAHPS-4Access to Specialists76.1978.80
CAHPS-5Health Promotion and Education69.3661.61
CAHPS-6Shared Decision Making60.4660.89
CAHPS-7Health Status and Functional Status75.6671.78
CAHPS-8Care Coordination84.6185.66
CAHPS-9Courteous and Helpful Office Staff94.3191.88
CAHPS-11Stewardship of Patient Resources28.6424.71

Payment Rule Waivers

See “Fraud and Abuse Waivers” Tab