About Us | Augusta Care Partners

ACO Name & Location

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

ACO Primary Contact

Primary Contact Name	Mary T. Arrowood
Primary Contact Phone Number	(540) 245-7570
Primary Contact Email Address	marrowood2@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 or number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Last Name	First Name	Title/Position		Membership Type	ACO Participant Legal Business Name/DBA, if Applicable
Otteni	Jack	Voting Member and Chair	1	ACO Participant Representative	Orthopedic Associates, Ltd (D/B/A Shenandoah Valley Orthopedics and Sports Medicine)
Snyder	John	Voting Member and Vice-Chair	1	ACO Participant Representative	Augusta Medical Group
Baroco	Patrick	Voting Member and Secretary/Treasurer	1	ACO Participant Representative	Augusta Medical Group
Fosnocht	David	Voting Member	1	ACO Participant Representative	Shenandoah Emergency Medicine Specialists, LLC
Just	Scott	Voting Member	1	ACO Participant Representative	Augusta Medical Group
Mannix	Mary	Voting Member	1	ACO Participant Representative	Augusta Health Care, Inc
Maybee	Nelly	Voting Member	1	ACO Participant Representative	Augusta Medical Group
Fenton	Barbara	Voting Member	1	Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership

ACO Executive	Daniel O’Connor
Medical Director	Clint Merritt, MD
Compliance Officer	D. Scott Jones
Quality Assurance/Improvement Officer	Clint Merritt, MD

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 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 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

2020 Quality Performance Results

ACO Quality Measure Number	Measure Name	Rate	ACO Mean
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	0.78	0.95
ACO-13	Falls: Screening for Future Fall Risk	98.68	84.97
ACO-14	Preventive Care and Screening: Influenza Immunization	86.16	76.03
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	96.88	81.67
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	90.33	71.46
ACO-19	Colorectal Cancer Screening	84.29	72.59
ACO-20	Breast Cancer Screening	88.72	74.05
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	86.28	83.37
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	11.59	14.70
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	63.29	72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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

Payment Rule Waivers

See “Fraud and Abuse Waivers” Tab