ACO Name and Location

Health Alliance ACO, LLC (GW Health Network)

Previous Names: N/A

367 South Gulph Road,
King of Prussia, PA 19406

ACO Primary Contact

Contact Name:
William Borden

Primary Contact Phone Number:
(202) 741-3020

Primary Contact Email Address:
[email protected]

Public Reporting (PDF)
ACO Participants ACO Participant in Joint Venture
Medical Faculty Associates, Inc. Y
Primary Care at Foxhall N
Accent on Health, Llc N
PCRM Clinic N
John P. Hakim, MD & Associates N
HL Yoon MD PC N

ACO Governing Body:

Member First Name
Member Last Name
Member Title/Position
Member Voting Power
Membership Type
ACO Participant TIN Legal Business Name
1
William
Borden
Chairman
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
2
Robert
Shesser
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
3
Sarah
Boutwell
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
4
Anna
Rubin
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
5
Megan
Murphy
Nurse Practitioner
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
6
Robert
Jayes
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
7
Tania
Alchalabi
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
8
Susie
Lew
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
9
Brad
Moore
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
10
Chavon
Onumah
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
11
Christina
Prather
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
12
Brian
Choi
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
13
Juan
Reyes
Physician
5.00%
ACO Participant Representative
Medical Faculty Associates, Inc.
14
Gilbert
Daniel
Physician
5.00%
Medicare Beneficiary Representative
Accent on Health, Llc
15
Brian
McBreen
Physician
5.00%
ACO Participant Representative
Primary Care at Foxhall
16
James
Loomis
Physician
5.00%
ACO Participant Representative
PCRM Clinic
17
Kimberly
Russo
CEO
5.00%
Community Stakeholder Representative
18
Bruno
Petinaux
CMO
5.00%
Community Stakeholder Representative
19
Lori
Lane
Director
5.00%
Other
19
Raquel
Cuadro
Voting Member
5.00%
Medicare Beneficiary Representative

Key ACO clinical and administrative leadership

Position
Name
ACO Executive
David Klebonis
Medical Director
William Borden
Compliance Officer
Todd Condon Jr.
Quality Assurance/Improvement Officer
Anna Rubin

Associated committees and committee leadership

Committee Name
Committee Leader Name and Position
Executive Committee
Dr. William Borden, Chairman
Finance Committee
Dr. Rajendra Bansal, Chairman
Quality & Population Health Committee
Dr. Ana Rubin, Chairman
Health Analytics Committee
Todd Condon Jr, Director

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

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

— Performance Year 2022, $0

First Agreement Period

— Performance Year 2021, $0

— Performance Year 2020, $2,237,716.03

— Performance Year 2019, $2,846,752

— Performance Year 2018, $3,332,628

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2022
    — Proportion invested in infrastructure: N/A
    — Proportion invested in redesign care processes/resources: N/A
    — Proportion of distribution to ACO Participants: N/A

First Agreement Period

  • Performance Year 2021
    — Proportion invested in infrastructure: N/A
    — Proportion invested in redesign care processes/resources: N/A
    — Proportion of distribution to ACO Participants: N/A
  • Performance Year 2020
    — Proportion invested in infrastructure: 30%
    — Proportion invested in redesign care processes/resources: 25%
    — Proportion of distribution to ACO Participants: 45%
  • Performance Year 2019
    — Proportion invested in infrastructure: 35%
    — Proportion invested in redesign care processes/resources: 15%
    — Proportion of distribution to ACO Participants: 50%
  • Performance Year 2018
    — Proportion invested in infrastructure: 30%
    — Proportion invested in redesign care processes/resources: 25%
    — Proportion of distribution to ACO Participants: 45%

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

ACO Quality Measure Measure Name Collection Type Rate ACO Mean
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 14.13 10.71
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.36 76.97
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 63.72 76.16
Measure #: 318 Falls: Screening for Future Fall Risk CMS Web Interface 95.38 87.83
Measure #: 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 80.08 77.34
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 70.00 79.27
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 80.95 75.32
Measure #: 112 Breast Cancer Screening CMS Web Interface 83.47 78.07
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 90.95 86.37
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 0 16.03
Measure #: 321 CAHPS for MIPS N/A N/A N/A
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.1557 0.1510
Measure #: 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 40.35 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS For MIPS Survey 72.35 83.96
CAHPS-2 How Well Providers Communicate CAHPS For MIPS Survey 89.46 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS For MIPS Survey 88.44 92.06
CAHPS-4 Access to Specialists CAHPS For MIPS Survey 69.85 77.00
CAHPS-5 Health Promotion and Education CAHPS For MIPS Survey 66.14 62.68
CAHPS-6 Shared Decision Making CAHPS For MIPS Survey 48.48 60.97
CAHPS-7 Health Status and Functional Status CAHPS For MIPS Survey 76.17 73.06
CAHPS-8 Care Coordination CAHPS For MIPS Survey 81.16 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS For MIPS Survey 82.17 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS For MIPS Survey 22.86 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612