ACO Name and Location

Privia Quality Network Maryland, LLC
950 N Glebe Road, Suite 700
Arlington, VA 22203

ACO Primary Contact

Nico Salas
Phone: 571-366-8850
Email: nico.salas@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Carroll Family Medicine, LLC N
Head2ToeHealth N
Husna R. Baksh, M.D., P.C. N
Kannan And Associates, P.C. N
Kathryn D. Kelly, M.D., P.C. N
Matcare, LLC N
Parmar Primary Care Medicine, LLC N
Privia Care Center, LLC N
Sankofa Health, LLC N
Savopoulos Professional, LLC N
Silver Spring Medical Center, LLC N
Usha Sivakumar, M.D., LLC N
Well-Being Medical Care, LLC N
Wellspring Family Medicine, P.C. N

ACO Governing Body:

Member First Name Member Last Name Member Title/Position Member’s Voting Power –Expressed as a percentage Membership Type ACO Participant Legal Business Name, if Applicable
Shishir Khetan Chairman 25% ACO Participant Representative Privia Care Center, LLC
Benjamin Lee Director 25% ACO Participant Representative Privia Care Center, LLC
Joel Meshulam Director 25% ACO Participant Representative Privia Care Center, LLC
Susan Adams Director 25% Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Eric Beyer
Medical Director: Shishir Khetan
Compliance Officer: Stephanie Clark
Quality Assurance/Improvement Officer: Chris Phillips

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Performance Committee Shishir Khetan, Medical Director
Funds Flow Committee Shishir Khetan, Medical Director

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangements
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • First Agreement Period
    • Performance Year 2023: $18,511,300.68
    • Performance Year 2022: $13,754,674

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 60%
    • Performance Year 2022
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 60%

Quality Performance Results

2023 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 6.04 9.84
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 94.78 80.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 85.88 77.80
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 97.91 89.42
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 74.68 70.76
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 80.65 79.29
Measure # 113 Colorectal Cancer Screening CMS Web Interface 80.23 77.14
Measure # 112 Breast Cancer Screening CMS Web Interface 84.35 80.36
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 86.42 87.05
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 40.43 16.58
Measure # 321 CAHPS for MIPS CMS Web Interface 6.04 6.25
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1410 0.1553
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface – 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 84.99 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.74 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.87 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 72.34 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 65.96 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 61.82 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 76.75 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 83.43 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.24 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 19.57 26.69

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