ACO Name and Location

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

ACO Primary Contact

Mark Lamm
Phone: 571-366-8850
Email: mark.lamm@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Carroll Family Medicine, LLC N
IC Care Corporation N
Kannan And Associates, P.C. N
Kathryn D. Kelly, M.D., P.C. N
Parmar Primary Care Medicine, LLC N
Privia Care Center, LLC N
Savopoulos Professional, LLC N
Silver Spring Medical Center, LLC N
Usha Sivakumar, M.D., 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 ACO Participant DBA, if applicable
Shishir Khetan Chairman 25% ACO Participant Representative Privia Care Center N/A
Benjamin Lee Director 25% ACO Participant Representative Privia Care Center N/A
Joel Meshulam Director 25% ACO Participant Representative Privia Care Center N/A
Phyllis Franklin Director 25% Beneficiary Representative N/A N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Corey Perdue
Medical Director: Benjamin Lee
Compliance Officer: Stephanie Clark
Quality Assurance/Improvement Officer: Benjamin Lee

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Performance Committee Benjamin Lee, Medical Director
Funds Flow Committee Benjamin Lee, 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 2024: $19,936,052.79
    • Performance Year 2023: $18,511,300.68
    • Performance Year 2022: $13,754,674

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 60%
    • 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

2024 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 3.63 9.44
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 93.55 81.46
Measure # 236 Controlling High Blood Pressure CMS Web Interface 87.32 79.49
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 96.73 88.99
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 88.02 68.60
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 91.67 79.98
Measure # 113 Colorectal Cancer Screening CMS Web Interface 80.99 77.81
Measure # 112 Breast Cancer Screening CMS Web Interface 88.67 80.93
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 83.13 86.50
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 41.89 17.35
Measure # 321 CAHPS for MIPS CMS Web Interface 8.41 6.67
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1363 0.1517
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface — 37.00
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 86.77 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 95.71 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.33 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 73.67 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 69.67 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 63.36 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 76.98 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 88.69 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.09 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 30.91 26.98
  • *For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
  • *For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers

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