ACO Name and Location

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

ACO Primary Contact

Deepa Achutuni
Phone: 571-366-8850
Email: Deepa.achutuni@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Bel Air Family Care LLC N
Head2toehealth N
Husna R Baksh MD PC N
Kathryn D Kelly MD PC N
Matcare LLC N
Privia Care Center LLC N
Rakesh Arora MD FAA FP PA N
Sankofa Health, LLC N
Silver Spring Medical CenterLLC N
Well-being Medical Care, LLC N
Wellspring Family Medicine PC 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
Benjamin Lee Director 25% ACO Participant Representative Privia Care Center
Joel Meshulam Director 25% ACO Participant Representative Privia Care Center
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 Carpenter
Quality Assurance/Improvement Officer: Chris Phillips

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 2022: $13,754,674

Shared Savings Distribution:

  • First Agreement Period
    • 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

2022 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

Measure # Measure Name Collection Type Rate ACO
Mean
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control CMS Web Interface 5.92 10.71
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 90.14 76.97
Measure # 236 Controlling High Blood Pressure CMS Web Interface 79.37 76.16
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 92.88 87.83
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 83.33 77.34
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 73.33 79.27
Measure # 113 Colorectal Cancer Screening CMS Web Interface 73.78 75.32
Measure # 112 Breast Cancer Screening CMS Web Interface 81.85 78.07
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 86.29 86.37
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 30.99 16.03
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups Administrative Claims 0.144 0.151
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims 26.63 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.07 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.89 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.48 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 73.18 77
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 69.93 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 63.42 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.78 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 86.38 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 91.26 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 19.72 25.62

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