ACO Name and Location

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

ACO Primary Contact

Deepa Achutuni
571-451-0058
Deepa.achutuni@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture
Bel Air Family Care LLC 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
Wellspring Family Medicine PC N

ACO Governing Body:

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
Khetan Shishir Chairman 1/4 ACO Participant Privia Care Center
Lee Benjamin Director 1/4 ACO Participant Privia Care Center
Meshulam Joel Director 1/4 ACO Participant Privia Care Center
Berney Fred Director 1/4 Beneficiary N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Eric Beyer
Medical Director: Shishir Khetan
Compliance Officer: Dana Fields
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: TBD

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2022: TBD
      • Proportion invested in infrastructure: TBD
      • Proportion invested in redesigned care processes/resources: TBD
      • Proportion of distribution to ACO participants: TBD

Quality Performance Results

2019 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite
ACO-13 Falls: Screening for Future Fall Risk
ACO-14 Preventive Care and Screening: Influenza Immunization
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan
ACO-19 Colorectal Cancer Screening
ACO-20 Breast Cancer Screening
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control
ACO-28 Hypertension (HTB): Controlling High Blood Pressure

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

  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.