ACO Name and Location
Privia Quality Network, LLC
950 N Glebe Rd
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 |
---|---|
Anchor Healthcare PLC | N |
Bay West Endocrinology Associates PA | N |
Betsy Vasquez | N |
Capital Heartcare Center PLC | N |
Carol C. Jagdeo, MD. L.L.C. | N |
Central Virginia Family Physicians, Inc. | N |
Chickahominy Family Practice Inc | N |
Clifton Care LLC | N |
Comprehensive Neurology And Sleep Medicine, P.A. | N |
Denise Chevalier Hamilton | N |
Felice Physical Therapy | N |
GP Therapy, LLC | N |
Greenway Endocrinology, P.A. | N |
Gregory C. Mathews, MD, LLC | N |
IPS of Winchester, LLC | N |
Lawrence Miller | N |
Matthew S. Kaatz, M.D., P.C. | N |
Metro Orthopedics & Sports Therapy | N |
Mount Vernon Internal Medicine | N |
Neda Hashemi MD PC | N |
Newbridge Spine and Pain Center LLC | N |
Next Journey Orthopaedics, PLLC | N |
Om Cardiology, LLC | N |
Privia Medical Group LLC | N |
Providence Family Sports Medicine | N |
Ridgeline Physician Services PLC | N |
Ronald W. Atwood, MD, PC | N |
Sherman Kahan, MD, PA | N |
Virginia Head and Neck Surgeons PC | N |
Virginia Womens Center Inc | N |
William Linthicum | 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 TIN Legal Business Name/DBA, if Applicable |
---|---|---|---|---|---|
Keith | Berkle | Chairman | 10% | ACO Participant | Privia Medical Group LLC |
Jane | Belford | Director | 10% | Beneficiary Representative | N/A |
Jeffrey | Bernstein | Director | 10% | ACO Participant | Privia Medical Group LLC |
Eric | Beyer | Director | 10% | Other | Privia Medical Group LLC |
Habib | Chotani | Director | 10% | ACO Participant | Privia Medical Group LLC |
Thomas | Eppes | Director | 10% | ACO Participant | Privia Medical Group LLC |
Ann Marie | Gordon | Director | 10% | ACO Participant | Privia Medical Group LLC |
Caroline | Huang | Director | 10% | ACO Participant | Privia Medical Group LLC |
Ednan | Mushtaq | Director | 10% | ACO Participant | Privia Medical Group LLC |
Linda | Powers | Director | 10% | ACO Participant | Privia Medical Group LLC |
Key ACO Clinical and Administrative Leadership:
ACO Executive: Eric Beyer
Medical Director: Fred Taweel
Compliance Officer: Stephanie Clark
Quality Assurance/Improvement Officer: David West
Associated Committees and Committee Leadership:
Committee Name | Committee Leader Name and Position |
---|---|
Clinical IT Committee | Jarret Dodd, Chair |
Clinical Performance Committee | David West, Chair |
Compliance Committee | Caroline Huang, Chair |
Credentialing Committee | Habib Chotani, Chair |
Finance Committee | Jeffrey Bernstein, Chair |
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
- Fourth Agreement Period
- Performance Year 2023: $51,566,511
- Third Agreement Period
- Performance Year 2022: $44,130,899
- Performance Year 2021: $41,642,012
- Performance Year 2020: $42,266,717
- Second Agreement Period
- Performance Year 2019: $16,998,165
- Performance Year 2018: $20,066,830
- Performance Year 2017: $18,079,932
- First Agreement Period
- Performance Year 2016: $0
- Performance Year 2015: $6,156,225
- Performance Year 2014: $2,793,592
Shared Savings Distribution
- Fourth 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 2023
- Third 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%
- Performance Year 2021
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2020
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2022
- Second Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2018
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2017
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2019
- First Agreement Period
- Performance Year 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2015
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2014
- Proportion invested in infrastructure: 30%
- Proportion invested in redesigned care processes/resources: 10%
- Proportion of distribution to ACO participants: 60%
- Performance Year 2016
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 ACO’s) |
---|---|---|---|---|
Measure # 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | CMS Web Interface | 9.02 | 9.84 |
Measure # 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 83.13 | 80.97 |
Measure # 236 | Controlling High Blood Pressure | CMS Web Interface | 80.72 | 77.80 |
Measure # 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 93.88 | 89.42 |
Measure # 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 78.28 | 70.76 |
Measure # 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 81.82 | 79.29 |
Measure # 113 | Colorectal Cancer Screening | CMS Web Interface | 82.75 | 77.14 |
Measure # 112 | Breast Cancer Screening | CMS Web Interface | 80.08 | 80.36 |
Measure # 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 83.33 | 87.05 |
Measure # 370 | Depression Remission at Twelve Months | CMS Web Interface | 35.42 | 16.58 |
Measure # 321 | CAHPS for MIPS | CMS Web Interface | 6.16 | 6.25 |
Measure # 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | CMS Web Interface | 0.1428 | 0.1553 |
Measure # 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | CMS Web Interface | 46.03 | 35.39 |
CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 82.39 | 83.68 |
CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 93.57 | 93.69 |
CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.17 | 92.14 |
CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 73.95 | 75.97 |
CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 68.07 | 63.93 |
CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 61.58 | 61.60 |
CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 77.03 | 74.12 |
CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 86.33 | 85.77 |
CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 92.38 | 92.31 |
CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 26.97 | 26.69 |
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 does use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.