Mid-Atlantic MSSP Information

ACO Name and Location

Privia Quality Network, LLC
Previous Names: N/A
950 N Glebe Rd
Suite 700
Arlington, VA 22203

ACO Primary Contact

Primary Contact Name Deepa Achutuni
Primary Contact Phone Number 571-451-0058
Primary Contact Email Address deepa.achutuni@priviahealth.com

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Mansilla Medical Practice, PC N
Immaculate Medical Services, LLC N
Virginia Head and Neck surgeons PC N
Betsy Vasquez N
Privia Medical Group LLC N
William Linthicum N
Denise Chevalier Hamilton N
Lawrence Miller N
Carlos E Covarrubias, MD & Associates, LLC N
Star Family Medicine N
Newbridge Spine and Pain Center LLC N
Heart and Vascular Specialists, PC N
Favero Family Practice Incorporated N
Virginia Womens Center INC N
Bethesda Allergy & Asthma Clinic, LLC N
Claudia Methvin, MD, PLLC N
Comprehensive Neurology And Sleep Medicine, P.A. N
Mid Atlantic Urgent Care LLC N
Rockbridge Health, PLLC N
IPS of Winchester LLC N
Newbridge Spine and Pain Center of Virginia LLC N
Bayside Internal Medicine, LLC N
Santa D’alessio MD PC N
Gregory C. Mathews, MD, LLC N
Advanced Surgery, PC N
Drs Gabbay Feldman & Pearlman PA N
Bay West Endocrinology Associates PA N
Pulmonologists PC N
Drs Maggin Margolis Moy And Tadikonda LLC N
Richard A. De Santis, PH.D., M.D., P.C. N
Frederick Primary Care Associates, P.A. N
Catonsville Primary Care Center, P.A. N
Rose Hill Family Physicians, LLC N
Eye Physicians of Virginia, LTD. N
Family Medical Care, INC. N
Charlottesville Family Medicine, PC N
Coastal Obstetrics & Gynecology N
Central Virginia Family Physicians, Inc. N
Arlington ENT Associates, P.C. N
Danville Internal Medicine, INC N
Cal Arundel Family Medicine, LLC N
Marina Shores OB GYN N
Churchland Family Medicine PC N
Paul B Cannon DPM PC N
Mount Vernon Internal Medicine N
GP Therapy, LLC N
Fork Union Family Medicine N
Anchor Healthcare PLC N
Kathryn D Kelly MD PC N
Matthew S. Kaatz, M.D. P.C. N
Annandale OB GYN N
Robert C Blackwood MD INC 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
Taweel Fred Chairman 1/12 ACO Participant Representative Privia Medical Group LLC
Meshulam Joel Director 1/12 ACO Participant Representative Privia Medical Group LLC
Bernstein Jeffrey Director 1/12 ACO Participant Representative Privia Medical Group LLC
Quam Kay Director 1/12 Medicare Beneficiary Representative
Byer Eric Director 1/12 Other
Mushtaq Ednan Director 1/12 ACO Participant Representative Privia Medical Group LLC
Eppes Thomas Director 1/12 ACO Participant Representative Privia Medical Group LLC
Khetan Shishir Director 1/12 ACO Participant Representative Privia Medical Group LLC
Erlich Thomas Director 1/12 ACO Participant Representative Privia Medical Group LLC
Bicksel James Director 1/12 ACO Participant Representative Privia Medical Group LLC
Sexton  Sumi Director 1/12 ACO Participant Representative Privia Medical Group LLC
Zimmet Steve Director 1/12 ACO Participant Representative Privia Medical Group LLC

Key ACO Clinical and Administrative Leadership:

Corey Perdue ACO Executive
Fred Taweel Medical Director
Dana Fields Compliance Officer
David West Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Performance Committee David West, Chair
Finance Committee Fred Taweel, Chair
Clinical IT Committee Jarret Dodd, Chair
Credentialing Committee Steve Zimmet, Chair
Compliance Committee Dana Fields, Chair
Engagement Committee Corey Perdue, Chair

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

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

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • 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

  • Second Agreement Period
    • 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%
  • 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%

Quality Performance Results

2018 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 86.47 86.14
ACO-2 CAHPS: How Well Your Providers Communicate 92.39 93.93
ACO-3 CAHPS: Patients’ Rating of Provider 91.55 92.45
ACO-4 CAHPS: Access to Specialists 78.03 81.50
ACO-5 CAHPS: Health Promotion and Education 57.67 59.26
ACO-6 CAHPS: Shared Decision Making 57.09 61.94
ACO-7 CAHPS: Health Status/Functional Status 73.45 73.35
ACO-34 CAHPS: Stewardship of Patient Resources 19.37 26.26
ACO-8 Risk Standardized, All Condition Readmission 14.10 14.98
ACO-35 Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) 18.31 18.59
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes 32.18 37.01
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure 69.32 76.75
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 53.90 59.00
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.69 1.98
ACO-11 Use of Certified EHR Technology 99.48 98.20
ACO-12 Medication Reconciliation Post-Discharge 97.05 85.91
ACO-13 Falls: Screening for Future Fall Risk 92.67 79.73
ACO-44 Imaging Studies for Low Back Pain 66.33 64.36
ACO-14 Preventive Care and Screening: Influenza Immunization 74.61 72.71
ACO-15 Pneumonia Vaccination Status for Older Adults 85.59 75.97
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up 81.45 76.83
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.82 72.81
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 71.15 66.74
ACO-19 Colorectal Cancer Screening 70.11 68.27
ACO-20 Breast Cancer Screening 76.83 71.96
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76.43 81.47
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 13.38 15.51
ACO-41 Diabetes: Eye Exam 55.63 52.42
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 74.40 73.10
ACO-30 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 91.41 88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “Privia Quality Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2057 in the public use files on data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

  • Yes, our ACO does use the SNF 3-Day Rule Waiver

Waiver for Payment for Telehealth Services:

  • No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.