Mid-Atlantic MSSP Information

ACO Name and Location

Privia Quality Network, LLC
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)
Anchor Healthcare PLC N
Annandale OB GYN N
Arlington ENT Associates, P.C. N
Bay West Endocrinology Associates PA N
Bethesda Allergy & Asthma Clinic, LLC N
Betsy Vasquez N
Bayside Internal Medicine, LLC N
Charlottesville Family Medicine, PC N
Churchland Family Medicine, PC N
Claudia Methvin, MD, PLLC N
Coastal Obstetrics & Gynecology N
Cal Arundel Family Medicine, LLC N
Carlos E Covarrubias, MD & Associates, LLC N
Central Virginia Family Physicians, Inc. N
Comprehensive Neurology and Sleep Medicine, P.A. N
Denise Chevalier Hamilton N
Drs Gabbay Feldman & Pearlman PA 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
Danville Internal Medicine, INC N
Drs Maggin Margolis Moy and Tadikonda Llc N
Eye Physicians of Virginia, LTD. N
Frederick Primary Care Associates, P.A. N
Catonsville Primary Care Center, P.A. N
Rose Hill Family Physicians, LLC N
Family Medical Care, INC. N
Fork Union Family Medicine N
Favero Family Practice Incorporated N
GP Therapy, LLC N
Gregory C. Mathews, MD, LLC N
Heart and Vascular Specialists, PC N
IPS of Winchester LLC N
Immaculate Medical Services, LLC N
Kathryn D. Kelly MD PC N
Lawrence Miller N
Marina Shores OB GYN N
Matthews S. Kaatz, M.D. P.C. N
Mid Atlantic Urgent Care LLC N
Mount Vernon Internal Medicine N
Newbridge Spine and Pain Center LLC N
Newbridge Spine and Pain Center of Virginia LLC N
Paul B Cannon DPM PC N
Pulmonologists PC N
Privia Medical Group LLC N
Richard A. De Santis, PH.D., M.D., P.C. N
Robert C Blackwood MD INC N
Rockbridge Health, PLLC N
Rose Hill Family Physicians, LLC N
Santa D’Alessio MD PC N
Star Family Medicine N
Virginia Head and Neck Surgeons PC N
Virginia Womens Center Inc N
William Linthicum 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
Belford Jane Director 1/12 Medicare Beneficiary Representative  

Beyer

 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:

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

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

  • First Agreement Period
    • Performance Year 2014, $2,793,592
    • Performance Year 2015, $6,156,225
    • Performance Year 2016, $0
  • Second Agreement Period
    • Performance Year 2017, $18,079,932
    • Performance Year 2018, $20,066,830
    • Performance Year 2019, $16,998,165

Shared Savings Distribution

  • 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%
    • 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

2019 Quality Performance Results:

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 85.80 85.65
ACO-2 CAHPS: How Well Your Providers Communicate 92.92 94.11
ACO-3 CAHPS: Patients’ Rating of Provider 91.84 92.69
ACO-4 CAHPS: Access to Specialists 78.54 81.54
ACO-5 CAHPS: Health Promotion and Education 58.73 60.44
ACO-6 CAHPS: Shared Decision Making 62.77 62.78
ACO-7 CAHPS: Health Status/Functional Status 76.13 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 23.53 26.17
ACO-8 Risk Standardized, All Condition Readmission 14.57 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 54.72 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) 1.77 1.87
ACO-13 Falls: Screening for Future Fall Risk 94.78 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 90.21 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71.43 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 72.59 70.40
ACO-19 Colorectal Cancer Screening 79.22 70.76
ACO-20 Breast Cancer Screening 80.00 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 85.53 82.17
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 8.06 13.88
ACO-28 Hypertension (HTN): Controlling High Blood Pressure 77.37 75.04

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

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 uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612.

Waiver for Payment for Telehealth Services:

  • Our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.

Beneficiary Incentive Program

Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c).