ACO Name and Location

Privia Quality Network, LLC
950 N Glebe RdSuite 700
Arlington, VA 22203

ACO Primary Contact

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

Organizational Information

ACO Participants:

ACO Governing Body:

Key ACO Clinical and Administrative Leadership:

ACO Executive: Eric Beyer
Medical Director: Fred Taweel
Compliance Officer: Dana Fields
Quality Assurance/Improvement Officer: David West

Associated Committees and Committee Leadership:

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

  • Third Agreement Period
    • 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

  • Third Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 30%
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 60%
  • 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

2020 Quality Performance Results:

ACO Quality Measure Number Measure Name Rate ACO Mean
ACO-43 Ambulatory Sensitive Condition Acute Composite 0.80 .95
ACO-13 Falls: Screening for Future Fall Risk 95.56 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 83.48 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.82 81.67
ACO-18 Preventive Care and Screening: Screening for Depression and Follow-up Plan 59.38 71.46
ACO-19 Colorectal Cancer Screening 70.49 72.59
ACO-20 Breast Cancer Screening 70.00 74.05
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 84.84 83.37
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 15.25 14.70
ACO-28 Hypertension (HTB): Controlling High Blood Pressure 78.80 72.87

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

  • 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 provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.