ACO Name and Location

Privia Quality Network Tennessee, LLC 
950 N. Glebe Rd Suite 700
Arlington, VA 22203

ACO Primary Contact

Mark Kuntz
Phone: 571-366-8850
Email: mark.kuntz@priviahealth.com

Organizational Information

ACO Participants:
ACO ParticipantsACO Participant In Joint Venture
Bay Area Surgical Specialists, Inc a Medical CorporationN
ACO Governing Body:
Member First NameMember Last NameMember Title / PositionMember’s Voting Power (%)Membership TypeACO Participant Legal Business NameACO Participant DBA, if applicable
DanielMorgan, MDDirector18.75%ACO Participant RepresentativeBay Area Surgical Specialists, Inc a Medical CorporationN/A
NicolasMakhoul, MDDirector18.75%ACO Participant RepresentativeBay Area Surgical Specialists, Inc a Medical CorporationN/A
MarkReginato, MDDirector18.75%ACO Participant RepresentativeBay Area Surgical Specialists, Inc a Medical CorporationN/A
TanviRaman, MDDirector18.75%ACO Participant RepresentativeBay Area Surgical Specialists, Inc a Medical CorporationN/A
KeithFernandezDirector12.50%OtherN/AN/A
KennethDixonMedicare Beneficiary Representative12.50%Medicare Beneficiary RepresentativeN/AN/A
Key ACO Clinical and Administrative Leadership:
  • ACO Executive: Keith Fernandez, MD
  • Medical Director: Keith Fernandez, MD
  • Compliance Officer: Stephanie Clark
  • Quality Assurance/Improvement Officer: Elizabeth Lekas
Associated Committees and Committee Leadership:
Committee NameCommittee Leader Name & Position
N/A N/A
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:
  • Performance Year 2024: $4,509,745.98
  • Performance Year 2023: $3,353,550
  • Performance Year 2022: $0
Shared Savings Distribution
  • Performance Year 2024:
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2023:
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 60%
  • Performance Year 2022: N/A

Quality Performance Results

2024 Quality Performance Results:

Quality Performance Results are based on CMS Web Interface Measure Set

Measure #Measure NameCollection TypeReported Performance RateCurrent Year Mean Performance Rate (SSP ACOs)
Measure # 001Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)CMS Web Interface5.459.44
Measure # 134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface59.4681.46
Measure # 236Controlling High Blood PressureCMS Web Interface75.4079.49
Measure # 318Falls: Screening for Future Fall RiskCMS Web Interface80.3088.99
Measure # 110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface58.4068.60
Measure # 226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface55.5679.98
Measure # 113Colorectal Cancer ScreeningCMS Web Interface74.9077.81
Measure # 112Breast Cancer ScreeningCMS Web Interface82.7380.93
Measure # 438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface93.6486.50
Measure # 370Depression Remission at Twelve MonthsCMS Web Interface19.4417.35
Measure # 321CAHPS for MIPSCMS Web Interface4.846.67
Measure # 479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsCMS Web Interface0.13860.1517
Measure # 484Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic ConditionsCMS Web Interface30.8837.00
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey83.6583.70
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey93.4493.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey91.1092.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey76.1875.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey60.2665.48
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey58.1962.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey77.4574.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey85.4385.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey92.0092.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey25.0426.98
  • *For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
  • *For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov