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 Participants ACO Participant in Joint Venture
Bay Area Surgical Specialists, Inc a Medical Corporation 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 Legal Business Name, if Applicable ACO Participant DBA, if applicable
Daniel Morgan, MD Director 18.75% ACO Participant Representative Bay Area Surgical Specialists, Inc a Medical Corporation N/A
Nicolas Makhoul, MD Director 18.75% ACO Participant Representative Bay Area Surgical Specialists, Inc a Medical Corporation N/A
Mark Reginato, MD Director 18.75% ACO Participant Representative Bay Area Surgical Specialists, Inc a Medical Corporation N/A
Tanvi Raman, MD Director 18.75% ACO Participant Representative Bay Area Surgical Specialists, Inc a Medical Corporation N/A
Keith Fernandez Director 12.50% Other N/A N/A
Kenneth Dixon Medicare Beneficiary Representative 12.50% Medicare Beneficiary Representative N/A N/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 Name Committee Leader Name and 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 Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Measure # 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) CMS Web Interface 5.45 9.44
Measure # 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 59.46 81.46
Measure # 236 Controlling High Blood Pressure CMS Web Interface 75.40 79.49
Measure # 318 Falls: Screening for Future Fall Risk CMS Web Interface 80.30 88.99
Measure # 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 58.40 68.60
Measure # 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 55.56 79.98
Measure # 113 Colorectal Cancer Screening CMS Web Interface 74.90 77.81
Measure # 112 Breast Cancer Screening CMS Web Interface 82.73 80.93
Measure # 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 93.64 86.50
Measure # 370 Depression Remission at Twelve Months CMS Web Interface 19.44 17.35
Measure # 321 CAHPS for MIPS CMS Web Interface 4.84 6.67
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups CMS Web Interface 0.1386 0.1517
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions CMS Web Interface 30.88 37.00
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 83.65 83.70
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 93.44 93.96
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 91.10 92.43
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 76.18 75.76
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 60.26 65.48
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 58.19 62.31
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 77.45 74.14
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.43 85.89
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.00 92.89
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 25.04 26.98
  • *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