buffalo

ACO 6


ACO NAME AND LOCATION

agilon health Northeastern ACO, Inc.
d/b/a Senior Health Connect ACO 6
440 Polaris Parkway, Suite 550
Westerville, OH 43082

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
[email protected]
562-256-3800

ACO HOURS OF OPERATION

11 am – 8 pm EST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Senior Health Connect ACO 6 and any of its Participating Providers or Preferred Providers and Facilities.

CLINICAL AND ADMINISTRATIVE LEADERS

  • ACO Executive: Eric Becker, agilon health
  • ACO Head of Operations: Quenyona Patterson, agilon health
  • Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
  • Chief Technology Officer: Girish Venkatachaliah, agilon health
  • Finance Director: Kenny Bellendir, agilon health
  • Chief Legal Officer: Denise Zamore, agilon health
  • Quality Improvement Leader: Karen Phillippi, agilon health
  • Medical Director: Mitchell Brodey, MD, FamilyCare Medical Group
  • Medical Director: John Notaro, MD, Buffalo Medical Group

GOVERNING BODY

  • Mitchell Brodey, MD, Co-Chair & Medical Drector, Voting Member, FamilyCare Medical Group, 8.33%
  • Matt Smith, MD, Co-Chair, Voting Member, Buffalo Medical Group, 8.33%
  • Ann Marie Derecola, Voting Member, FamilyCare Medical Group, 8.33%
  • Jeff Wike, MD, Voting Member, FamilyCare Medical Group, 8.33%
  • Joe Corigliano, MD, Voting Member, Buffalo Medical Group, 8.33%
  • Michael D’Angelo, MD, Voting Member, Buffalo Medical Group, 8.33%
  • Emily Nabors, MD, Voting Member, Piedmont HealthCare, 8.33%
  • Craig DuBois, MD, Voting Member, Piedmont HealthCare, 8.33%
  • Jeff Smith, Voting Member, Piedmont HealthCare, 8.33%
  • Steve Sell, Voting Member, CEO of agilon health, 3.125%
  • Mike Demand, Voting Member, SVP Market Operations of agilon health, 3.125%
  • Ben Shaker, Voting Member, Chief Markets Officer of agilon health, 3.125%
  • Ravi Sachdev, Voting Member, Partner of Clayton, Dubilier & Rice, 3.125%
  • Veeral Desai, Voting Member, Chief Strategy Officer of agilon health, 3.125%
  • Andrew McBrien, Voting Member, Regional Market President of agilon health, 3.125%
  • Robert Stoughton, Consumer Advocate, Voting Member, Retired, 3.125%
  • Frederick Carranti, Medicare Beneficiary, Voting Member, Retired, 3.125%

SHARED SAVINGS AND LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

  • First Agreement Period
    • Performance Year 2023: $19,177,877.02
    • Performance Year 2022: $8,394,746.50

SHARED SAVINGS DISTRIBUTION:

  • First Agreement Period
    • Performance Year 2023
      • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 49%
      • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 51%
    • Performance Year 2022
      • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 50%
      • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 50%

QUALITY PERFORMANCE RESULTS

2023 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

  • Overall Quality Score: 100%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 15.37
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 27.08
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 76.68
CAHPS for ACO Survey Measures Reported Performance  Rate Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information  89.27       81.52
How Well Providers Communicate  94.59       93.48
Care Coordination  86.85       84.99
Shared Decision Making  63.91       63.03
Patient Rating for Provider  93.11       92.14
Courteous & Helpful Office Staff  93.24       91.38
Health Promotion & Education  70.35       63.57
Stewardship of Patient Resources  25.21       25.48

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

  • Overall Quality Score: 100%
  • Risk-Standardized, All-Condition Readmission Rate (ACR): 16.09
  • Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.40
  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 75.61
CAHPS for ACO Survey Measures Reported Performance  Rate Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information  87.96       81.97
How Well Providers Communicate  93.79       93.10
Care Coordination  87.29       84.70
Shared Decision Making  60.93       61.56
Patient Rating for Provider  93.18       91.74
Courteous & Helpful Office Staff  94.43       91.10
Health Promotion & Education  69.15       61.84
Stewardship of Patient Resources  22.69       24.96

D0109_REACHPubDiscTempv5_IA 12/09/2024

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