OhioHealth Home / OhioHealth Medicare Accountable Care Organization (ACO) / / OhioHealth Medicare ACO Public Reporting Information

OhioHealth Medicare Accountable Care Organization (ACO)

Skip Menu

OhioHealth Medicare ACO Public Reporting Information

ACO Name and Location
OhioHealth Venture, LLC
3430 OhioHealth Parkway, 2^nd Floor
Columbus, OH 43202

ACO Primary Contact
Lauren McKown, JD, MPH
Lauren.McKown@OhioHealth.com
(614) 544-4028

Organizational Information

ACO Participants:

ACO Participants

ACO Participant in Joint Venture

Community Health & Wellness Partners of Logan County

Costin Family Practice, Inc

Dr. Kewa Li MD Inc

Gateway Wellness Center, LLC

Harding Memorial Healthcare

Maple Leaf Family and Sports Medicine, LLC

Marion Area Physicians, LLC

Marion Independent Physicians Association, LLC

Midwest Internal Medicine Associates LLC

Parminder B. Singh M.D., Inc.

Personal MD, LLC

Polaris Parkway Internal Medicine & Pediatrics Ltd

Robert P Zaino MD, LLC

Robert Santiago

Robert Santiago MD, LLC

Robert Zaino

Scioto Valley Family Physicians, Inc.

Trust Medical Services Inc

ACO Governing Body:

Member
Last Name

Member
First Name

Member
Title/Position

Member's Voting
Power (Expressed
as a percentage
or number)

Membership
Type

ACO Participant
Legal Business
Name and D/B/A,
if applicable

Smallwood, MD

Christopher

Chair/Voting
Member

20%

ACO Participant
Representative

Marion Area
Physicians, LLC

Mehta, MD

Madhu

Voting Member

20%

ACO Participant
Representative

Marion Area
Physicians, LLC

Morocco, MD

Frank

Voting Member

20%

ACO Participant
Representative

Marion Area
Physicians, LLC

Dhond, PharmD

Sanchita

Voting Member

20%

ACO Participant
Representative

Independent –
Community Health &
Wellness of Logan
County

Troutman

Laura

Voting Member

20%

Beneficiary
Representative

N/A

Key ACO Clinical and Administrative Leadership:

ACO Executive: Jim O'Brien, MD
Medical Director: Sherry Voet, MD
Compliance Officer: Yasmin Artis
Quality Assurance/Improvement Officer: Ashley Szabo

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Quality Committee

Ashley Szabo, Manager Quality and Risk Adjustment

Types of ACO Participants, or Combinations of Participants, that Formed the ACO:

ACO Entity Type: Partnership or joint venture arrangement between hospitals and professionals.

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period
- Performance Year 2022, $4,862,870

First Agreement Period
- Performance Year 2018, $0
- Performance Year 2019, $0
- Performance Year 2020, $0
- Performance Year 2021, $0

Shared Savings Distributions:

Second Agreement Period
- Performance Year 2022
  - Proportion invested in infrastructure: 45%
  - Proportion invested in redesigned care processes/resources: 5%
  - Proportion of distribution to ACO participants: 50%

First Agreement Period
- Performance Year 2018
  - 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 2019
  - 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 2020
  - 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 2021
  - Proportion invested in infrastructure: n/a
  - Proportion invested in redesigned care processes/resources: n/a
  - Proportion of distribution to ACO participants: n/a

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on Web Interface

Measure #	Measure Name	Collection Type	Rate	ACO Mean
Measure# 479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1501	0.1540
Measure# MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)	Administrative Claims	40.23	33.99
Quality ID# 318	Falls: Screening for Future Fall Risk	CMS Web Interface	70.40	87.83
Quality ID# 110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	80.25	77.34
Quality ID# 226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	69.70	79.27
Quality ID# 113	Colorectal Cancer Screening	CMS Web Interface	74.86	75.32
Quality ID# 112	Breast Cancer Screening	CMS Web Interface	81.88	78.07
Quality ID# 438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	81.39	86.37
Quality ID# 001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	9.81	10.71
Quality ID# 370	Depression Remission at Twelve Months	CMS Web Interface	14.08	16.03
Quality ID# 134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	74.91	76.97
Quality ID# 236	Controlling High Blood Pressure	CMS Web Interface	69.93	76.16
CAHPS-1	Getting Timely Care, Appointments and Information	CAHPS for MIPS Survey	89.61	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	96.06	93.56
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	94.86	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	81.56	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	63.87	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.14	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	71.84	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	88.98	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	96.74	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	35.18	25.62

Please note, the Quality ID #: 370 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

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.

Fraud and Abuse Waivers

ACO Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

For each arrangement, provide the following information:

Parties to the arrangement: OhioHealth Venture LLC and OhioHealth Corporation
Date of arrangement: 1/29/2018 -present
Items, services, goods, or facility provided:
- Financial, Legal and Operational Services
- Marketing, Branding, and Planning Services
- Clinical and Quality Services
- Consulting Services
Date and nature of any amendments to the arrangement, if applicable: n/a