News

Recent news and press releases of the Delaware Valley ACO

Mark Angelo, M.D. on Advancing Health Equity in Palliative and Hospice Care

Mark Angelo, M.D. on Advancing Health Equity in Palliative and Hospice Care

It was welcomed news when the Centers for Medicare and Medicaid (CMS) announced its commitment to promoting equity in health care as an essential tenet of improving the health care delivery system. At a July 19, 2022 forum sponsored by CMS through the Value Based Care Learning System, Mark Angelo, M.D., who serves as Chief Medical Officer of the Delaware Valley ACO, as well as its President and Chief Executive Officer, contributed to this aim by participating in a national panel on Advancing Health Equity in Palliative and Hospice Care.

Discussing the persistent disparities in care in the US healthcare system, Dr. Angelo, who is board certified in palliative medicine, observed the following: “We [may] experience a larger dependency on post-acute care in underrepresented minority population, because of all the social factors that surround [this] population…often [they] are diagnosed with later stage illness and may face inferior outcomes to treatment based on access to care.” The panelists concurred that systemic racism may also impact the rate at which minorities experience less than optimal treatment in hospital facilities and inequal access to home care.

Dr. Angelo identified challenges providers face in having crucial conversations with patients, stating, “Communications in end of life are super difficult. . . throw in disparities between the people having the communication . . .[such as] different levels of understanding [and] preconceived notions that each bring to the table.” The conversation among the panel pointed to a growing body of research in the field, indicating, for example, that such preconceived notions have been shown to lead to differences in medication prescription across ethnicities due to beliefs about pain tolerance or biases about the potential for abuse.

Discussing initiatives at DVACO, Dr. Angelo noted an internal DVACO study regarding access to Transcatheter Aortic Valve Replacements (TAVR) in historically underserved communities. (TAVR is a breakthrough treatment that uses a catheter to replace the aortic valve instead of breaking the chest open.) A review conducted by DVACO found that patients residing in more affluent, predominately White zip codes receive TAVRs much more frequently than patients with similar diagnoses who are Black and/or who do not reside in such areas. Dr. Angelo noted that DVACO is actively working with community cardiologists to promote awareness of the disparity and improve access for this life saving procedure.

Disparities in HPM The continuum of care

Figure 1. For more information on CMS Health Equity initiatives, visit CMS.gov or click here.

Main Line Health, Jefferson Health Announce New Equity Partner For Delaware Valley Accountable Care Organization

Main Line Health, Jefferson Health Announce New Equity Partner For Delaware Valley Accountable Care Organization
Philadelphia, Pa. (July 12, 2022)—Main Line Health and Jefferson Health, two of the region’s largest health systems, today announced Humana Inc., one of the nation’s leading health and well-being companies, will become an equity partner in the Delaware Valley Accountable Care Organization (DVACO). DVACO, first established as a joint venture between Main Line Health and Jefferson Health, supports more than 250,000 total patient lives across various government and commercial programs and is designed to provide personalized, proactive and affordable care for patients in a cost-effective and efficient delivery system.

“We established the DVACO to lead the way in improving health in our region by embracing and advancing value-based care. We are excited by the opportunity to add such a well-respected expert in managing population health—with a proven track record of success—to our partnership,” said John J. (Jack) Lynch, FACHE, president and CEO of Main Line Health. “This new agreement allows us to continue building on the foundation DVACO has created and bring even more support to our payer partners’ programs, physicians, care teams and, most importantly, patients.”

“We are excited about this new opportunity to improve the health of our region. DVACO’s mission is to accelerate the transformation to high quality value-based care, and by adding the expertise, experience and resources of the country’s leading Medicare Advantage programs, we can continue this important work, offer care teams more support and further enhance the experience and outcomes of the communities we serve,” said Dr. Bruce A. Meyer, president of Jefferson Health and senior executive vice president of Thomas Jefferson University.

The agreement with Humana will provide DVACO the ability to expand its services; more infrastructure to support performance in population-based and value-based contracting and enhance STAR quality ratings; as well as access to best-in-class tools, including advanced analytics and expertise in patient and physician engagement strategies and network management.

“We look forward to working alongside Main Line Health, Jefferson Health and all of DVACO’s partners to further expand the organization’s impact, particularly in caring for those who are seriously ill or medically vulnerable, while also addressing social determinants of health,” said Oraida Roman, vice president of Value-Based Strategies at Humana. “We are excited by the future we can create together and the positive impact we have in the lives of those we serve. It’s important for Humana to provide the support and resources that help patients and providers transition from fee-for-service to value-based care models because we know value-based care can not only improve health outcomes but also strengthen the healthcare system.”

Dr. Mark Angelo, interim president and CEO of DVACO, stated “Our goal at DVACO has always been to lead the region in value-based care and to ‘be a part of the solution.’ To help us grow and enhance our support for our providers, our employees, and – most importantly – our patients, DVACO has entered into an exciting and innovative partnership with Humana to expand upon those goals.

To facilitate our ability to thrive in the value-based world, we are thrilled to welcome Humana as the new partner in DVACO. As one of the nation’s leading health and well-being companies, Humana has deep expertise in managing population health; a proven track record of enhancing quality ratings and performance in value-based contracts; and access to best-in-class tools that will help us advance our value-based work. They, too, share our commitment to improved health outcomes and making quality care more affordable and accessible.

DVACO will continue to operate, as we always have, with a focus on providing high quality, high value, well-coordinated care and supporting the teams who make that care possible. Our dedication to our mission will not change. DVACO will remain a collaborative, multi-payer organization committed to the health and wellness of the Greater Philadelphia region. “

About Delaware Valley Accountable Care Organization (DVACO)
The Delaware Valley Accountable Care Organization (DVACO) is a limited liability company that is owned by Main Line Health and Jefferson Health, serving the Greater Philadelphia region. DVACO’s purpose is to enhance the quality of health care and reduce the growth rate of health care costs by acting as a convener, accelerator, and provider of the foundation needed to assist its participating members to transition from fee for service, a business model focused on volume, to a model focused on population health.

DVACO operates under the Medicare Shared Savings Program (MSSP) through an agreement with the Centers for Medicare and Medicaid Services (CMS). Currently, DVACO is the region’s largest Medicare ACO with more than 2,000 physicians and 90,000 Medicare fee-for-service beneficiaries. Additionally, DVACO currently holds multiple performance-based contracts with private payers as well as the employees and dependents of its owners—enhancing DVACO’s total number of beneficiaries to above 250,000.

About Main Line Health
Founded in 1985, Main Line Health is a not-for-profit health system serving Philadelphia and its western suburbs. Main Line Health’s commitment—to deliver advanced medicine for treating and curing disease, playing an important role in prevention and disease management as well as training physicians and other health care providers—reflects our intent to be the region’s premier choice for clinical care, research, and education. A team of more than 10,000 employees, 3,000 nurses and 2,000 physicians care for patients throughout the Main Line Health System.

At Main Line Health’s core are four of the region’s most respected acute care hospitals—Lankenau Medical Center, Bryn Mawr Hospital, Paoli Hospital and Riddle Hospital—as well as one of the nation’s premier facilities for rehabilitative medicine, Bryn Mawr Rehabilitation Hospital.

Main Line Health also includes Mirmont Treatment Center for drug and alcohol recovery; Main Line Health HomeCare & Hospice, which includes skilled home health care, hospice and home infusion services; Main Line Health Centers, primary and specialty care, lab and radiology, and other outpatient services located in Broomall, Collegeville, Concordville, Exton, King of Prussia and Newtown Square; Lankenau Institute for Medical Research, a biomedical research organization; and Main Line HealthCare, one of the region’s largest multispecialty physician networks.

Main Line Health is the recipient of numerous awards for quality care, and service, including U.S. News & World Report’s Best Hospitals, System Magnet® designation; the nation’s highest distinction for nursing excellence and the Mid-Atlantic Alliance for Performance Excellence (MAAPE) Excellence Award. Main Line Health is committed to creating an environment of diversity, respect, equity, and inclusion, has proudly received awards in this area and has embraced the American Hospital Association’s #123forEquity Pledge to Act to eliminate disparities in care. We are dedicated to advancing patient-centered care, education, and research to help patients stay healthy and live their best lives.

About Jefferson
Jefferson, located in the greater Philadelphia region and southern New Jersey, is reimagining health care and education to create unparalleled value. Jefferson is more than 40,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients, preparing tomorrow’s professional leaders for 21st century careers, and discovering new treatments to define the future of care. Thomas Jefferson University, home of Sidney Kimmel Medical College, dates back to 1824 and today comprises 10 colleges and four schools offering 160 undergraduate and graduate programs to more than 8,200 students. Jefferson Health serves patients through millions of encounters each year at 18 hospitals (10 are Magnet® designated by the ANCC for nursing excellence) and over 50 outpatient and urgent care locations throughout the region.

About Humana
Humana Inc. is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at-large.
To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools – such as in-home care, behavioral health, pharmacy services, data analytics, and wellness solutions – combine to produce a simplified experience with the goal of making health care easier to navigate and more effective.
More information regarding Humana is available to investors via the Investor Relations page of the company’s website at humana.com, including copies of:

  • Annual reports to stockholders
  • Securities and Exchange Commission filings
  • Most recent investor conference presentations
  • Quarterly earnings news releases and conference calls
  • Calendar of events
  • Corporate Governance information.

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Delaware Valley ACO Recognized by The Hospital and Healthsystem Association of Pennsylvania

Radnor, PA September 21, 2020  Delaware Valley ACO and its parent organizations, Main Line Health and Jefferson Health, were recognized for their collective work to create an innovative collaborative post-acute care strategy by the Hospital and Healthsystem Association of Pennsylvania (“HAP”). The “2020 Living the Vision Achievement Award” was presented to DVACO and its owners at HAP’s 2020 Patient Safety and Quality Symposium, held virtually September 9-10, 2020.

HAP’s prestigious “Living the Vision Award” recognizes one project that demonstrates accomplishments in all dimensions of the health care “Triple Aim” of improving community health and patient experience, while reducing health care costs. HAP selected DVACO and its owners from among 131 entrants for this honor.

The ACO’s Post Acute Care (“PAC”) Steering Committee, led by Beth Souder, PT, MSPT, DVACO Interim Vice President for Clinical Operations, and comprised of clinical leaders from DVACO, Jefferson Health and Main Line Health, were instrumental in identifying the improvements that led to led to this recognition.

Reflecting on this accomplishment and the work ahead, Ms. Souder stated:

“As the vehicle by which Jefferson Health System and Main Line Health System choose to collaborate on population health and value-based care, it is a true honor to have our collective work recognized and rewarded by HAP with the “Living the Vision Award”. Two large hospital health systems in the Delaware Valley having an aligned, data driven, evidence-based post acute strategy focused on improving value is a win-win situation. It benefits our patients, our post-acute partners, our physicians, our hospital partners and our payor partners.”

This is the third major award for DVACO’s groundbreaking work in post acute services, with work previously recognized by the National Association of ACOs and MCG Health.

Learn more about the 2020 Living the Vision Achievement Award

Read more in Pennsylvania ACO’s Post-Acute Care Strategy Reinforces Best Practices by David Raths

Delaware Valley Accountable Care Awarded 2019 Doyle Award for Innovative Post-Acute Care Strategy

ACO implements evidence-based guidelines within SNF network to improve care coordination and reduce costs by $1.3 million

Radnor, PA, July 24, 2020MCG Health, part of the Hearst Health network and a leading provider of informed care strategies, has named Delaware Valley Accountable Care Organization (DVACO) a recipient of the 2019 Richard L. Doyle Award for Innovation and Leadership in Healthcare, awarded to the organization this spring.

The Philadelphia-area ACO was recognized for implementing a unique post-acute strategy which significantly reduced patient length of stay in skilled nursing facilities (SNFs) and improved care coordination across the post-acute continuum of care. By leveraging MCG’s Chronic Care and Recovery Facility Care guidelines and a web-based tool to track their patients’ stays in post-acute care, Delaware Valley ACO reduced the average length of stay (LOS) by one full day and achieved a $1.3 million savings in Medicare expenditures. The ACO also decreased home health spend by 8% over the same timeframe. Since the ACO’s inception in 2014, they have been able to reduce overall SNF spend in their network by an impressive 30%.

Doyle Award Reactions

Delaware Valley ACO’s strategic initiative used claims data to define the top 20 diagnoses for patients utilizing a SNF. The ACO then partnered with MCG to publish length of stay guidelines for these diagnoses and share them across their SNF network. This critical step encouraged proactive multi-disciplinary care planning at the time of admission. In turn, this helped to identify barriers to discharge earlier in the patient’s stay and initiate the proper actions to resolve them. Delaware Valley ACO’s SNF partners now proactively communicate with a patient’s primary care physician (and/or ambulatory care coordinator) to discuss clinical, social, medication, or palliative care goals. View full Press Release on the Doyle Award

Katherine Schneider, M.D. at Becker’s 11th Annual Meeting in Chicago

The Becker Hospital Review Meeting for April 2020 has been cancelled.

On April 7, 2020 DVACO CEO Katherine Schneider joins Jack Lynch, President and Chief Executive Officer, Main Line Health, and Bruce Meyer, M.D., President Jefferson Health; Senior Executive Vice President, Thomas Jefferson University, as part of a panel discussion: “Building Strong Provider/Payer Relationships Through Collaboration”.  As part of Becker’s ongoing interview series, Dr. Schneider shared thoughts on inspiration, care models, and transformation in healthcare.  View more information on the interview series.

Welcoming DVACO’s New Chief Medical Officer, Dr. Mark Angelo.

Delaware Valley ACO is fortunate to have Mark Angelo, M.D. joining us as Chief Medical Officer and his timing could not be better.

With the Centers for Medicare and Medicaid (“CMS”) announcing challenging new models for its Medicare Shared Savings Program (“MSSP”) and deeper engagement with commercial payers in our future, Mark is taking the clinical reins of the organization at a pivotal point.

Fortunately, he comes well prepared for the tasks ahead. He joins DVACO from Cooper University Health Care where he served in many roles, including Medical Director for Population Health and as Chief Executive Officer of the AllCare Health Alliance ACO. He will manage all activities of the DVACO clinical team including quality, care coordination, population health pharmacy, post-acute strategy, clinical integration and practice transformation.

For more from Dr. Angelo, including a blog post about practice transformation and the Medicare Annual Wellness Visit (“AWV”), click here.

Delaware Valley Accountable Care Organization recipient of the National Association of ACOs Innovation Award

Award News 2019
The Delaware Valley Accountable Care Organization (DVACO) has been presented with an Innovation Award by the National Association of ACOs for post-acute strategy. The award recognizes accountable care organizations that develop innovative ways to transform the real world care model. Beth Souder, PT, director, Post-Acute Network, DVACO, presented the strategy at NAACOS’ fall conference on October 4, 2018 in Washington, DC.

A large percentage of patients’ care occurs in post-acute environments such as nursing facilities, home health and hospice and outpatient rehab therapy. The care provided in these environments demonstrates high variability in both quality and cost outcomes. The DVACO developed methods to measure both quality and cost outcomes (value) in post-acute care, and then defined high-value partners and effective strategies, which is a critical factor to success for any population health/value-based care endeavor.

“We were proud to receive this award which recognized our use of data to develop post-acute strategy and ultimately improve outcomes for our patients,” said Souder.

Katherine Schneider, MD, president, DVACO added, “We are honored to have been recognized by NAACOS for the broad and deep changes implemented by our physicians and hospitals, supported by data, that over the past four years have improved quality and safety while reducing the total cost of skilled nursing facility spending by 25% in our Medicare population. We are excited to continue to strengthen these collaborations as more and more emphasis is placed on excellent care coordination across the continuum and the community.”

The NAACO allows ACOs to work together to increase quality of care, lower costs and improve the health of their communities. Determined to create an environment for advocacy and shared learning, more than 360 ACOs with more than 5 million lives from all 50 states and the District of Columbia formed NAACOS.

Recent messages from the President

Who is DVACO?

We are the area’s largest Accountable Care Organization, leading the way in health improvement by streamlining provider participation to enhance the quality and personalization of patient care. Learn More

Contact Info

Address
PO Box 356,
Villanova, PA 19085
Phone 610-225-6295
Toll Free Number 855-761-9345
TTY# 610-225-6275
Email dvacomail@dvaco.org
Business Hours 9-5pm