Public Reporting A2024

As required by CMS, the information on this webpage contains our Public Reporting information

ACO Name and Location:

Accountable Care Organization of Pennsylvania, LLC (Delaware Valley ACO)
240 North Radnor Chester Road
Suite 270
Radnor, Pennsylvania 19087

ACO Primary Contact

Primary Contact Name Joel Port
Primary Contact Phone Number 215-297-6310
Primary Contact Email Address PortJ@dvaco.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Abington Memorial Hospital (Abington, Abington-Lansdale and Employed Physicians) N
ABS Medicine LLC (Simpson Allergy & Asthma) N
Aria Health Orthopaedics N
Aria Health Physician Services N
Associates in Plastic Surgery, Inc N
Balmont Family Practice N
Broker, Cramer & Swanson ENT, PC (ENT and Allergy Specialists) N
Daniel C. Lazowick, D.O., LLC N
Deebeanne M Tavani DO PhD PC N
Delaware Valley I.D. Associates, P.C. N
Edward Stankiewicz N
Endeavor Health LLC N
Geoffrey W. Temple Family Medical Associates, P.C. N
Gerard Miller N
Great Valley Medical Associates PC N
Great Valley Neurological Associates LLC N
Jefferson Health – Northeast N
Jefferson University Physicians N
Jefferson University Physicians of New Jersey PC N
Jefferson University Radiology Associates LLC N
Jon Yardney, M.D. LLC N
Joseph LaBricciosa DO PC N
Lawrence I Katin MD PC N
Lower Merion Rehabilitation N
Magee Rehabilitation Hospital N
Main Line Allergy, L.L.P. N
Main Line Emergency Med Associates LLC N
Main Line Health HomeCare and Hospice N
Main Line Health Imaging, LP N
Main Line HealthCare N
Main Line Hospitals, Inc. (Bryn Mawr Hospital, Bryn Mawr Rehabilitation Hospital, Lankenau Medical Center, Mirmont Treatment Center, Paoli Hospital, Riddle Hospital) Y
Main Line Institute of Plastic Surgery Inc N
Main Line Pathology Associates, PC N
Main Line Radiation Oncology PC N
Mazzoni Center N
Medical Associates of the Main Line, PC N
Methodist Associates in Healthcare, Inc. N
Methodist Associates in Healthcare Of New Jersey, P.C. N
Mukesh Patel N
Paoli Family Medicine N
Peter Christie N
Philadelphia Health Associates – Adult Medicine, P.C. N
Pulmonology Associates Inc N
Radiology Associates of the Main Line PC N
Rehabilitation Associates of the Main Line, P.C. N
Rheumatology Medical Specialists PC N
Riddle Memorial Hospital (a Main Line Health Hospital) Y
Ross Podell, M.D., P.C. N
Roy M Lerman MD PC (Main Line Spine) N
Smith Medicine, PC N
Suburban Endocrinology Associates, PC N
Thomas Jefferson University Hospitals, Inc. (Jefferson Hospital for Neuroscience, Methodist Hospital, Thomas Jefferson University Hospital) Y
United Anesthesia Services PC N
William Greer, M.D., P.C. N
William J. Lewis, M.D., P.C. (Main Line Ear, Nose and Throat/Head and Neck Surgery) N
William R. Schetman, M.D., LLC 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
Anna Flattau, M.D. Co-Chair 6.25% ACO Participant Representative Thomas Jefferson University Hospitals, Inc.
Eric Mankin, M.D. Co-Chair 6.25% ACO Participant Representative Main Line Hospitals, Inc.
Mark Angelo, M.D.   6.25% Other: ACO President & Chief Executive Officer N/A
Ernest Gillan, M.D.   6.25% ACO Participant Representative Main Line Hospitals, Inc.
William Greer, M.D.   6.25% ACO Participant Representative Main Line Hospitals, Inc.
Catriona Harrop, M.D.   6.25% ACO Participant Representative Thomas Jefferson University Hospitals, Inc.
Kathleen Leary, M.D.   6.25% ACO Participant Representative Thomas Jefferson University Hospitals, Inc.
Lawrence Livornese, M.D.   6.25% ACO Participant Representative Main Line Hospitals, Inc.
Leonard Malamud, D.O.   6.25% ACO Participant Representative Thomas Jefferson University Hospitals, Inc.
Christopher Notte, M.D.   6.25% ACO Participant Representative Thomas Jefferson University Hospitals, Inc.
Edmund Pribitkin, M.D.   6.25% ACO Participant Representative Thomas Jefferson University Hospitals, Inc.
Oraida Roman   6.25% Other N/A
Seth Rubin, M.D.   6.25% ACO Participant Representative Main Line Hospitals, Inc.
Dasha Runnions   6.25% Other N/A
Stanton Smullens, M.D.   6.25% Medicare Beneficiary Representative N/A
Jonathan Stallkamp, M.D.   6.25% ACO Participant Representative Main Line Hospitals, Inc.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Mark Angelo, M.D., MHA, FACP
Medical Director: Mark Angelo, M.D., MHA, FACP
Compliance Officer Teresa Schorr
Quality Assurance/Improvement Officer: Virginia Bodycot, BSN, RN

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Audit and Finance Committee Robert Kagarise (Chair)
Clinical Integration Committee Mark Angelo, M.D. Co-Chair)
Todd Prewitt, M.D. (Co-Chair)

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Third Agreement Period
    • Performance Year 2022, $21,781,842.09
    • Performance Year 2021, $0
    • Performance Year 2020, $0
  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $6,567,267

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 16.25%
      • Proportion invested in redesigned care processes/resources: 16.25%
      • Proportion of distribution to ACO participants: 67.5%
    • 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
    • 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
  • Second Agreement Period
    • 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 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 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2016
      • 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 2015
      • 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 2014
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 15%
      • Proportion of distribution to ACO participants: 70%

Quality Performance Results

2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface

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Measure # Measure Name Collection Type Rate ACO Mean
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 85.12 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.48 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.73 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 72.86 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 60.91 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 60.08 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 74.25 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.44 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 89.49 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 28.66 25.62
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 10.20 10.71
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 66.94 76.97
Measure #: 236 Controlling High Blood Pressure CMS Web Interface 77.42 76.16
Measure #: 318 Falls: Screening for Future Fall Risk CMS Web Interface 95.32 87.83
Measure #: 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 84.09 77.34
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 90.91 79.27
Measure #: 113 Colorectal Cancer Screening CMS Web Interface 79.52 75.32
Measure #: 112 Breast Cancer Screening CMS Web Interface 88.31 78.07
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 93.36 86.37
Measure #: 370 Depression Remission at Twelve Months CMS Web Interface 11.76 16.03
Measure#: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.1633 0.1510
Measure#: 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 37.51 30.97

For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.

[1] A lower performance rate corresponds to higher quality.

Fraud and Abuse Waivers

Complete Medicare Shared Savings Program Waiver Disclosures can be found here.