ACO Name and Location

Health Alliance ACO, LLC (GW Health Network)

Previous Names: N/A

367 South Gulph Road,
King of Prussia, PA 19406

ACO Primary Contact

Contact Name:
William Borden

Primary Contact Phone Number:
(202) 741-3020

Primary Contact Email Address:
wborden@mfa.gwu.edu

Public Reporting (PDF)
ACO Participants ACO Participant in Joint Venture
Medical Faculty Associates, Inc. Y
Primary Care at Foxhall N
Accent on Health, Llc N
PCRM Clinic N

ACO Governing Body:

Member First Name
Member Last Name
Member Title/Position
Member Voting Power
Membership Type
ACO Participant TIN Legal Business Name
1
William
Borden
Chairman
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
2
Robert
Shesser
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
3
Jillian
Catalanotti
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
4
Anna
Rubin
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
5
April
Barbour
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
6
Robert
Jayes
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
7
Tania
Alchalabi
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
8
Susie
Lew
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
9
Brad
Moore
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
10
Chavon
Onumah
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
11
Christina
Prather
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
12
Brian
Choi
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
13
Juan
Reyes
Physician
5.26%
ACO Participant Representative
Medical Faculty Associates, Inc.
14
Gilbert
Daniel
Physician
5.26%
Medicare Beneficiary Representative
Accent on Health, Llc
15
Brian
McBreen
Physician
5.26%
ACO Participant Representative
Primary Care at Foxhall
16
James
Loomis
Physician
5.26%
ACO Participant Representative
PCRM Clinic
17
Kimberly
Russo
CEO
5.26%
Community Stakeholder Representative
18
Raquel
Cuadro
Voting Member
5.26%
Medicare Beneficiary Representative
19
Lori
Lane
Director
5.26%
Other

Key ACO clinical and administrative leadership

Position
Name
ACO Executive
David Klebonis
Medical Director
William Borden
Compliance Officer
Thomas Leach
Quality Assurance/Improvement Officer
Anna Rubin

Associated committees and committee leadership

Committee Name
Committee Leader Name and Position
Executive Committee
Dr. William Borden, Chairman
Finance Committee
Dr. Rajendra Bansal, Chairman
Health Policy and Quality Improvement Committee
Dr. April Barbour, Chairman
Health Analytics Committee
Dr. Chrisitna Prather, Chairman
Patient Engagement and Education Committee
Dr. Chavon Onumah, Chairman
Clinical Programs/Provider Education Committee
Dr. Anna Rubin, Chairman
Compliance and Peer Quality Review Committee
Dr. Robert Jayes, Chairman

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO Professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

— Performance Year 2022, $0

First Agreement Period

— Performance Year 2021, $0

— Performance Year 2020, $2,237,716.03

— Performance Year 2019, $2,846,752

— Performance Year 2018, $3,332,628

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2022
    — Proportion invested in infrastructure: N/A
    — Proportion invested in redesign care processes/resources: N/A
    — Proportion of distribution to ACO Participants: N/A

First Agreement Period

  • Performance Year 2021
    — Proportion invested in infrastructure: N/A
    — Proportion invested in redesign care processes/resources: N/A
    — Proportion of distribution to ACO Participants: N/A
  • Performance Year 2020
    — Proportion invested in infrastructure: 35%
    — Proportion invested in redesign care processes/resources: 15%
    — Proportion of distribution to ACO Participants: 50%
  • Performance Year 2019
    — Proportion invested in infrastructure: 35%
    — Proportion invested in redesign care processes/resources: 15%
    — Proportion of distribution to ACO Participants: 50%
  • Performance Year 2018
    — Proportion invested in infrastructure: 35%
    — Proportion invested in redesign care processes/resources: 15%
    — Proportion of distribution to ACO Participants: 50%

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

ACO Quality Measure Measure Name Rate ACO Mean
Measure #: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 14.13 10.71
Measure #: 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 90.36 76.97
Measure #: 236 Controlling High Blood Pressure 63.72 76.16
Measure #: 318 Falls: Screening for Future Fall Risk 95.38 87.83
Measure #: 110 Preventative Care and Screening: Influenza Immunization 80.08 77.34
Measure #: 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 70.00 79.27
Measure #: 113 Colorectal Cancer Screening 80.95 75.32
Measure #: 112 Breast Cancer Screening 83.47 78.07
Measure #: 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 90.95 86.37
Measure #: 321 CAHPS for MIPS N/A N/A
Measure #: 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1557 0.1510
Measure #: 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions 40.35 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information 72.35 83.96
CAHPS-2 How Well Providers Communicate 89.46 93.47
CAHPS-3 Patient’s Rating of Provider 88.44 92.06
CAHPS-4 Access to Specialists 69.85 77.00
CAHPS-5 Health Promotion and Education 66.14 62.68
CAHPS-6 Shared Decision Making 48.48 60.97
CAHPS-7 Health Status and Functional Status 76.17 73.06
CAHPS-8 Care Coordination 81.16 85.46
CAHPS-9 Courteous and Helpful Office Staff 82.17 91.97
CAHPS-11 Stewardship of Patient Resources 22.86 25.62

For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612