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ACO


ACO Name and Location

Summa Accountable Care Organization
Previous Names: N/A
1077 Gorge Blvd.
Akron, Ohio 44310

ACO Primary Contact

Contact Name: Denise Knight
Contact Phone: 330-996-8643
Contact Email Address:

knightdm@summahealth.org

Organizational Information

ACO Participants:

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Austin Primary Care, LLC N
B.S. Bonyo D.O. & Associates, Inc.
N
Hartville Internal Medicine PA
N
Kreptowski Family Practice, LLC
N
Manor Management Co Inc.
N
RaSheed Richard Nemer, MD N
South Court Family Physicians, Inc.
N
Stark County Medical Group Inc. N
Summa Physicians, Inc.
N
Total Lifetime Care Medical Affiliates, Inc.  
N
Waleed F Nemer MD, Inc.
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

Abby

Morgan

Voting Member

14.29%

Other

NA

Dawn

Hubbard

MD Voting Member

14.29%

ACO Participant Representative

Summa Physicians, Inc

Maria Alejandra

Schiaffino

MD Voting Member

14.28%

ACO Participant Representative

Summa Physicians, Inc

Mark

Hostettler

MD Voting Member

14.29%

ACO Participant Representative

Manor Management Co Inc

Melissa

Solits

MD Voting Member

14.29%

ACO Participant Representative

Summa Physicians, Inc

Sameer

Mahesh

MD Voting Member

14.28%

ACO Participant Representative

Summa Physicians, Inc

Stacy

Hollaway

MD Voting Member

14.28%

ACO Participant Representative

Stark County Medical Group Inc.

Open

Open

Open

0%

Open

Open

Open

Open

Open

0%

Open

Open

Open

Open

Open

0%

Open

Open

Open

Open

Open

0%

Open

Open

William

Epling

EX Officio President

0%

Other

NA


Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive:        William Epling
Medical Director: Dawn Hubbard, MD          
Compliance Officer: Valerie Cloud         
Quality Assurance/Improvement Officer:  Hanna Rice

Associated Committees and Committee Leadership:

Committee Name Committee Leader Name and Position
Clinical Performance:         Dawn Hubbard, MD; Chair 
Finance: Denise Knight; Chair   

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

Fourt Agreement Period

  • Performance Year 2026, N/A
  • Performance Year 2025, N/A

Third Agreement Period

  • Performance Year 2024, $2,484,009
  • Performance Year 2023, $2,067,045
  • Performance Year 2022, $1,182,124
  • Performance Year 2021, $3,754,223
  • Performance Year 2020, $5,652,023

Second Agreement Period

  • Performance Year 2019, $3,936,201
  • Performance Year 2018, $4,531,433
  • Performance Year 2017, $0
  • Performance Year 2016, $0

First Agreement Period

  • Performance Year 2015, $3,060,189
  • Performance Year 2014, $4,456,811
  • Performance Year 2013, $5,780,129

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019

Shared Savings Distribution

Fourth Agreement Period - Update

  • Performance year 2026
    • 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 2025
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Third Agreement Period - Update

  • Performance year 2024
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%

  • Performance year 2023
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance year 2022
    • Proportion invested in infrastructure: 25%
    • Proportion invested in redesigned care processes/resources: 25%
    • Proportion of distribution to ACO participants: 50%
  • Performance year 2021
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 60%
  • Performance year 2020
    • Proportion invested in infrastructure: 20%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 60%

Second Agreement Period

  • Performance year 2019
    • Proportion invested in infrastructure: 12.5%
    • Proportion invested in redesigned care processes/resources: 12.5%
    • Proportion of distribution to ACO participants: 75%

  • Performance Year 2018
    • Proportion invested in infrastructure: 23.5%
    • Proportion invested in redesigned care processes / resources: 23.5%
    • Proportion of distribution to ACO participants: 53%

  • 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
  • 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

First Agreement Period

  • Performance Year 2015
    • Proportion invested in infrastructure: 18.5%
    • Proportion invested in redesigned care processes/resources: 18.5%
    • Proportion of distribution to ACO participants: 63%
  • Performance Year 2014
    • Proportion invested in infrastructure: 17.5%
    • Proportion invested in redesigned care processes/resources: 17.5%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2013
    • Proportion invested in infrastructure: 16%
    • Proportion invested in redesigned care processes/resources: 16%
    • Proportion of distribution to ACO participants: 68%

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2024 Quality Performance Results:

Measure #

Measure Title

Collection Type

ACO Performance Rate

SSP ACO Mean

321

CAHPS for MIPS

CAHPS for MIPS Survey

9.58

6.67

479*

Hospital‑Wide, 30‑Day, All‑Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

0.1624

0.1517

484*

Risk‑standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)

Administrative Claims

37

318

Falls: Screening for Future Fall Risk

CMS Web Interface

92.17

88.99

110

Influenza Immunization

CMS Web Interface

67.61

68.60

226

Tobacco Use: Screening & Cessation Intervention

CMS Web Interface

80.95

79.98

113

Colorectal Cancer Screening

CMS Web Interface

79.02

77.81

112

Breast Cancer Screening

CMS Web Interface

78.15

80.93

438

Statin Therapy for CVD Prevention/Treatment

CMS Web Interface

88.89

86.50

370

Depression Remission at 12 Months

CMS Web Interface

5.63

17.35

001*

Diabetes: HbA1c Poor Control (>9%)

CMS Web Interface

9.62

9.44

134

Screening for Depression & Follow‑up Plan

CMS Web Interface

76.58

81.46

236

Controlling High Blood Pressure

CMS Web Interface

80.95

79.49

CAHPS‑1

Getting Timely Care, Appointments & Information

CAHPS for MIPS Survey

87.07

83.70

CAHPS‑2

How Well Providers Communicate

CAHPS for MIPS Survey

95.67

93.96

CAHPS‑3

Patient’s Rating of Provider

CAHPS for MIPS Survey

93.99

92.43

CAHPS‑4

Access to Specialists

CAHPS for MIPS Survey

78.62

75.76

CAHPS‑5

Health Promotion & Education

CAHPS for MIPS Survey

72.59

65.48

CAHPS‑6

Shared Decision Making

CAHPS for MIPS Survey

69.11

62.31

CAHPS‑7

Health Status & Functional Status

CAHPS for MIPS Survey

73.73

74.14

CAHPS‑8

Care Coordination

CAHPS for MIPS Survey

88.06

85.89

CAHPS‑9

Courteous & Helpful Office Staff

CAHPS for MIPS Survey

95.19

92.89

CAHPS‑11

Stewardship of Patient Resources

CAHPS for MIPS Survey

31.10

26.98

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

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
  • 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 Pre-Participation Waiver: 

   N/A – ACO does not utilize the Pre-Participation Waiver

  • 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.  

Parties: ACO, ACO participants and other ACO providers/suppliers affiliated with ACO
Date: As of July 1, 2019, as amended February 25, 2021
Description
Care Provision Arrangements: 

Under the Care Provision Arrangements, ACO employs and oversees the use of physicians, specialists, process improvement staff, a tightly aligned post-acute care network, and health care personnel with expertise in integrated care management and care transformation processes to assist ACO participants and other ACO providers/suppliers affiliated with ACO, with:

• coordinating and providing primary and specialty care for high-risk, vulnerable MSSP beneficiary populations;

• managing medication adherence and reconciliation

• appropriately managing care transitions; and

• transforming primary care processes.

Parties: ACO, ACO participants, ACO providers/suppliers, or other providers and suppliers affiliated with ACO
Date: As of July 1, 2019, as amended November 21, 2019
Description
Health IT Arrangements:

Under the Health IT Arrangements, ACO (or, Summa Health or its subsidiary, Summa Health Network, on ACO’s behalf) purchases or contracts for the provision of multiple health Information technology resources, including electronic health record (“EHR”), population health management technology, data analytics systems and data extraction and aggregation tools to facilitate the following benefits for ACO participants, ACO providers/suppliers, or other providers and suppliers affiliated with ACO: 

• Access to electronic medical records by and among providers in different care settings; 

• Analytics to support referral management among MSSP beneficiaries’ health care providers;

• Provision of gap reporting, patient summaries, risk stratification, and enhanced registry services; and 

• Support for the coordination of care and population health management of MSSP beneficiaries.


Parties: ACO participants and/or ACO providers’/suppliers 
Date: As of July 1, 2019
Description
Infrastructure & Care Redesign Arrangement:

Under the Infrastructure & Care Redesign Arrangement, ACO assesses an annual “administrative fee” against the ACO participants’ and/or ACO providers’/suppliers’ SummaCare Medicare Advantage and Medicare fee-for-service reimbursement in order to support ACO operations and infrastructure needs. 


Parties: ACO, ACO participants and other ACO providers/suppliers affiliated with ACO
Date: As of July 1, 2019
Description
Care Relationship Arrangements: 

Under the Care Relationship Arrangements, ACO engages in activities that will serve to coordinate care for its beneficiaries with ACO participants and with other providers and suppliers, including but not limited to: the distribution of informational brochures, emails, or other materials about ACO participants and ACO providers/suppliers to patients transitioning from acute to post-acute care facilities, to patients seeking information about available treating providers and suppliers, or to other providers and suppliers that may refer patients to ACO participants. 
 

 

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