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ProHealth Physicians ACO, LLC

ACO Details

ACO Service Area(s):  CT 

ProHealth Physicians ACO, LLC

Three Farm GlenFarmingtonConnecticut 06032 

Executive Contact

JACK REED
Request Contact Details

Public Contact

Bethany Kieley
(860) 284-5352
bkieley@prohealthmd.com
Overview

ProHealth Physicians ACO, LLC was started in January 2013. In its second year, this organization spent $10,321 on average for each of its 33,204 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $9,768 per beneficiary, a difference of -$552. The ACO successfully reported, but failed to earn its participants any savings. This ACO lost Medicare $18,333,327 compared to its benchmark year.

This is a Track 1 Shared Savings ACO which means it has accepted only upside with no downside risk in exchange for a smaller maximum shared savings rate.

ACOs can request early payments to help finance the startup costs of the ACO. This ACO did not accept any advanced payments.

2014 Performance

Earned Savings

$0

Cost Reduction

(5.7)%

Quality Points

46.95 of 581

Medicare Shared Savings Program Quality Measures
All 33 measures must be reported to CMS but not all are used to calculate the performance.
More Information
DescriptionMeasuresPercentile
Patient/Caregiver Experience
 Getting Timely Care, Appointments, and Information ACO-1 
 
 
 
 
 
 
 

80-90th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

Above 90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

Above 90th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

Above 90th
 Health Status/Functional Status ACO-7 
 
 
 
 
 
 
 

Above 90th
Care Coordination/Patient Safety
 Risk Standardized, All Condition Readmissions ACO-8 
 
 
 
 
 
 
 

Above 90th
 ASC Admissions: COPD or Asthma in Older Adults ACO-9 
 
 
 
 
 
 
 

60-70th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

30-40th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

80-90th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

50-60th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

80-90th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

60-70th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

60-70th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

50-60th
 Tobacco Use Assessment and Cessation Intervention ACO-17 
 
 
 
 
 
 
 

80-90th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

Above 90th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

60-70th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

50-60th
 Proportion of Adults who had blood pressure screened in past 2 years ACO-21 
 
 
 
 
 
 
 

40-50th
At-Risk Population Diabetes
 Patients who meet all the following measures
Low Density Lipoprotein (LDL) (<100 mg/dL), Aspirin Use, Hemoglobin A1c Control (HbA1c) (<8 percent), Blood Pressure (BP) < 140/90, Tobacco Non Use
ACO-23 ACO-26 ACO-22 ACO-24 ACO-25 
 
 
 
 
 
 
 

Above 90th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

Above 90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

Above 90th
At-Risk Population IVD
 Percent of beneficiaries with IVD with complete lipid profile and LDL control < 100mg/dl ACO-29 
 
 
 
 
 
 
 

70-80th
 Percent of beneficiaries with IVD who use Aspirin or other antithrombotic ACO-30 
 
 
 
 
 
 
 

50-60th
At-Risk Population HF
 Beta-Blocker Therapy for LVSD ACO-31 
 
 
 
 
 
 
 

70-80th
At-Risk Population CAD
 Patients who meet all the following measures
Drug Therapy for Lowering LDL Cholesterol, ACE Inhibitor or ARB Therapy for Patients with CAD and Diabetes and/or LVSD
ACO-32 ACO-33 
 
 
 
 
 
 
 

70-80th
ACO Statistics
Participants
Nadeem S. Behjet, LLC
Putnam Medical Associates, P.C.
ProHealth Physicians, PC
Women''s Care Medical Center, PC