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THP-Meritus ACO, LLC

ACO Details

ACO Service Area(s):  MD PA WV 

THP-Meritus ACO, LLC

10715 Downsville Pike, Suite 103HagerstownMaryland 21740 

Executive Contact

Carol Thomas
Request Contact Details

Public Contact

Carol Thomas
(240) 313-9942
Carol.L.Thomas@meritushealth.com
Overview

THP-Meritus ACO, LLC was started in January 2014. In its first year, this organization spent $11,570 on average for each of its 16,461 beneficiaries (including beneficiaries only in the ACO for a partial year). By comparison, in its benchmark year, it spent $11,340 per beneficiary, a difference of -$231. The ACO successfully reported, but failed to earn its participants any savings. This ACO lost Medicare $3,794,715 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

(2)%

Quality Points

39.05 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 
 
 
 
 
 
 
 

70-80th
 How Well Your Doctors Communicate ACO-2 
 
 
 
 
 
 
 

Above 90th
 Patients' Rating of Doctor ACO-3 
 
 
 
 
 
 
 

80-90th
 Access to Specialists ACO-4 
 
 
 
 
 
 
 

80-90th
 Health Promotion and Education ACO-5 
 
 
 
 
 
 
 

Below 30th
 Shared Decision Making ACO-6 
 
 
 
 
 
 
 

Below 30th
 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 
 
 
 
 
 
 
 

70-80th
 ASC Admission: Heart Failure ACO-10 
 
 
 
 
 
 
 

50-60th
 Percent of PCPs who Qualified for EHR Incentive Payment ACO-11 
 
 
 
 
 
 
 

80-90th
 Medication Reconciliation ACO-12 
 
 
 
 
 
 
 

80-90th
 Falls: Screening for Fall Risk ACO-13 
 
 
 
 
 
 
 

50-60th
Preventive Health
 Influenza Immunization ACO-14 
 
 
 
 
 
 
 

50-60th
 Pneumococcal Vaccination ACO-15 
 
 
 
 
 
 
 

50-60th
 Adult Weight Screening and Follow-up ACO-16 
 
 
 
 
 
 
 

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

50-60th
 Depression Screening ACO-18 
 
 
 
 
 
 
 

50-60th
 Colorectal Cancer Screening ACO-19 
 
 
 
 
 
 
 

50-60th
 Mammography Screening ACO-20 
 
 
 
 
 
 
 

60-70th
 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 
 
 
 
 
 
 
 

Below 30th
 Percent of beneficiaries with diabetes whose HbA1c in poor control (>9 percent) ACO-27 
 
 
 
 
 
 
 

80-90th
At-Risk Population Hypertension
 Percent of beneficiaries with hypertension whose BP < 140/90 ACO-28 
 
 
 
 
 
 
 

50-60th
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 
 
 
 
 
 
 
 

60-70th
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 
 
 
 
 
 
 
 

60-70th
Participants
Karen Jill Ciccarelli, M.D. P.C.
Drs Charles P And Karen F Sanicola Pa
Meritus Medical Center, Inc.
Antietam Neurology Center Pa
Mid Atlantic Womens Health Center Pa
Drs Waldman And Money Pa
Hagerstown Heart, PA
Cumberland Valley Ent Consultants
Reconstructive Foot & Ankle Institute, LLC
Tristate Infectious Disease, LLC
Allegeny Medical
Cumberland Valley Retina Consultants Pa
Mid-Atlantic Orthopaedic Specialists, PC
Neurology Consultant Pa
Drs Newman Wooster Kass Bradford Mccormack Hurwitz P A
Hagerstown Ear, Nose & Throat Associates
Heart Center At Mtairy
Shahab Z. Siddiqui, MD
Ernest Uzicanin, MD
Vishal Datta MD, PA
Gastroenterology Associates Pear M Enam Pa
Jerry L Correces, MD, PC
Salvatore Dimercurio Pa
Therapeutic Radiology Asso Pa
Drs Waheed Alencherry And Iqbal Pa
Drs Rumbarger And Schiro Pa
Meritus Urgent Care, LLC
Tanvir A. Pasha, MD
Dr Robert Guedenet
Medical Practices of Antietam, LLC
Francisco Andrade, MD
Vasant Datta MD PC
Jamal F Ali
Geriatric Assoc Brook
Opal Medical Group, PA
Malik & Qadir, PA
Drs Mauriello And Orfan Pa
Samuel Chan, MD
Podiatry Associates of Hagerstown
Walnut Street Community Health Center, Inc.
John G Newby P C
Manzar J Shafi Pa
Shahin M Rahimian Dba Panhandle Gastroenterology
Associated Radiologist Pa