Medicare ACO's are comprised of groups of doctors, hospitals, and other
health care providers and suppliers who come together voluntarily to provide
coordinated, high-quality care at lower costs to their participating Medicare
patients. The Next Generation ACO Model is an initiative for ACO's
that are experienced in coordinating care for populations of patients.
Mary Washington Health Alliance will build on Mary Washington Healthcare's
(MWHC) rich 100-year history through partnerships with key stakeholders
who share a common mission of improving the health of the population they
serve. After completing three consecutive years in the Medicare Shared
Savings Program and having shown savings and improved quality of care,
the Alliance is ready to take on the road ahead within the Next Generation ACO.
As one of only 58 participants in the Next Generation ACO Model across
the country, the Alliance will be able to build on the current level of
coordinated care and will provide an enhanced quality of care at lower
costs to Medicare patients. The Alliance chose to participate in the Next
Generation ACO Model because we believe that this model allows the best
opportunity to shift patient care away from a clinical model built for
the fee-for-service payment environment and towards a whole-person population
health-focused clinical model. By partnering with their patients in care
decisions, NGACO Participants will achieve the goals of better health
and better care for Medicare beneficiaries.
24/7 TLC dba Community Care Clinic |
Access Eye Centers, P.C. |
Blue Nile Medical Center, P.C. |
Cardiology Associates of Fredericksburg, LTD. |
Carriage Hill Health and Rehab |
CENTER FOR ORTHOPEDICS, INC., THE |
Central Virginia Anesthesia Associates, LLC |
Central Virginia Internal Medicine, P.L.C. |
Central Virginia Ob Gyn Group Pc |
Central Virginia Orthopaedics & Sports Medicine |
Central Virginia Sleep Center, P.L.C. |
Central Virginia Surgi-Center, L.P. (DBA Surgi-Center of Central VA) |
Chancellor Internal Medicine |
Colonial Internal Medicine Associates, PC |
Commonwealth Internal Medicine |
COOK, D.P.M., LTD., JOHN W. |
Dermatology Center Pc |
Diabetes and Thyroid Associates PC |
Ear Nose and Throat and Facial Plastic Surgery Center of Frederick |
Elite Women's Health, Inc. |
Exigent Care Inc |
Fairfax Medical Clinic LLC |
Fall Hill Gastroenterology Associates, Ltd. |
Family Care of Fredericksburg, PLC |
Fredericksburg Anesthesia Services, LLC |
Fredericksburg Christian Health Center |
Fredericksburg Emergency Medical Alliance, Inc |
Fredericksburg Foot & Ankle Center |
Fredericksburg Orthopaedic Associates, P.C. |
Gaertner Psychiatric PC |
GAF Sedation, Pllc |
Gastroenterology Associates Of Fredericksburg, P.C. |
Internal Medicine of Virginia P.C. |
Lee's Hill Family Physicians, P.C. |
Lef, P.C. (DBA Sieht) |
Mary Washington Healthcare Physicians |
Mary Washington Medical Group Hospitalist Services, LLC |
Maternal Fetal Specialists, P.C. |
Mcmanus & Associates - Internal Medicine, P.C. |
Medical & Urgent Care Center, P. C. |
MediDoctors Home Health & Hospice, LLC |
Meridian Independent Physician Group LLC |
Metrohealth Internal Medicine PC |
Murray, M.D., P.C., Patricia L. (DBA Gynecology Associates of Fred) |
Neurology Associates Of Fredericksburg |
New Beginnings OB/Gyn, P.C. |
Nimali Fernando MD PLC (DBA Yum Pediatrics) |
NS Family Medical Center Inc. |
OBHG Virginia, LLC |
Optimum Care LLC |
Oracle Heart & Vascular, PLLC |
Orthopedic Specialty Clinic, Ltd. |
Pathology Associates of Fredericksburg |
Pediatric Partners For Attention And Learning, Inc. |
Plastic Surgery Services of Fredericksburg |
Polaris Heart & Vascular, PLLC |
Psychiatric Care Inc. |
PULMONARY ASSOCIATES OF FREDERICKSBURG, INC. |
Radiation Oncology Specialists of Central Virginia, PLC |
RADIOLOGIC ASSOCIATES OF FREDERICKSBURG, LTD. |
Rapidan Medical Center |
Rappahannock Family Healthcare, Inc. |
Rappahannock Gastroenterology Associates, PLC |
RAPPAHANNOCK WOMEN'S HEALTH CENTER, P.C. |
Rehabilitation Medicine Physicians, Inc. |
Serenite Medical & Spa, Inc. |
Stafford Hospital, LLC |
Stafford Internal Medical Services |
Tammy Leonard |
Urology Associates of Frederickburg, P.C. |
Virginia Cardiovascular Consultants, P.C. |
Virginia Center for Allergy and Asthma, Inc, The |
Virginia Dermatology And Skin Surgery Center |
Virginia Interventional Spine Associates |
Virginia Primary Care Associates PC |
Virginia Urgent Care, LLC dba NextCare Urgent Care |
VISTA EYE SPECIALISTS PC |
Washington Eye Care Center, LLC, Mary |
Washington Hospital, Inc., Mary |
WeCare Medical Associates, LLC |
William A. Hamilton, MD |
Womens Health & Surgery Center LLC |
Member |
Member's Voting Power |
Membership Type |
ACO Participant TIN Legal Business Name/DBA, if Applicable |
Last Name |
First Name |
Title/Position |
Janus |
Thomas |
DO, Chairman/Voting Member |
1 |
ACO Participant Representative |
Rappahannock Family Heathcare, Inc. |
McDermott |
Michael |
MD, Vice Chair/Voting Member |
1 |
ACO Participant Representative |
Washington Hospital, Inc., Mary |
Bigoney |
Rebecca |
MD, Secretary/Voting Member |
1 |
ACO Participant Representative |
Washington Hospital, Inc., Mary |
Frazier |
Jeffrey |
MD, Treasurer/Voting Member |
1 |
ACO Participant Representative |
Radiologic Associates of Fredericksburg, Ltd. |
McManus |
Patrick |
MD, Voting Member |
1 |
ACO Participant Representative |
McManus & Associates Internal Medicine, PC |
Vranian |
Robert |
MD, Voting Member |
1 |
ACO Participant Representative |
Virginia Cardiovascular Consultants, PC |
Thott |
Kurian |
MD, Voting Member |
1 |
ACO Participant Representative |
Women’s Health and Surgery Center, Inc. |
Szlyk |
Gregory |
MD, Voting Member |
1 |
ACO Participant Representative |
Urology Associates of Fredericksburg, PC |
Amory |
Charles |
MD |
0 |
Other – Community Physician |
Chancellor Pediatrics |
Madiraju |
Krishna |
MD |
0 |
Other – Community Physician |
Century Pediatrics, Inc. |
McDermott |
Brian |
MD, Voting Member |
1 |
ACO Participant Representative |
Fredericksburg Orthopaedic Associates, PC |
Sims |
Adam |
MD, Voting Member |
1 |
ACO Participant Representative |
Fredericksburg Emergency Medical Alliance, Inc. |
Wenger |
Mark |
MD, Voting Member |
1 |
ACO Participant Representative |
Allergy Partners P.A. Inc. (Used in VA by Allergy Partners PA) |
Woodford |
Daniel |
MD, Voting Member |
1 |
ACO Participant Representative |
Virginia Primary Care Associates, PC |
McDowell |
Kenneth |
DO, Voting Member |
1 |
ACO Participant Representative |
Virginia Primary Care Associates, PC |
Boldon |
William |
Voting Member |
1 |
Medicare Beneficiary Representative |
N/A |
Messing |
Frederick |
Voting Member |
1 |
Community Stakeholder Representative |
N/A |
Barden |
Sean |
Voting Member |
1 |
ACO Participant Representative |
Washington Hospital, Inc., Mary |
ACO#
|
Measure Number
|
Rate
|
ACO Mean
|
ACO-1 |
CAHPS: Getting Timely Care, Appointments, and Information |
92.62 |
92.63 |
ACO-2 |
CAHPS: How Well Your Providers Communicate |
92.15 |
91.93 |
ACO-3 |
CAHPS: Patients' Rating of Provider |
82.7 |
83.52 |
ACO-4 |
CAHPS: Access to Specialists |
57.43 |
60 |
ACO-5 |
CAHPS: Health Promotion and Education |
74.36 |
75.28 |
ACO-6 |
CAHPS: Shared Decision Making |
74.36 |
75.28 |
ACO-7 |
CAHPS: Health Status/Functional Status |
72.39 |
71.82 |
ACO-34 |
CAHPS: Stewardship of Patient Resources |
26.6 |
27.52 |
ACO-8 |
Risk-Standardized, All Condition Readmission |
14.74 |
14.7 |
ACO-35 |
Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) |
18.58 |
18.17 |
ACO-36 |
All-Cause Unplanned Admissions for Patients with Diabetes |
53.25 |
53.2 |
ACO-37 |
All-Cause Unplanned Admissions for Patients with Heart Failure |
73.97 |
75.23 |
ACO-38 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions |
59.54 |
59.81 |
ACO-9 |
Ambulatory Sensitive Conditions Admissions: Chronic Obstructive Pulmonary
Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) |
16.55 |
9.27 |
ACO-10 |
Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention
Quality Indicator (PQI) #8 ) |
17.4 |
14.53 |
ACO-11 |
Percent of PCPs who Successfully Meet Meaningful Use Requirements |
85.71 |
82.72 |
ACO-39 |
Documentation of Current Medications in the Medical Record |
92.36 |
87.54 |
ACO-13 |
Falls: Screening for Future Fall Risk |
59.04 |
64.04 |
ACO-14 |
Preventive Care and Screening: Influenza Immunization |
56.05 |
68.32 |
ACO-15 |
Pneumonia Vaccination Status for Older Adults |
78.71 |
69.21 |
ACO-16 |
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up |
82.14 |
74.45 |
ACO-17 |
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention |
95 |
90.98 |
ACO-18 |
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan |
30.68 |
53.63 |
ACO-19 |
Colorectal Cancer Screening |
68.8 |
61.52 |
ACO-20 |
Breast Cancer Screening |
45.01 |
67.61 |
ACO-21 |
Preventive Care and Screening: Screening for High Blood Pressure and Follow-up
Documented |
76.53 |
76.84 |
ACO-42 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
81.12 |
77.72 |
ACO-27 |
Diabetes Mellitus: Hemoglobin A1c Poor Control |
15.41 |
18.24 |
ACO-41 |
Diabetes: Eye Exam |
57.52 |
44.94 |
ACO-28 |
Hypertension (HTN): Controlling High Blood Pressure |
77.42 |
70.52 |
ACO-30 |
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic |
90.91 |
85.05 |
ACO-31 |
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic
Dysfunction (LVSD) |
98.79 |
88.67 |
ACO-33 |
Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker
(ARB) Therapy – for patients with CAD and Diabetes or Left Ventricular
Systolic Dysfunction (LVEF<40%) |
74.23 |
79.67 |
Please note, the ACO-40 Depression Remission at 12 months quality measure
is not included in public reporting due to low samples.
Note: In the Quality Performance Results file(s) above, search for “Mary
Washington Health Alliance, LLC.” to view the quality performance
results. This ACO can also be found by using the ACO ID A07732 in the
public use files on data.cms.gov.