Sentara Accountable Care Organization

ACO Name and Location

Sentara Accountable Care Organization, LLC
1300 Sentara Park
Virginia Beach, VA 23464

Primary Contact

Grayling Yarbrough
757-252-3087
gxyarbro@sentara.com

Organizational Information

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ACO Participants

ACO Participants	ACO Participant in Joint Venture (Y or N)
ACO Participants Sentara Medical Group	ACO Participant in Joint Venture (Y or N) N
ACO Participants Martha Jefferson Medical Group LLC	ACO Participant in Joint Venture (Y or N) N
ACO Participants EVMS Academic Physicians and Surgeons Health Services Foundation	ACO Participant in Joint Venture (Y or N) N
ACO Participants Associates in Primary Care, PC	ACO Participant in Joint Venture (Y or N) N
ACO Participants Hampton Family Practice, PLLC	ACO Participant in Joint Venture (Y or N) N
ACO Participants Harrisonburg Family Practice Associates PC	ACO Participant in Joint Venture (Y or N) N
ACO Participants Albemarle Physician Services - Sentara Inc	ACO Participant in Joint Venture (Y or N) N
ACO Participants RMH Medical Group, LLC	ACO Participant in Joint Venture (Y or N) N
ACO Participants Charlottesville Internal Medicine, PLC	ACO Participant in Joint Venture (Y or N) N
ACO Participants Family Medicine Healthcare, PLLC	ACO Participant in Joint Venture (Y or N) N
ACO Participants James River Family Practice, LLC	ACO Participant in Joint Venture (Y or N) 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 TIN Legal Business Name
Member First Name Colin	Member Last Name Findlay	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Sentara Medical Group
Member First Name Steven	Member Last NamePearman	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Sentara Medical Group
Member First Name Joseph	Member Last NameEvans	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Martha Jefferson Medical Group LLC
Member First Name Bobbie	Member Last NameSperry	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Hampton Family Practice, PLLC
Member First Name Margaret	Member Last Name Baumgarten	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation
Member First Name Lindsey	Member Last NameVaughn	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Sentara Medical Group
Member First Name A. Christian	Member Last Name Iudica	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Harrisonburg Family Practice Associates PC
Member First Name Lea	Member Last NameLaplace	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name Associates in Primary Care, PC
Member First Name Marissa	Member Last NameGalicia-Castillo	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type ACO Participant Representative	ACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation
Member First Name Lance	Member Last Name Torcom	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type Community Stakeholder Representative	ACO Participant TIN Legal Business Name N/A
Member First NamePaul	Member Last NameGaden	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type Community Stakeholder Representative	ACO Participant TIN Legal Business Name N/A
Member First Name Robert	Member Last Name Palmer	Member Title / Position Voting Member	Member's Voting Power (Expressed as a percentage) 8.33%	Membership Type Medicare Beneficiary Representative	ACO Participant TIN Legal Business Name N/A

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

Key ACO Clinical and Administrative Leadership

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

Shared Savings and Losses

Amount of Shared Savings/Losses:

First Agreement Period
- Performance Year 2023, $22,305,039.59
- Performance Year 2022, $18,715,254.79
- Performance Year 2021, $12,141,685.89
- Performance Year 2020, $10,963,647.77

Shared Savings Distribution:

First Agreement Period
- Performance Year 2023
  - Proportion invested in infrastructure: 17.0%
  - Proportion invested in redesigned care processes/resources: 17.4%
  - Proportion of distribution to ACO participants: 65.5%
- Performance Year 2022
  - Proportion invested in infrastructure: 15.4%
  - Proportion invested in redesigned care processes/resources: 17.8%
  - Proportion of distribution to ACO participants: 66.8%
- Performance Year 2021
  - Proportion invested in infrastructure: 10.6%
  - Proportion invested in redesigned care processes/resources: 18.8%
  - Proportion of distribution to ACO participants: 70.6%
- Performance Year 2020
  - Proportion invested in infrastructure: 20%
  - Proportion invested in redesigned care processes/resources: 25.6%
  - Proportion of distribution to ACO participants: 54.4%

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface collection type.

Measure #	Measure Name	Collection Type	Reported Performance Rate	Current Year Mean Performance Rate (SSP ACOs)
Measure # 001	Measure Name Diabetes: Hemoglobin A1c (HbA1c) Poor Control	Collection Type CMS Web Interface	Reported Performance Rate 7.64	Current Year Mean Performance Rate (SSP ACOs) 9.84
Measure # 134	Measure Name Preventative Care and Screening: Screening for Depression and Follow-up Plan	Collection Type CMS Web Interface	Reported Performance Rate 91.24	Current Year Mean Performance Rate (SSP ACOs) 80.97
Measure # 236	Measure Name Controlling High Blood Pressure	Collection Type CMS Web Interface	Reported Performance Rate 75.53	Current Year Mean Performance Rate (SSP ACOs) 77.80
Measure # 318	Measure Name Falls: Screening for Future Fall Risk	Collection Type CMS Web Interface	Reported Performance Rate 96.82	Current Year Mean Performance Rate (SSP ACOs) 89.42
Measure # 110	Measure Name Preventative Care and Screening: Influenza Immunization	Collection Type CMS Web Interface	Reported Performance Rate 80.95	Current Year Mean Performance Rate (SSP ACOs) 70.76
Measure # 226	Measure Name Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	Collection Type CMS Web Interface	Reported Performance Rate 93.10	Current Year Mean Performance Rate (SSP ACOs) 79.29
Measure # 113	Measure Name Colorectal Cancer Screening	Collection Type CMS Web Interface	Reported Performance Rate 84.89	Current Year Mean Performance Rate (SSP ACOs) 77.14
Measure # 112	Measure Name Breast Cancer Screening	Collection Type CMS Web Interface	Reported Performance Rate 87.29	Current Year Mean Performance Rate (SSP ACOs) 80.36
Measure # 438	Measure Name Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	Collection Type CMS Web Interface	Reported Performance Rate 95.31	Current Year Mean Performance Rate (SSP ACOs) 87.05
Measure # 370	Measure Name Depression Remission at Twelve Months	Collection Type CMS Web Interface	Reported Performance Rate 2.33	Current Year Mean Performance Rate (SSP ACOs) 16.58
Measure # 321	Measure Name CAHPS for MIPS	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 4.06	Current Year Mean Performance Rate (SSP ACOs) 6.25
Measure # 479	Measure Name Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Collection Type Administrative Claims	Reported Performance Rate 0.1503	Current Year Mean Performance Rate (SSP ACOs) 0.1553
Measure # 484	Measure Name Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Collection Type Administrative Claims	Reported Performance Rate 33.33	Current Year Mean Performance Rate (SSP ACOs) 35.39
Measure # CAHPS-1	Measure Name Getting Timely Care, Appointments, and Information	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 81.40	Current Year Mean Performance Rate (SSP ACOs) 83.68
Measure # CAHPS-2	Measure Name How Well Providers Communicate	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 92.19	Current Year Mean Performance Rate (SSP ACOs) 93.69
Measure # CAHPS-3	Measure Name Patient’s Rating of Provider	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 91.59	Current Year Mean Performance Rate (SSP ACOs) 92.14
Measure # CAHPS-4	Measure Name Access to Specialists	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 71.50	Current Year Mean Performance Rate (SSP ACOs) 75.97
Measure # CAHPS-5	Measure Name Health Promotion and Education	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 64.01	Current Year Mean Performance Rate (SSP ACOs) 63.93
Measure # CAHPS-6	Measure Name Shared Decision Making	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 58.50	Current Year Mean Performance Rate (SSP ACOs) 61.60
Measure # CAHPS-7	Measure Name Health Status and Functional Status	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 74.16	Current Year Mean Performance Rate (SSP ACOs) 74.12
Measure # CAHPS-8	Measure Name Care Coordination	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 83.81	Current Year Mean Performance Rate (SSP ACOs) 85.77
Measure # CAHPS-9	Measure Name Courteous and Helpful Office Staff	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 91.18	Current Year Mean Performance Rate (SSP ACOs) 92.31
Measure # CAHPS-11	Measure Name Stewardship of Patient Resources	Collection Type CAHPS for MIPS Survey	Reported Performance Rate 23.60	Current Year Mean Performance Rate (SSP ACOs) 26.69

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

Title / Position	Name
Title / Position ACO Executive	Name Grayling Yarbrough
Title / Position Medical Director	Name Margaret Baumgarten, MD
Title / Position Compliance Officer	Name Michael-Angelo P Orciga
Title / Position Quality Assurance and Improvement Officer	Name Grayling Yarbrough