Western Connecticut Health Network Physician Hospital Organization ACO, Inc
Organizational Information
| ACO Participants | ACO Participants in Joint Venture (Enter Y or N) |
|---|---|
| Jeffrey Sanderson | N |
| Danbury Hospital | Y |
| Danbury Radiological Associates, PC |
N |
| Associated Neurologists, PC |
N |
| Connecticut Eye Consultants, PC | N |
| Connecticut Family Orthopedics, PC | N |
| Advanced Specialty Care, PC |
N |
| Orthopaedic Specialists of Connecticut, PC |
N |
| Foot & Ankle Specialists of Connecticut, PC |
N |
| Urology Associates of Danbury, PC |
N |
| Nuvance Health Medical Practice CT, Inc. | N |
| Michael Z Fein DPM, PC |
N |
| Women's Health Associates, PC |
N |
| Northeast Radiology of Connecticut, LLC |
N |
| Danbury Medical Group, LLC |
N |
| New Milford Medical Group, LLC | N |
| Dr. Joel S. Segalman, LLC | N |
| Norwalk Hospital Association |
Y |
| William Notaro |
N |
| Theodore Blum |
N |
| Stephen Kingsley, MD |
N |
| Hindola Konrad, MD, PC |
N |
| Eye Care of Danbury, LLC |
N |
| Thourya Haoues-Brown, MD, LLC |
N |
| Victor Ylagan |
N |
| Connecticut Neck & Back Specialists, LLC |
N |
| Ganesh Natarajan, MD | N |
| Vitreoretinal Surgeons, LLC |
N |
| Gregory Brucato, MD, LLC | N |
| Eastern New York Medical Services, PC |
N |
| Specialty Imaging Associates, LLC | N |
| Peter Licht MD & Jennifer Holloway | N |
| Pacey Pet MD FACP, LLC | N |
Governing Body
| Last Name | First Name | Title/Position | Member's Voting Power | Membership Type | ACO Participant Legal Business Name/DBA, If applicable |
|---|---|---|---|---|---|
| Beck | Jonathan | Voting Member | 1 | ACO Participant Representative | New Milford Medical Group, LLC |
| Bergmans | Rowena | WCHN ACO Executive Director | 1 | Other – WCHN Representative | N/A |
| Blanck | Alyson | Voting Member | 1 | Other – WCHN Representative | N/A |
| D'Orso | Jay | Voting Member | 1 | ACO Participant Representative | Western Connecticut Medical Group, PC |
| Dave | Yogen | Voting Member | 1 | ACO Participant Representative | Advanced Specialty Care, PC |
| Ferreira | Cornelius | Medical Director | 1 | ACO Participant Representative | Western Connecticut Medical Group, PC |
| Gorelick | Adam | Voting Member | 1 | ACO Participant Representative | Western Connecticut Medical Group, PC |
| Guardia | Charles | Voting Member | 1 | ACO Participant Representative | Associated Neurologists, PC |
| Kramer | David | Voting Member | 1 | ACO Participant Representative | Connecticut Neck & Back Specialists, LLC |
| Schneider |
Mark | Compliance Officer |
1 | ACO Participant Representative |
Danbury Hospital |
| Manetti | Guy | Chairman | 1 | ACO Participant Representative | Urology Associates of Danbury, PC |
| McIntosh | David | Voting Member |
1 | ACO Participant Representative | Western Connecticut Medical Group, PC |
| Waskiel | Jayma | Voting Member |
1 | Other – WCHN Representative | N/A |
Key Clinical and Administrative Leadership
| Name | Position |
|---|---|
| Rowena Bergmans | ACO Executive |
| Cornelius Ferreira, MD |
Medical Director & Quality Assurance/Improvement Officer |
| Mark Schneider |
Compliance Officer |
Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| ACO Quality Committee | Cornelius Ferreira, MD, Chair |
| Patient and Family Advisory Committee | Georgina Carlson, Chair |
| Community | Rowena Bergmans, Chair |
Types of Participants or Combination of Participants that formed the ACO
- ACO professionals in a group practice arrangement
- Networks of individual practices of ACO professionals
- Partnerships or joint venture arrangements between hospitals and ACO professionals
- Hospital employing ACO professionals
Amount of Shared Savings/Losses
Second Agreement Period
- Performance Year, 2020 $0
- Performance Year, 2019, $0
- Performance Year, 2018, $0
First Agreement Period
- Performance Year, 2017, $0
- Performance Year, 2016, $0
- Performance Year, 2015, $0
Shared Savings Distribution
- N/A
Payment Rule Waivers
Skilled Nursing Facility (SNF) 3-day Rule Waiver:
- Our ACO is not eligible for use of the SNF 3-Day Rule Waiver, pursuant to 42 CFR §425.612 Payment Rule
Waiver for Payment for Telehealth Services:
- Our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.
Beneficiary Incentive Program:
- Our ACO does not use the Beneficiary Incentive Program (BIP) established under 42 CFR §425.304(c).
Quality Performance Results Year – 2020
| ACO# | Measure Name | Rate | ACO Mean |
|---|---|---|---|
| ACO–1 | CAHPS: Getting Timely Care, Appointments, and Information | N/A | N/A |
| ACO–2 | CAHPS: How Well Your Providers Communicate | N/A | N/A |
| ACO–3 | CAHPS: Patients’ Rating of Provider | N/A | N/A |
| ACO–4 | CAHPS: Access to Specialists | N/A | N/A |
| ACO–5 | CAHPS: Health Promotion and Education | N/A | N/A |
| ACO–6 | CAHPS: Shared Decision Making | N/A | N/A |
| ACO–7 | CAHPS: Health Status/Functional Status | N/A | N/A |
| ACO–34 | CAHPS: Stewardship of Patient Resources | N/A | N/A |
| ACO–8 | Risk Standardized, All Condition Readmission | 15.56 | 15.07 |
| ACO–43 | Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91) | 1.01 | 0.95 |
| ACO–13 | Falls: Screening for Future Fall Risk | 81.13 | 84.97 |
| ACO–14 | Preventive Care and Screening: Influenza Immunization | 58.58 | 76.03 |
| ACO–17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 71.25 | 81.67 |
| ACO–18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 76.19 | 71.46 |
| ACO–19 | Colorectal Cancer Screening | 78.34 | 72.59 |
| ACO–20 | Breast Cancer Screening | 76.74 | 74.05 |
| ACO–28 | Hypertension (HTN): Controlling High Blood Pressure | 71.34 | 72.87 |
| ACO–40 | Depression Remission at Twelve Months | 0.00 | 13.99 |
| ACO–42 | Statin therapy for the Prevention and Treatment of Cardiovascular Disease |
87.29 | 83.37 |
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.