What is an Accountable Care Organization (ACO)?
- ACOs are groups of doctors and other healthcare providers who voluntarily work together with Medicare to give patients high-quality service and care at the right time in the right setting.
- Hartford HealthCare has agreed to participate in a Medicare Shared Savings ACO and to work closely with other doctors and healthcare providers in the ACO to coordinate care for Medicare beneficiaries who have traditional Medicare.
- The ACO may share in any savings that result from providing you with high-quality and more coordinated care.
ACOs do not change a patient's Medicare benefits
- An ACO is not a Medicare Advantage plan or an HMO plan.
- If patients have traditional Medicare, they still have the right, at any time, to use any doctor or hospital that accepts Medicare.
- We may continue to recommend that patients see particular doctors for their specific health needs, but it’s always the patient's choice about what doctors they use.
How will an ACO help doctors coordinate patient care?
- Patients benefit because their doctors are part of a better coordinated team.
- Patients may not have to fill out as many medical forms that ask for the same information.
- Each of our doctors will not only know about the health issues they’ve treated, they also will have a more complete picture of a patient's health through talking with other doctors in the ACO.
ACO Name and Location:
HARTFORD HEALTHCARE ACCOUNTABLE CARE ORGANIZATION, INC.
Previous Names: N/A
1290 Silas Deane Highway
4th Floor
Wethersfield, CT 06109
ACO Primary Contact:
David Santoro
860.972.9024
David.Santoro@hhchealth.org
Organizational Information
ACO Participants as of 1/1/2024:
ACO Participants
|
ACO Participant in Joint Venture (Enter Y or N)
|
MANSFIELD FAMILY PRACTICE LLC
|
N |
Avon Medical Professionals LLC
|
N |
David J. Domenichini M.D., P.C.
|
N |
Internal Medicine Group LLC
|
N |
Ian D. Kleinhen, MD PLLC
|
N |
Hartford HealthCare Medical Group Inc
|
N |
Thompson Medical LLC
|
N |
Dobrita Family Care LLC
|
N |
Drs Goldfarb Ranno and Associates LLC
|
N |
Prime Healthcare of Southport LLC
|
N |
ACO Governing Body:
Member
Last Name
|
Member
First Name
|
Member
Title/Position
|
Member's Voting Power (Expressed as a percentage or number)
|
Membership Type
|
ACO Participant Legal Business Name and D/B/A, if applicable
|
Cardon
|
James
|
Voting Member
|
20%
|
ACO Participant
Representative
|
Hartford HealthCare Medical Group Inc.
|
Samson
|
Wilner
|
ACO Board Chair/Co-Medical
Director, Voting Member
|
25%
|
ACO Participant
Representative
|
Hartford HealthCare Medical Group Inc.
|
Riddle
|
Cara
|
Co-Medical Director,
Voting Member
|
25%
|
ACO Participant Representative
|
Hartford HealthCare Medical Group Inc.
|
Kleinhan
|
Ian
|
Voting Member
|
10%
|
ACO Participant Representative
|
Ian D. Kleinhen MD, Inc
|
Goldfarb
|
George
|
Voting Member
|
10%
|
ACO Participant Representative
|
Drs Goldfarb Ranno and Associates LLC
|
Santoro
|
David
|
ACO Executive, Voting Member
|
5%
|
Other
|
Hartford HealthCare
|
Gorton
|
Elisa
|
ACO Compliance Officer
|
Non-voting Member
|
Other
|
Hartford HealthCare
|
Lewis
|
Courtland
|
Medicare Beneficiary Representative, Voting Member
|
5%
|
Community Stakeholder Representative
|
n/a
|
Key ACO Clinical and Administrative Leadership:
ACO Executive: David Santoro
Medical Director: Dr. Wilner Samson & Dr. Cara Riddle
Compliance Officer: Elisa Gorton
Quality Assurance/Improvement Officer: Lisa Tshonas
Associated Committees and Committee Leadership:
Committee Name
|
Committee Leader Name and Position
|
Quality and Performance Management
|
Ethan Foxman, MD, Chair
|
Post-Acute Network
|
Sowmya Kurtakoti, MD, Chair
|
Types of ACO Participants, or Combinations of Participants, that Formed the ACO:
- ACO professionals in a group practice arrangement
Amount of Shared Savings/Losses:
- Third Agreement Period
- Performance Year 2023, $5,651,215.67
- Performance Year 2022, $0
- Performance Year 2021, $3,528,464.80
- Performance Year 2020, $0
- Performance Year 2019, $
- Second Agreement Period
- Performance Year 2018, $0
- Performance Year 2017, $0
- Performance Year 2016, $0
- First Agreement Period
- Performance Year 2015, $0
- Performance Year 2014, $0
- Performance Year 2013, $0
Shared Savings Distribution:
- Third Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 5%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 90%
- Performance Year 2022
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2021
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 5%
- Proportion of distribution to ACO participants: 85%
- Performance Year 2020
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Second Agreement Period
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2017
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Performance Year 2016
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
-
- Performance Year 2015
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
-
- Performance Year 2014
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
-
- Performance Year 2013
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
Quality Performance Results
2022 Quality Performance Results:
ACO#
|
Measure Name
|
Rate
|
ACO Mean
|
ACO-1
|
CAHPS: Getting Timely Care, Appointments, and Information
|
81.81 |
83.68 |
ACO-2
|
CAHPS: How Well Providers Communicate
|
93.87 |
93.69 |
ACO-3
|
CAHPS: Patient's Rating of Provider
|
91.23 |
92.14 |
ACO-4
|
CAHPS: Access to Specialists
|
71.33 |
75.97 |
ACO-5
|
CAHPS: Health Promotion and Education
|
68.60 |
63.93 |
ACO-6 |
CAHPS: Shared Decision Making |
63.75 |
61.60 |
ACO-7 |
CAHPS: Health Status and Functional Status |
74.62 |
74.12 |
ACO-8
|
CAHPS: Care Coordination
|
84.51
|
85.77 |
ACO-9
|
CAHPS: Courteous and Helpful Office Staff
|
90.47
|
92.31 |
ACO-11
|
CAHPS: Stewardship of Patient Resources
|
20.18
|
26.69
|
ACO-13
|
Falls: Screening for Future Fall Risk
|
78.75
|
89.42
|
ACO-14
|
Preventive Care and Screening: Influenza Immunization
|
80.84
|
70.76
|
ACO-17
|
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
42.50
|
79.29
|
ACO-18
|
Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan
|
59.18
|
80.97
|
ACO-19
|
Colorectal Cancer Screening
|
76.72
|
77.14
|
ACO-20
|
Breast Cancer Screening
|
80.13
|
80.36
|
ACO-42
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
92.86
|
87.05
|
ACO-27
|
Diabetes Mellitus: Hemoglobin A1c Poor Control
|
7.27
|
9.84
|
ACO-28
|
Hypertension (HTN): Controlling High Blood Pressure
|
80.60
|
77.80
|
ACO-40
|
Depression Remission at Twelve Months
|
6.78
|
16.58
|
ACO-479
|
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission
|
0.1504
|
0.1553
|
MCC-1
|
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions
|
33.06
|
35.39
|
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.
Payment Rule Waivers
- No, our ACO does not use the SNF 3-Day Rule Waiver.