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 1/1/2022:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Thomas Banever

N

Patrick Mcdermott

N

Cardiology PC

N

MANSFIELD FAMILY PRACTICE LLC

N

Retina Consultants, P.C.

N

Avon Medical Professionals LLC

N

Conncare Inc

N

David J. Domenichini M.D., P.C.

N

Newington Internal Medicine Primary Care LLP

N

Internal Medicine Group LLC

N

Arnold Koff

N

Acuity Eye Physicians and Surgeons PC

N
Ian D. Kleinhen MD, Inc N

Connecticut Sleep Medicine LLC

N

Hartford HealthCare Medical Group Inc

N

Thompson Medical LLC

N

Windham GI LLC

N

Windsor Medical Associates LLC

N

Dobrita Family Care LLC

N

Endocrine Associates LLC

N

Fairfield County Pathology Consultants, LLC

N

Drs Goldfarb Ranno and Associates LLC

N

St Vincents Multispecialty Group, INC

N

Bridgeport Radiological Associates LLC

N

Prime Healthcare of Southport LLC

N

St. Vincents Urgent Care LLC

N

Pulmonary & Internal Medicine of Fairfield County PC

N

Manjoney and Manjoney LLC

N

Cardiology Physicians of Fairfield County LLC

N

Hervey Weitzman, MD, LLC

N

HHC Physicians Services PLLC

N
Hartford HealthCare Medical Group Specialists 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

   15%

  ACO Participant Representative

Cardiology, PC

Schmetterling

   Jack

   ACO Board Chair, Voting Member

   20%

 ACO Participant Representative

Hartford HealthCare Medical Group Inc.

Samson

   Wilner

Medical Director,

  Voting Member

   20%

  ACO Participant Representative

Hartford HealthCare Medical Group Inc.

Simon

   David

  Voting Member

15%

ACO Participant Representative

Physicians Alliance of Connecticut Llc

Walaliyadda

Anuraddha 

Voting Member

   15%

ACO Participant Representative

Physicians Alliance of Connecticut Llc

Santoro

   David

   ACO Executive, Voting Member

   10%

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
Compliance Officer: Elisa Gorton
Quality Assurance/Improvement Officer: Catherine Callan

 

Associated Committees and Committee Leadership: 

Committee Name

Committee Leader Name and Position

Quality and Performance Management

Ethan Foxman, MD, Chair

Post-Acute Network

   David Santoro, 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 2021, $3,528,464.80
    • Performance Year 2020, $0
    • Performance Year 2019, $0
  • 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 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
        • First Agreement Period
          • 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

            2021 Quality Performance Results:

            ACO#

            Measure Name

            Rate

            ACO Mean

            ACO-1

            CAHPS: Getting Timely Care, Appointments, and Information

            83.04 84.67

            ACO-2

            CAHPS: How Well Providers Communicate

            92.49 93.56

            ACO-3

            CAHPS: Patient's Rating of Provider

            89.90 92.19

            ACO-4

            CAHPS: Access to Specialists

            77.99 78.80

            ACO-5

            CAHPS: Health Promotion and Education

            57.60 61.61
            ACO-6 CAHPS: Shared Decision Making 59.31 60.89
            ACO-7 CAHPS: Health Status and Functional Status 72.91 71.78

            ACO-8

            CAHPS: Care Coordination

            82.23

            85.66

            ACO-9

            CAHPS: Courteous and Helpful Office Staff

            89.99

            91.88

            ACO-11

            CAHPS: Stewardship of Patient Resources

            21.54

            24.71

            ACO-13

            Falls: Screening for Future Fall Risk

            80.59

            87.03

            ACO-14

            Preventive Care and Screening: Influenza Immunization

            85.98

            80.52

            ACO-17

            Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

            65.22

            80.97

            ACO-18

            Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan

            48.92

            74.38

            ACO-19

            Colorectal Cancer Screening

            69.45

            73.63

            ACO-20

            Breast Cancer Screening

            77.53

            75.11

            ACO-42

            Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

            83.28

            84.24

            ACO-27

            Diabetes Mellitus: Hemoglobin A1c Poor Control

            8.78

            12.46

            ACO-28

            Hypertension (HTN): Controlling High Blood Pressure

            77.56

            74.87

            ACO-40

            Depression Remission at Twelve Months

            5.17

            15.50

            ACO-479

            Hospital-Wide, 30-Day, All-Cause Unplanned Readmission

            15.76

            15.40

            MCC-1

            All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

            37.41

            33.99

            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.