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 1/1/2021:

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

Physicians Alliance Of Connecticut Llc

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

Philip Simkovitz

N

William Fitzgerald

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 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 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

            2019 Quality Performance Results:

            ACO#

            Measure Name

            Rate

            ACO Mean

            ACO-1

            CAHPS: Getting Timely Care, Appointments, and Information

            88.48 88.25

            ACO-2

            CAHPS: How Well Your Providers Communicate

            93.53 92.91

            ACO-3

            CAHPS: Patients’ Rating of Provider

            92.18 92.41

            ACO-4

            CAHPS: Access to Specialists

            81.83 80.87

            ACO-5

            CAHPS: Health Promotion and Education

            62.72

            63.41

            ACO-6 CAHPS: Shared Decision Making 61.89 60.77
            ACO-7 CAHPS: Health Status/Functional Status 77.32 76.53

            ACO-34

            CAHPS: Stewardship of Patient Resources

            17.31 19.28

            ACO-45

            CAHPS: Courteous and Helpful Office Staff

            93.29

            93.64

            ACO-8

            Risk Standardized, All Condition Readmission

            14.63

            14.98

            ACO-35

            Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

            19.50

            19.59

            ACO-36

            All-Cause Unplanned Admissions for Patients with Diabetes

            38.02

            37.01

            ACO-37

            All-Cause Unplanned Admissions for Patients with Heart Failure

            83.61

            76.75

            ACO-38

            All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

            60.96

            59.00

            ACO-43

            Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)

            1.46

            1.98

            ACO-46

            CAHPS: Care Coordination

            86.95

            87.01

            ACO-11

            Use of Certified EHR Technology

            99.98

            98.50

            ACO-13

            Falls: Screening for Future Fall Risk

            92.55

            92.55

            ACO-14

            Preventive Care and Screening: Influenza Immunization

            70.38

            72.74

            ACO-17

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

            78.05

            77.21

            ACO-18

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

            64.56

            66.74

            ACO-19

            Colorectal Cancer Screening

            73.08

            75.65

            ACO-20

            Breast Cancer Screening

            77.41

            77.06

            ACO-42

            Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

            86.46

            83.77

            ACO-27

            Diabetes Mellitus: Hemoglobin A1c Poor Control

            14.53

            14.04

            ACO-28

            Hypertension (HTN): Controlling High Blood Pressure

            67.38

            70.08

            Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

            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.