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.

About Hartford HealthCare's 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

Primary Contact Name

David Santoro

Primary Contact Phone Number

(860)972-9024

Primary Contact Email Address

David.Santoro@hhchealth.org

ACO Participant(s)

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Thomas Banever

N

Patrick Mcdermott

N

Hartford Hospital

N

MidState Medical Center

N

The Hospital Of Central Connecticut At New Britain General And Bradley

N

Windham Community Memorial Hospital

N

Eye Physicians Of Central Ct Pc (No longer in ACO as of 7/1/2019)

N

Cardiology PC

N

Mansfield Family Practice

N

Retina Consultants, P.C.

N

Ralph Rosenberg MD

N

Arnold Koff

N

Solinsky Eye Care, LLC (No longer in ACO as of 7/1/2019)

N

Conncare Inc

N

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

N

Newington Internal Medicine Primary Care LLP

N

Internal Medicine Group LLC

N

Paul B. Murray MD LLC

N

Acuity Eye Physicians and Surgeons PC

N

Backus Physician Services LLC

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

ACO Governing Body

  • Dr. James Cardon, Voting Member (15%) Cardiology, PC
  • Dr. Jack Schmetterling, Voting Member and ACO Board Chair/Co-Medical Director (20%), Hartford HealthCare Medical Group Inc.
  • Dr. Wilner Samson, Voting Member and ACO Co-Medical Director (20%), Hartford HealthCare Medical Group Inc.
  • Dr. David Simon, Voting Member (15%), Physicians Alliance of Connecticut Llc
  • Dr. Anuraddha Walaliyadda, Voting Member (15%), Physicians Alliance of Connecticut Llc
  • David Santoro, ACO Executive/Voting Member (10%); HHC ACO Executive
  • Glenn Stadnick, ACO Compliance Officer; Compliance and Privacy Officer, HHC
  • Medicare Beneficiary Representative (1), Voting Member (5%)

Key ACO Clinical and Administrative Leadership

  • Catherine Callan, ACO Quality Assurance/Improvement Officer; Director of Clinical Integration, Integrated Care Partners, HHC
  • Rebecca Stewart, ACO Media Contact, Director of Media Relations, HHC

Associated Committees and Committee Leadership

  • Dr. Ethan Foxman, Chair, Quality and Performance Management, Jefferson Radiology, Hartford Hospital
  • David Santoro, HHC ACO Executive, Post-Acute Network Committee

Types of ACO Participants or Combinations of Participants that Formed the ACO

  • ACO professionals in a group practice arrangement

Amount of Shared Savings/Losses

  • Second Agreement Period
    • 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

  • Second Agreement Period
    • 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

How Shared Savings are Distributed

  • Proportion invested in infrastructure – 10% of total shared savings to be distributed to HHC to offset infrastructure expenses
  • Citizenship – 60% of the remaining shared savings will be distributed to all HHC ACO PCP providers based on their attributed lives
  • Quality Performance – 30% of the remaining shared savings will be distributed to the HHC ACO participating practices based on their GPRO quality performance 

2017 Quality Performance Results

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

83.17

80.60

ACO-2

CAHPS: How Well Your Providers Communicate

92.65

93.13

ACO-3

CAHPS: Patients’ Rating of Provider

90.35

92.31

ACO-4

CAHPS: Access to Specialists

80.37

83.32

ACO-5

CAHPS: Health Promotion and Education

62.00

62.30

ACO-6

CAHPS: Shared Decision Making

73.32

75.85

ACO-7

CAHPS: Health Status/Functional Status

75.18

73.05

ACO-34

CAHPS: Stewardship of Patient Resources

20.77

25.68

ACO-8

Risk Standardized, All Condition Readmission

15.99

15.01

ACO-35

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

18.75

18.46

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

56.52

53.95

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

82.74

79.16

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

65.36

61.74

ACO-43

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

1.67

1.93

ACO-11

Use of Certified EHR Technology

100.00

98.48

ACO-12

Medication Reconciliation

64.40

75.32

ACO-13

Falls: Screening for Future Fall Risk

37.31

74.38

ACO-44

Imaging Studies for Low Back Pain

63.53

67.32

ACO-14

Preventive Care and Screening: Influenza Immunization

56.11

72.52

ACO-15

Pneumonia Vaccination Status for Older Adults

69.36

72.92

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up

42.91

70.69

ACO-17

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

78.56

90.48

ACO-18

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

28.49

61.98

ACO-19

Colorectal Cancer Screening

37.91

64.58

ACO-20

Breast Cancer Screening

63.95

70.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82.75

79.89

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

17.87

16.74

ACO-41

Diabetes: Eye Exam

38.66

50.37

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

68.41

71.47

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

87.37

86.86

Rev. 3-12-19

MSSP Public Reporting on Quality

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

Note: In the Quality Performance Results file(s) above, search for “HARTFORD HEALTHCARE ACCOUNTABLE CARE ORGANIZATION, INC.” to view the quality performance results. This ACO can also be found by using the ACO ID A64801 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.