ACO NAME AND LOCATION

agilon health Northeast Ohio ACO, Inc.
d/b/a Senior Health Connect ACO 2
440 Polaris Parkway, Suite 550
Westerville, OH 43082

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
[email protected]
562-256-3800

ACO HOURS OF OPERATION

11 am – 8 pm EST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Senior Health Connect ACO 2 and any of its Participating Providers or Preferred Providers and Facilities.

• PARTICIPATING PROVIDERS
• PREFERRED PROVIDERS AND FACILITIES

CLINICAL AND ADMINISTRATIVE LEADERS

• ACO Executive: Eric Becker, agilon health
• ACO Head of Operations: Quenyona Patterson, agilon health
• Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
• Chief Technology Officer: Girish Venkatachaliah, agilon health
• Finance Director: Kenny Bellendir, agilon health
• Chief Legal Officer: Denise Zamore, agilon health
• Quality Improvement Leader: Karen Phillippi, agilon health
• Medical Director: Todd Lisy, MD, Pioneer Physicians Network

GOVERNING BODY

• Kathleen Shoemaker, DO, Chair, Voting Member, Pioneer Physicians Network, 25%
• Benjamin Holloway, MD, Voting Member, Pioneer Physicians Network, 25%
• Todd Lisy, MD, Voting Member, Pioneer Physicians Network, 25%
• Jason Swartz, Voting Member, Regional Market President of agilon health, 5%
• Ben Shaker, Voting Member, Chief Markets Officer of agilon health, 5%
• Ravi Sachdev, Voting Member, Partner of Clayton, Dubilier & Rice, 5%
• Susan Truby, Consumer Advocate, Voting Member, Retired, 5%
• Lynda Barth, Medicare Beneficiary, Voting Member, Self-employed, 5%

SHARED SAVINGS & SHARED LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

• First Agreement Period
  • Performance Year 2023: $14,896,622.95
  • Performance Year 2022: $8,113,546.70
  • Performance Year 2021: -$856,573

SHARED SAVINGS DISTRIBUTION:

• First Agreement Period
  • Performance Year 2023
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 50%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 50%
  • Performance Year 2022
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 38%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 62%
  • Performance Year 2021
    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: N/A
    • Proportion of Shared Savings distributed to Participant Providers and Preferred Providers: N/A

QUALITY PERFORMANCE RESULTS

2023 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 99.2%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 15.39
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 32.78
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 79.06

CAHPS for ACO Survey Measures	Reported Performance  Rate	Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information	84.27	81.52
How Well Providers Communicate	94.72	93.48
Care Coordination	86.83	84.99
Shared Decision Making	70.17	63.03
Patient Rating for Provider	93.58	92.14
Courteous & Helpful Office Staff	91.84	91.38
Health Promotion & Education	71.02	63.57
Stewardship of Patient Resources	28.72	25.48

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 15.35
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 29.86
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 74.73

CAHPS for ACO Survey Measures	Reported Performance  Rate	Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information	84.60	81.97
How Well Providers Communicate	93.58	93.10
Care Coordination	86.36	84.70
Shared Decision Making	65.59	61.56
Patient Rating for Provider	93.57	91.74
Courteous & Helpful Office Staff	88.86	91.10
Health Promotion & Education	69.84	61.84
Stewardship of Patient Resources	29.90	24.96

2021 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%

D0056_REACHPubDiscTempv5_IA 12/09/2024