Medicare Shared Savings ACO Public Reporting

ACO Name and Location

Einstein Care Partners, LLC
3300 Henry Avenue
Falls 2 Suite 601
Philadelphia, Pennsylvania 19129-1121

ACO Primary Contact

Name: Jason Aronovitz, DO
Email: Jason.Aronovitz@jefferson.edu
Phone: 215-867-8814

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
Fornance Physician Services Inc	No
Einstein Practice Plan Inc	No
Einstein Community Health Associates, Inc.	No
Kennedy Medical Group Practice, PC	No

ACO Governing Body:

Member Last Name	First Name	Title/Position	Member’s Voting Power (expressed as a percentage)	Membership Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Aronovitz, DO	Jason	ACO Executive	0%	Other	Einstein Care Partners, LLC
Nicholas, MD	Angela	Co-Chair	11.11%	ACO Participant Representative	Fornance Physician Services
Sivak, MD	Steven	Co-Chair	11.11%	ACO Participant Representative	Einstein Practice Plan, Inc.
Scaven, DO	Christopher	Member	11.11%	ACO Participant Representative	Einstein Community Health Associates
Pribitkin, MD	Edmund	Member	11.11%	Other	Einstein Care Partners, LLC
Kaminetsky, DO	Eric	Member	11.11%	ACO Participant Representative	Kennedy Medical Group Practice, P.C.
Phakey, DO	Vishal	Member	11.11%	ACO Participant Representative	Kennedy Medical Group Practice, P.C.
May, DO	David	Member	11.11%	ACO Participant Representative	Kennedy Medical Group Practice, P.C.
Gettings, DO	Matthew	Member	11.11%	ACO Participant Representative	Kennedy Medical Group Practice, P.C.
Lechter	Lynne	Member	11.11%	Medicare Beneficiary Representative	Einstein Care Partners, LLC

Key ACO Clinical and Administrative Leadership:

Jason Aronovitz, DO - ACO Executive
Rupa Natarajan, MD - Medical Director
Amy Matchette - Compliance Officer
Tina Sokolowski - Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Clinical Performance and Integration Committee	Jason Aronovitz, DO (Co-Chairperson) and Tina Sokolowski (Co-Chairperson)
Compliance Committee	Amy Matchette (Chairperson)

Types of ACO Participants, or Combinations of Participants, That Formed The ACO:

• ACO professionals in a group practice arrangement
• Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Fourth Agreement Period

• Performance Year 2021: $0

Third Agreement Period

• Performance Year 2020: $6,273,203

Second Agreement Period

• Performance Year 2019: $0

First Agreement Period

• Performance Year 2018: $1,905,474

Shared Savings Distribution

Fourth Agreement Period

Performance Year 2021

• Proportion invested in infrastructure: N/A
• Proportion invested in redesigned care processes/resources: N/A
• Proportion of distribution to ACO participants: N/A

Third Agreement Period

Performance Year 2020

• Proportion invested in infrastructure: 10%
• Proportion invested in redesigned care processes/resources: 10%
• Proportion of distribution to ACO participants: 80%

Second 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

First Agreement Period

Performance Year 2019

• Proportion invested in infrastructure: 10%
• Proportion invested in redesigned care processes/resources: 10%
• Proportion of distribution to ACO participants: 80%

Quality Performance Results

2021 Quality Performance Results

Measure #	Measure Name	Eligible for Scoring	Performance Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	Y	19.56	12.46
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	N	79.37	74.38
236	Controlling High Blood Pressure	Y	65.07	74.87
318	Falls: Screening for Future Fall Risk	Y	89.68	87.03
110	Preventative Care and Screening: Influenza Immunization	Y	65.99	80.52
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	Y	54.29	80.97
113	Colorectal Cancer Screening	Y	68.74	73.63
112	Breast Cancer Screening	Y	76.48	75.11
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	N	85.74	84.24
370	Depression Remission at Twelve Months	N	15.25	15.50
321	CAHPS for MIPS	Y	N/A	N/A
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Y	0.1673	0.1540
MCC1	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)	Y	41.33	33.99
CAHPS-1	Getting Timely Care, Appointments, and Information	Y	77.62	84.67
CAHPS-2	How Well Providers Communicate	Y	96.17	93.56
CAHPS-3	Patient’s Rating of Provider	Y	93.34	92.19
CAHPS-4	Access to Specialists	N	73.65	78.8
CAHPS-5	Health Promotion and Education	Y	64	61.61
CAHPS-6	Shared Decision Making	Y	56.49	60.89
CAHPS-7	Health Status and Functional Status	N	72.5	71.78
CAHPS-8	Care Coordination	Y	84.2	85.66
CAHPS-9	Courteous and Helpful Office Staff	Y	89.21	91.88
CAHPS-11	Stewardship of Patient Resources	Y	26.5	24.71

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

Einstein Care Partners does not utilize a SNF Waiver or a Telehealth Waiver.

Fraud and Abuse Waiver

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

• Parties to the arrangement: ACO and ACO Participants listed above
• Date of arrangement: January 1, 2018
• Items, services, goods, or facility provided: ACO provides administrative and analytic support to ACO Participants.
• Date and nature of any amendments to the arrangement, if applicable: N/A

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