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Medicare Shared Savings Program

Shared Savings Program
Public Reporting

Pursuit Accountable Care Network, LLC — ACO Public Disclosure

Shared Savings Program Public Reporting

ACO Name and Location

Pursuit Accountable Care Network, LLC

40 Burton Hills Blvd

Suite 370

Nashville, TN 37215

ACO Primary Contact

Primary Contact Name: Kristin Shaw, MPH, Director of Medicare ACO

Primary Contact Phone: 855-333-2070

Primary Contact Email: MSSPRevereACO@bookmarkmed.com

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture

DR CRAIG S GUSTAFSOON LLC

No

GILA INTERNAL MEDICINE & GERIATRIC P C

No

HEALTH QUALITY INC

No

HERITAGE TECHNOLOGIES LLC

No

INTERNAL MEDICINE AND PREVENTIVE CARE PC

No

Jai Ho LLC

No

LIFESPAN PHYSICIAN GROUP OF MASSACHUSETTS INC

No

MICHAEL VENAZIO

NEWCO HATFIELD MEDICAL GROUP PLLC

No

PHYSICIAN GROUP OF ARIZONA INC

No

Ram Clinic

No

RAYMOND ZHOU MD PC

No

REVERE MEDICAL OF MASSACHUSETTS PC

No

RHG OF ARIZONA PC

No

RHG OF FLORIDA PA

No

RHG OF NEW HAMPSHIRE PC

No

SIMON HO

No

SPACECOAST INTERNAL MEDICINE AND GERITRIC CORP

No

ST LUKES MEDICAL PC

No

STEWARD MEDICAL GROUP INC

No

SUMMIT MEDICAL GROUP ARIZONA LLC

No

SUSAN C FAIR DO PA

No

TRINITY FAMILY MEDICINE

No

WHITTIER STREET HEALTH CENTERCOMMITTEE INC

No

ACO Governing Body

Member First Name

Member Last Name

Member Title / Position

Member's Voting Power

Membership Type

ACO Participant Legal Business Name

Thane

Turner

Provider Manager

18.75%

ACO Participant Representative

Trinity Family Medicine

Elisa

Mulchany

Provider Manager

18.75%

ACO Participant Representative

Revere Medical of Massacusetts PC

Richard

Dinsdale

Provider Manager

18.75%

ACO Participant Representative

RHG of Arizina PC

Robert

Devine

Provider Manager

18.75%

ACO Participant Representative

Summit Medical Group Arizona LLC

Benson

Sloan

Provider Manager

5%

Other

N/A

Mark

Jansen

Member Manager

5%

Other

N/A

Tommy

Jansen

Member Manager

5%

Other

N/A

Joseph

Weinstein

Member Manager

5%

Other

N/A

Andrew

Herman

Member Manager

5%

Other

N/A

Sister Marie

Puleo

Beneficiary Manager

0%

Medicare Beneficiary Representative

N/A

*Member's voting power may have been rounded to reflect a total voting power of 100%.

Key ACO Clinical and Administrative Leadership

ACO Executive: Kristin Shaw

Medical Director: Dr. Joseph Weinstein

Compliance Officer: Amy Paul, Heather Smith

Quality Assurance/Improvement Officer: Virginia Rego

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

Revere Medicare ACO Compliance Committee

Amy Paul, Director of Compliance

Types of ACO Participants, or Combinations of Participants, That Formed the ACO

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of Individual Practices
  • Federally Qualified Health Center (FQHC)

Shared Savings & Losses

Amount of Shared Savings/Losses:

  • Second Agreement Period
    • Performance Year 2026, N/A
    • Performance Year 2025, N/A
    • Performance Year 2024, $1,390,793.00
    • Performance Year 2023, $1,410,201.91
    • Performance Year 2022, $2,052,444.00

Shared Savings Distributions:

  • Second Agreement Period
    • Performance Year 2026
      • 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 2025
      • 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 2024
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2023, $1,410,201
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2022, $2,052,444
      • Proportion invested in infrastructure: TBD
      • Proportion invested in redesigned care processes/resources: TBD
      • Proportion of distribution to ACO participants: TBD

Our ACO re-entered the Shared Savings Program in Performance Year 2022 under agreement period 2. Shared savings/losses and shared savings distributions are therefore reported, beginning with this agreement period.

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.

Measure #

Measure Name

Collection Type

Reported Performance Rate

Current Year Mean Performance Rate (Shared Savings Program ACOs)

321

CAHPS for MIPS

CAHPS for MIPS Survey

5.07

6.67

479*

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

Administrative Claims

0.1388

0.1517

484*

Clinician and Clinician Group Risk standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)

Administrative Claims

37

318

Falls: Screening for Future Fall Risk

CMS Web Interface

110

Preventative Care and Screening: Influenza Immunization

CMS Web Interface

226

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

CMS Web Interface

113

Colorectal Cancer Screening

CMS Web Interface

112

Breast Cancer Screening

CMS Web Interface

483

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

CMS Web Interface

370

Depression Remission at Twelve Months

CMS Web Interface

001*

Diabetes: Hemoglobin A1c (HbA1c) Poor Control

MIPS CQM

35.07

23.88

134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

MIPS CQM

35.79

53.18

236

Controlling High Blood Pressure

MIPS CQM

71.85

72.43

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS

84.73

83.70

CAHPS-2

How Well Providers Communicate

CAHPS

93.38

93.96

CAHPS-3

Patient's Rating of Provider

CAHPS

91.52

92.43

CAHPS-4

Access to Specialists

CAHPS

76.66

75.76

CAHPS-5

Health Promotion and Education

CAHPS

61.69

65.48

CAHPS-6

Shared Decision Making

CAHPS

62.46

65.48

CAHPS-7

Health Status and Functional Status

CAHPS

75.18

74.14

CAHPS-8

Care Coordination

CAHPS

84.49

85.89

CAHPS-9

Courteous and Helpful Office Staff

CAHPS

91.34

92.89

CAHPS-11

Stewardship of Patient Resources

CAHPS

21.91

26.98

For previous years' Financial and Quality Performance Results, please visit: Data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

Member First Name

Member Last Name

Member Title / Position

Membership Type

ACO Participant Legal Business Name

Nabil

Aziz

Provider Manager

15%

ACO Participant Representative

Nabil W Aziz MD PA

Paul

Burns

15%

Burns

ACO Participant Representative

Paul Burns

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
    Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver:
    The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement: N/A
  • 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: N/A