ACO Public Reporting

ACO Name and Location

Community Care Collaborative of Pennsylvania and New Jersey LLC
Previous Names: N/A
667 Welsh Road, 2nd Floor
Huntingdon Valley, PA 19006

ACO Primary Contact

Primary Contact Name	Samantha Owens, ACO Operations Manager
Primary Contact Phone Number	215-938-4668
Primary Contact Email Address	smccole@holyredeemer.com

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
BAKER FAMILY MEDICAL ASSOCIATES	Y
Benjamin Z. Bennov, M.D., P.C.	Y
Brodkohutiak&Jamaliltd	Y
Butterwick Medical, P.C.	Y
Chesnut Hill Clinic Company	Y
CHANDRESH PATEL MD PC	Y
Dana L. Kerner D.O. LLC	Y
FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN	Y
Feasterville Family Practice, LLP	Y
Fred Tehrani Md Llc	Y
Geeta Vaze, MD PC	Y
General Practice Associates Ltd	Y
Hatboro Medical Associates, PC	Y
Holistic Family Medicine PC	Y
HR Physician Services	Y
HRC Medical Associates PC	Y
Kenneth Sternberger MD PC	Y
L Kessel MD PC	Y
Marc Kress	Y
MATTHEW KULKA, D.O., P.C.	Y
Medical Center of Bustleton PC	Y
Michael Palazzolo	Y
Montgomery County Medical Associates, Ltd.	Y
Neil J. Mallis, M.D. Inc.	Y
Paul M Izes PC	Y
Pinnacle Physicians Group LLC	Y
Rachel Rosen MD PC	Y
RISING SUN FAMILY PRACTICE CENTER, INC.	Y
Roberto P Panis Md Pc	Y
Tabor-Adams Internal Medicine Pc	Y
Ware Medical Associates PC	Y
WARMINSTER MEDICAL ASSOCIATES	Y

ACO governing body:

Member			Member's Voting Power – Expressed as a percentage	Membership Type	ACO Participant Legal Business Name, if Applicable
First Name	Last Name	Title/Position
Michael	Laign	Chairperson	12.5%	ACO Participant Representative	HR Physician Services
Carl	Rosenbaum, MD	Medical Director	12.5%	ACO Participant Representative	HR Physician Services
Joseph	Pyle	ACO Community Stakeholder Representative	12.5%	Community Stakeholder Representative
Karen	Renson	Medicare Beneficiary Representative	12.5%	Medicare Beneficiary Representative
Marian	Thallner	President/Treasurer	0	ACO Participant Representative	HR Physician Services
Joseph	Taylor	Executive Director/Secretary	0	ACO Participant Representative	HR Physician Services
James	Judd, MD	Member	12.5%	ACO Participant Representative	Hatboro Medical Associates, PC
Paul	Miller, DO	Member	12.5%	ACO Participant Representative	Pinnacle Physicians Group LLC
Jinn	Liu, MD	Member	12.5%	ACO Participant Representative	FAMILY PRACTICE ASSOCIATES OF UPPER DUBLIN
Robyn	Walsh	Member	12.5%	ACO Participant Representative	HR Physician Services

Key ACO clinical and administrative leadership:

Joe Taylor	ACO Executive
Carl Rosenbaum, MD	Medical Director
Sharon Glogowski, JD	Compliance Officer
Susan Hurowitz, MSW	Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Committee Name	Committee Leader Name and Position
Care Coordination and Quality Committee	Chair: Carl Rosenbaum, MD
Compliance Committee	Chair: Karen Renson
Finance Committee	Chair: James Judd, MD
Joint Operations Committee	Chair: Joseph Taylor

Types of ACO participants, or combinations of participants, that formed the ACO:

• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

• Third Agreement Period
  • Performance Year 2022, $10,090,677

• Second Agreement Period
  • Performance Year 2021, $3,304,385
  • Performance Year 2020, $5,840,885

• First Agreement Period
  • Performance Year 2019, $13,700,634
  • Performance Year 2018, $8,132,770
  • Performance Year 2017, $0

Shared Savings Distribution

• Third Agreement Period
  • Performance Year 2022
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 28%
    • Proportion of distribution to ACO participants: 42%

• Second Agreement Period
  • Performance Year 2021
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 28%
    • Proportion of distribution to ACO participants: 42%
  • Performance Year 2020
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 28%
    • Proportion of distribution to ACO participants: 42%

• First Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 28%
    • Proportion of distribution to ACO participants: 42%
  • Performance Year 2018
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 28%
    • Proportion of distribution to ACO participants: 42%
  • 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

Quality Performance Results

2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface

Measure #	Measure Name	Collection Type	Rate	ACO Mean
001	Diabetes: Hemoglobin Alc (HbAlc) Poor Control	CMS Web Interface	12.02	10.71
134	Preventative Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	81.15	76.97
236	Controlling High Blood Pressure	CMS Web Interface	83.50	76.16
318	Falls: Screening for Future Fall Risk	CMS Web Interface	91.26	87.83
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface	84.91	77.34
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	100.00	79.27
113	Colorectal Cancer Screening	CMS Web Interface	74.53	75.32
112	Breast Cancer Screening	CMS Web Interface	82.26	78.07
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	85.77	86.37
370	Depression Remission at Twelve Months	CMS Web Interface	13.85	16.03
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1655	0.1510
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	34.10	30.97
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	88.42	83.96
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	95.91	93.47
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	94.16	92.06
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	77.04	77.00
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	69.36	62.68
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	58.76	60.97
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	75.95	73.06
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	85.72	85.46
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.76	91.97
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	22.34	25.62

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

Payment Rule Waivers

• Yes, our ACO uses the SNF 3-Day Rule Waiver.
• Yes, our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.