Connected Care of Southeastern MA

ACO Name and Location

Connected Care of Southeastern Massachusetts, Inc.
55 Fogg Road
South Weymouth, MA 02190

ACO Primary Contact

Primary Contact Name: Adrienne Gerlach
Primary Contact Phone Number: 781-624-8840
Primary Contact Email Address: agerlach [at] southshorehealth.org

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Arthur R. Bregoli Jr, MD

N

South Shore Medical Center, Inc.

N

South Shore Cardiology PC

N

Harbor Medical Associates, Inc.

N

South Suburban Gastroenterology

N

Bethel Medical Group PC

N

Atlantic Primary Care, PC

N

South Shore Orthopedics LLC

N

Coastal Medical Associates

N

Kingsbury Primary Care PC

N

Cohasset Harbor Adult Medicine Practice LLC

N

Hopkins Medical Group, LLC

N

 

ACO Governing Body

Member

Member's Voting Power: Expressed as a percentage

Membership Type 

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

O'Connell

Luke

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Halle

David

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Lynch

Timothy

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Nuciforo

Sara

Director

12.5%

ACO Participant Representative

South Shore Medical Center, Inc.

Grape

Peter

Director

12.5%

ACO Participant Representative

Harbor Medical Associates, Inc.

Lynch

Timothy

Director

12.5%

Other

 

Ayers

Michael

Director

12.5%

ACO Participant Representative

South Shore Orthopedics, LLC

Whiting

Carole

Medicare Beneficiary

12.5%

Medicare Beneficiary Representative

 

 

Key ACO Clinical and Administrative Leadership

President: Allen L. Smith, MD
ACO Executive: Adrienne Gerlach
Medical Director: David Halle, MD
Compliance Officer: Melissa Isaacs
Quality Assurance/Improvement Officer: Susan MacKay, MD

Associated Committees and Committee Leaders

Finance Committee: Steven Coco, Treasurer
Compliance Committee: Melissa Isaacs, Compliance Officer
Operations Committee: Luke O’Connell, MD, Chief Clinical Officer
Clinical Accountability Commitee: Suzanne MacKay, MD, Medical Director of Population Health

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

Networks of individual practices of ACO professionals

Shared Savings and Losses 

Amount of Shared Savings/Losses:

  • Second Agreement Period, Performance Year: 1/1/2020-12/31/2020, $2,163,021
  • First Agreement Period, Performance Year: 7/1/2019–12/31/2019, ($438,100.72)


Shared Savings Distribution:

  • Second Agreement Period
    • Performance Year 2020
    • Proportion invested in infrastructure: 48%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 32%
  • First Agreement Period: N/A
    • Performance Year: 7/1/19-12/31/19


Quality Performance Results

2020 Quality Performance Results

ACO #

Measure Name

Rate

ACO Mean

ACO-43

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

1.27

0.95

ACO-13

Falls: Screening for Future Fall Risk

92.83

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

76.33

76.03

ACO-17

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

90.00

81.67

ACO-18

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

64.29

71.46

ACO-19

Colorectal Cancer Screening

78.29

72.59

ACO-20

Breast Cancer Screening

76.00

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89.21

83.37

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%)

12.45

13.99

ACO-28

Controlling High Blood Pressure

72.69

72.87

 

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 

Skilled Nursing Facility (SNF) 3-day Rule Waiver: Yes