Welcome to the ACO at the PA Clinical Network
ACO Name and Location
PA Clinical Network ACO, Inc.
400 Winding Creek Blvd.
Mechanicsburg, PA 17050
ACO Participants:
| ACO Participants | ACO Participant in Joint Venture |
| ABBOTTSTOWN MEDICAL CENTER PC | N |
| BERKS GENESIS FAMILY MEDICINE PC | N |
| DUANE P DILLING | N |
| FAMILY MEDICINE ASSOCIATES OF WYOMISSING PC | N |
| FORE YOUR HEALTH FAMILY MEDICINE LLC | N |
| GEORGE M. KOSCO III, D.O. AND ASSOCIATES, P.C. | N |
| GMOSCH MD, LTD | N |
| INTERNAL MEDICINE OF BERWICK PC INC | N |
| JAMES GALASSO | N |
| JATTO INTERNAL MEDICINE AND WELLNESS P.C. | N |
| JENNIFER ZEITLER | N |
| JOHN MANUBAY MD LLC | N |
| JOHN MUSCALUS | N |
| LAWRENCE COUNTY MEDICAL ASSOCIATES | N |
| LEHIGH GERIATRICS ASSOCIATES LLC | N |
| MANZELLA FAMILY HEALTHCARE, PC | N |
| MARTIN J. MORAN SR., D.O., P.C. | N |
| MICHAEL A JALOWIEC DO PC | N |
| MUSADDIQ NAZEERI, MD, PC | N |
| MY CARE NOW, LLC | N |
| NADER RAHMANIAN MD LLC | N |
| NEPA FAMILY PRACTICE PLLC | N |
| NITA RASTOGI | N |
| OPEN ARMS INTERNAL MEDICINE & PEDIATRICS, PC | N |
| PAWAN K GUPTA MD LLC | N |
| PETER MCNEIL | N |
| PLEASANT VALLEY FAMILY MEDICINE P.C. | N |
| PT FAMILY MEDICINE PC | N |
| ST JOSEPHS INTERNAL MEDICINE PC | N |
| STATE COLLEGE FAMILY MEDICINE | N |
| STEPHEN J RENZI MEDICAL PC | N |
| SUDHIR K. KHANNA, M.D., P.C. | N |
| SUSQUEHANNA VALLEY MEDICAL SPECIALT | N |
| WARDEH AGHA MEDICAL CENTER LLC | N |
ACO Governing Body:
| Member First Name | Member Last Name | Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant Legal Business Name |
| James | Galasso | MEMBER | 19% | ACO Participant Representative | James Galasso |
| John | Muscalus | MEMBER | 19% | ACO Participant Representative | John Muscalus |
| Ed | Manzella | MEMBER | 19% | ACO Participant Representative | Manzella Family Healthcare, PC |
| Mary E | Piergallini | MEMBER | 19% | ACO Participant Representative | Pleasant Valley Family Medicine P.C. |
| John | Pagan | MEMBER | 4% | Other | |
| Martin | Raniowski | MEMBER | 4% | Community Stakeholder Representative | |
| Theodore | Christopher | MEMBER | 4% | Medicare Beneficiary Representative | |
| Bindu | Kansupada | MEMBER | 4% | Medicare Beneficiary Representative | |
| Dan | Glunk | MEMBER | 4% | Other | |
| Dawn | Tice | MEMBER | 4% | Other | |
| Participants Must have 75% vote (or greater) |
100% | ||||
Key ACO Clinical and Administrative Leadership:
ACO Executive: John Pagan, MD, MBA, FACS
Medical Director: John Pagan, MD, MBA, FACS
Compliance Officer: Bruce Roscher CPA, CFP, CMA, CGMA
Quality Assurance/Improvement Officer: Wendy York
Associated Committees and Committee Leadership:
| Committee Name | Committee Leader Name and Position |
| Oversight | Jack Armstrong II, MD |
| Credentialing | Nader Rahmanian, MD |
| Finance | Nader Rahmanian, MD |
| Quality Improvement | Kevin Bartolomucci, DO |
| Funds Flow | Phuong Wirths, DO |
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:
- First Agreement Period
- Performance Year 2022, $0
Shared Savings Distribution:
- First Agreement
- Period Performance Year 2022
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: N/A
- Period Performance Year 2022
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface measure set.
| Measure # | Measure Name | Collection Type | Rate | ACO Mean |
| Quality ID# 001 | Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] | CMS Web Interface | 9.24 | 10.71 |
| Quality ID# 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 69.53 | 76.97 |
| Quality ID# 236 | Controlling High Blood Pressure | CMS Web Interface | 72.01 | 76.16 |
| Quality ID# 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 89.84 | 87.83 |
| Quality ID# 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 73.67 | 77.34 |
| Quality ID# 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 69.70 | 79.27 |
| Quality ID# 113 | Colorectal Cancer Screening | CMS Web Interface | 75.08 | 75.32 |
| Quality ID# 112 | Breast Cancer Screening | CMS Web Interface | 77.98 | 78.07 |
| Quality ID# 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 84.31 | 86.37 |
| Quality ID# 370 | Depression Remission at Twelve Months | CMS Web Interface | 62.86 | 16.03 |
| Quality ID# 321 | CAHPS for MIPS [3] | CMS Web Interface | N/A | N/A |
| Measure# 479 | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] | CMS Web Interface | 0.1435 | 0.1510 |
| Measure# 484 | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] | CMS Web Interface | 32.47 | 30.97 |
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov
Quality Performance Results, continued - CAHPS for MIPS
| Table 5. APP – CAHPS for MIPS Measures | |||
| Measure ID | Measure Name | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | 89.30 | 83.96 |
| CAHPS-2 | How Well Providers Communicate | 95.74 | 93.47 |
| CAHPS-3 | Patient’s Rating of Provider | 94.56 | 92.06 |
| CAHPS-4 | Access to Specialists | 72.38 | 77.00 |
| CAHPS-5 | Health Promotion and Education | 57.75 | 62.68 |
| CAHPS-6 | Shared Decision Making | 59.18 | 60.97 |
| CAHPS-7 | Health Status and Functional Status | 73.98 | 73.06 |
| CAHPS-8 | Care Coordination | 85.64 | 85.46 |
| CAHPS-9 | Courteous and Helpful Office Staff | 95.14 | 91.97 |
| CAHPS-11 | Stewardship of Patient Resources | 20.67 | 25.62 |
