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 Primary Contact

  John Pagan, MD, MBA, FACS

  (267) 664 – 3054

  jpagan@paclinicalnetwork.com

ACO Participants:

 

ACO Participants ACO Participant in Joint Venture
ABBOTTSTOWN MEDICAL CENTER PC N
BERKS GENESIS FAMILY MEDICINE PC 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
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
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
Joseph Thomas MEMBER 19% ACO Participant Representative John Muscalus
Ahmad Wardeh MEMBER 19% ACO Participant Representative Wardeh-Agha Medical Center
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

 

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