Public Reporting

As part of our commitment to transparency, we regularly report on our quality performance results, cost-sharing data, and organizational makeup. 

ACO Name and Location

Adirondacks ACO, LLC

Previous Names: N/A

75 Beekman Street

Plattsburgh, NY 12901

 

ACO Primary Contact

Karen L. Ashline

(518) 314-3663

kashline@ahihealth.org

 

Organizational Information ACO participants:

 

ACO ParticipantsACO Participant in Joint Venture
Russell RiderN
Glens Falls Hospital, Inc.N
Champlain Valley PhysiciansN
Elizabethtown Community HospitalN
Hudson Headwaters Health NetworkN
Adirondack Medical CenterN
Alice Hyde Medical CenterN
Plattsburgh Medical Care, PLLCN
Adirondack Medical Practice, LLCN

 

ACO Governing Body:

 

Key ACO clinical and administrative leadership:

ACO Executive: Karen Ashline

Medical Director: Jun Chon, MD

Compliance Officer: Jeff Hiscox

Quality Assurance/Improvement Officer: Jun Chon, MD

Associated committees and committee leadership:

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

  • Critical Access Hospital (CAH) billing under Method II
  • Federally Qualified Health Center (FQHC)
  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2022, $2,617,942

    • Performance Year 2021, $3,382,438

    • Performance Year 2020, $3,062,968

  • Second Agreement Period
    • Performance Year 2019, $0
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $0
    • Performance Year 2015, $0
    • Performance Year 2014, $0

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 1%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 99%
    • Performance Year 2021
      • Proportion invested in infrastructure: 1%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 99%
    • Performance Year 2020
      • Proportion invested in infrastructure: 2%
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: 98%
  • Second Agreement Period
    • Performance Year 2019
      • 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 2018
      • 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 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2016
      • 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 2015
      • 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 2014
      • 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:

CMS Web Interface Measure Set
Measure #Measure NameRateACO Mean
1Diabetes: Hemoglobin A1c (HbA1c) Poor Control (2)11.7610.71
134Preventative Care and Screening: Screening for Depression and Follow-up Plan76.4276.97
236Controlling High Blood Pressure75.0576.16
318Falls: Screening for Future Fall Risk 72.5587.83
110Preventative Care and Screening: Influenza Immunization66.7977.34
226Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention54.7279.27
113Colorectal Cancer Screening75.5875.32
112Breast Cancer Screening81.5878.07
438Statin Therapy for the Prevention and Treatment of Cardiovascular Disease84.2486.37
370Depression Remission at Twelve Months15.7916.03
321CAHPS for MIPS [3]N/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups (2)0.14780.1510
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) (2)32.1630.97
[1] A lower performance rate corresponds to higher quality.
[2] For PY 2022, the CMS Web Interface measures Quality ID #438 and Quality ID #370 do not have benchmarks, and therefore, were not s
[3] CAHPS for MIPS is a composite measure, so numerator, denominator, and performance rate values are not applicable (N/A). The CAHPS for MIPS composite score is calculated as the average number of points across scored Summary Survey Measures (SSMs) (86 FR 65256). Refer to Table 5 for details on CAHPS for MIPS performance.

 

CAHPS for MIPS Performance
Measure IDMeasure NameRateACO Mean
CAHPS-1Getting Timely Care, Appointments, and Information83.7083.96
CAHPS-2How Well Providers Communicate94.9693.47
CAHPS-3Patient’s Rating of Provider92.8092.06
CAHPS-4Access to Specialists71.5077.00
CAHPS-5Health Promotion and Education65.2862.68
CAHPS-6Shared Decision Making61.7860.97
CAHPS-7Health Status and Functional Status74.1173.06
CAHPS-8Care Coordination85.0285.46
CAHPS-9Courteous and Helpful Office Staff93.9891.97
CAHPS-11Stewardship of Patient Resources18.1325.62

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

In addition, we provide an easy way to report possible misconduct. Our goal is to ensure high-quality, evidence-based, respectful care for our patients, and if you believe you’ve received less than that, we want to hear from you. 

If you have questions about any of this information, please feel free to contact us.

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