OBHS ACO 2, LLC
Medicare Shared Savings Program Public Reporting
1. ACO Name and Location
OBHS ACO 2, LLC
100 Summer Street, Suite 1600, Boston MA 02110
2. ACO Primary Contact
Andrea Osborne, Chief Operating Officer
a_osborne@obhs.com
1-617-917-4408
3. Organizational Information:
- Participating Practices:
None of the following participants are in a Joint Venture with On Belay
- ADIRONDACK MEDICAL CENTER
- ANDREW S GOGGIN MD
- BETHEL MEDICAL GROUP PC
- BROWN CLINIC PLLP
- CALHOUN MEDICAL CLINIC LLC
- CFP PHYSICIANS GROUP LLC
- COMPREHENSIVE COMMUNITY ACTION, INC.
- CONCORD INTERNAL MEDICINE ASSOCIATES, P.C.
- EAST BAY COMMUNITY ACTION PROGRAM
- FAIR HAVEN COMMUNITY HEALTH CLINIC INC
- FIELD MEMORIAL COMMUNITY HOSPITAL
- GARDEN OF EDEN HEALTH CENTER PC
- GREENFIELD PRIMARY CARE PLLC
- JUPITER INTERNAL MEDICINE ASSOCIATES PA
- KDMC PHYSICIAN CLINICS LLC
- KING’S DAUGHTER MEDICAL CENTER
- PRAIRIE LAKES HEALTH SYSTEM, INC
- PUKALANI FAMILY PRACTICE LLC
- RALEIGH FAMILY HEALTH CLINIC PLLC
- SABA ASAD ANSARI PA
- TRI-COUNTY COMMUNITY ACTION AGENCY
- WILLIS F GAFFNEY MD PC
- WOODLANDS INTERNISTS ,P.A
- SNF Affiliates
- CARE ONE AT ESSEX PARK
- CARE ONE AT WEYMOUTH
- LASELL HOUSE
- NEVILLE CENTER AT FRESH POND
- PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC.
- THE MEADOWS
- WOODLAND GROVE HEALTHCARE & REHABILITATION CENTER
Governing Body
| Member First Name | Member Last Name | Governing Body Member Title/Position | Member’s Voting Power | Membership Type | ACO Participant Legal Business Name |
|---|---|---|---|---|---|
|
Andrew |
Allison |
Board President |
20.0% |
Other |
On Belay Health Solutions, LLC |
|
Carrie
|
Reardon |
Regular Member |
15.0% |
ACO Participant Representative |
Adirondack Medical Center |
|
Stacie |
Lenssen, MD |
Regular Member |
15.0% |
ACO Participant Representative |
Prairie Lakes Health Care System, Inc |
|
Daniel |
Boss, MD |
Regular Member |
15.0% |
ACO Participant Representative |
Jupiter Internal Medicine Associates, PA |
|
Michelle |
Mendiola |
Regular Member |
15.0% |
ACO Participant Representative |
CFP Physicians Group, LLC |
|
Mary |
Bowerman |
Regular Member |
5.0% |
Medicare Beneficiary Representative |
NA |
|
Richard |
Williams |
Regular Member |
15.0% |
ACO Participant Representative |
Field Memorial Community Hospital |
- Key ACO Clinical and Administrative Leadership:
- ACO Executive: Michael Monsegur
- Medical Director: Bob LoNigro, MD
- Compliance Officer: Shaquita Pack
- Quality Assurance/ Improvement Officer: Bob LoNigro, MD
- Associated Committees and Committee Leadership:
- Practice Transformation Workgroup: Diane Blackburn, Director Practice Transformation, Workgroup Leader
- Clinical Programming Workgroup: Bob LoNigro, MD, SVP Clinical Affairs, Workgroup Leader
- Compliance Workgroup: Shaquita Pack, Corporate Compliance and Privacy Officer, Workgroup Leader
- Financial Workgroup: Andrew Allison, CEO and Workgroup Leader
- Types of ACO Participants, or Combinations of Participants, That Formed the ACO:
- Networks of individual practices of ACO professionals; and FQHCs
4. Shared Savings/Losses
- Amount of Shared Savings/Losses:
- First Agreement Period
- Performance Year 2026, N/A
- Performance Year 2025, N/A
- Performance Year 2024, $7,427,484.36
- Performance Year 2023, $738,991.96
- Shared Savings Distribution:
- First Agreement Period
- Performance Year 2026
- 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 2025
- 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 2024
- Proportion invested in infrastructure: 44%
- Proportion invested in redesigned care processes/resources: 45%
- Proportion of distribution to ACO participants: 11%
- Performance Year 2023
- Proportion invested in infrastructure: 10%
- Proportion invested in redesigned care processes/resources: 72%
- Proportion of distribution to ACO participants: 18%
- Performance Year 2026
- First Agreement Period
- First Agreement Period
5. Quality Performance Results
- 2024 Quality Performance Results:
- Quality performance results are based on the CMS Web Interface collection type.
| Measure # | Measure Title | Collection Type | Performance Rate | Current Year Mean Performance Rate (Shared Savings Program ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 7.2 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.145 | 0.1517 |
| 484* | Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | 54.41 | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | 91.05 | 88.99 |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | 71.65 | 68.6 |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | 90.48 | 79.98 |
| 113 | Colorectal Cancer Screening | CMS Web Interface | 77.63 | 77.81 |
| 112 | Breast Cancer Screening | CMS Web Interface | 83.37 | 80.93 |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | CMS Web Interface | 81.94 | 86.5 |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | 2.94 | 17.35 |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | CMS Web Interface | 9.93 | 9.44 |
| 134 | Preventative Care and Screening: Screening for Depression and Follow-up Plan | CMS Web Interface | 81.8 | 81.46 |
| 236 | Controlling High Blood Pressure | CMS Web Interface | 79.57 | 79.49 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS for MIPS Survey | 82.73 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS for MIPS Survey | 94.33 | 93.96 |
| CAHPS-3 | Patient’s Rating of Provider | CAHPS for MIPS Survey | 92.46 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS for MIPS Survey | 77.97 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS for MIPS Survey | 67.14 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS for MIPS Survey | 64.1 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS for MIPS Survey | 76.87 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS for MIPS Survey | 85.76 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS for MIPS Survey | 92.9 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS for MIPS Survey | 28.03 | 26.98 |
For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs’ providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.
6. Payment Rule Waivers:
- Skilled Nursing Facility (SNF) 3-Day Rule Waiver: Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
- Waiver for Payment for Telehealth Services: Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
7. Fraud and Abuse Waivers:
- ACO Participation Waiver:The following information describes each arrangement for which our ACO seeks a waiver of the federal fraud and abuse laws under the ACO Participation Waiver in connection with the Medicare Shared Savings Program (MSSP), including any material amendment or modification to a disclosed arrangement. Currently, waiver protection is being sought for the following arrangements: Arrangement #1 Parties to the arrangement: OHBS ACO 2, LLC and ACO Participants prior to their first performance year in MSSP.Purpose: Preparing ACO Participants to participate in a value-based model in the MSSP program.
Date of arrangement: September 5, 2023
Items, services, goods, or facility provided: On Belay’s Pre-Value Based Program includes access to a population health platform, education and support for coding, best practice sharing and learning opportunities and assessment of readiness to participate in MSSP.
Date and nature of any amendments to the arrangement, if applicable: N/A
