Name and location of the ACO REACH
Physician Leaders Direct Contracting Entity, LLC,
Previous Names: N/A
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*Beginning 1/1/2023, our Direct Contracting Entity (DCE) by the name Physician Leaders Direct Contracting Entity, LLC will be transitioning to the ACO REACH model by the name Physician Leaders ACO REACH*
ACO REACH Primary Contact
Primary Contact Name
Steven Greenspan
Primary Contact Email Address
ACO REACH participants in joint ventures between ACO REACH professionals and hospitals:
There are no joint ventures between or among the ACO and any of its ACO Preferred Providers and Participant Providers
ACO REACH’s key clinical and administrative leaders
ACO REACH Governing Body
Shared Savings and Shared Losses information
Amount of Shared Savings/Losses
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First Agreement Period
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Performance Year 2023: $4,815,637
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Performance Year 2022: $10,507,196
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Shared Savings Distribution
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First Agreement Period
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Performance Year 2023
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Proportion invested in infrastructure: 20%
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Proportion invested in redesigned care processes/resources: 40%
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Proportion of distribution to ACO participants: 40%
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Performance Year 2022
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Proportion invested in infrastructure: 20%
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Proportion invested in redesigned care processes/resources: 40%
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Proportion of distribution to ACO participants: 40%
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Quality Performance Results
2023
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Total Quality Score: 89.9%
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Risk-Standardized All-Condition Readmissions (ACR)
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Score: 15.16 (a lower score indicates better performance)
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Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC)
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Score: 33.63 (a lower score indicates better performance)
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Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU) score.
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Score: 75.56 (A higher (↑) score indicates better performance)
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For additional information on ACO REACH 2023 Performance: ACO REACH PY 2023 Performance Results
2022
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Total Quality Score: 100%
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Risk-Standardized All-Condition Readmissions (ACR)
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Score: 15.74 (a lower score indicates better performance)
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Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC)
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Score: 33.12 (a lower score indicates better performance)
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Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU) score.
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Score: 71.29 (A higher (↑) score indicates better performance)
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Footnotes:
1. In PY 2022, DCEs must meet the 30th percentile threshold on at least one of two claims-based measures (ACR or UAMCC) to receive the full 1% of the Quality Withhold tied to performance (P4P). A sliding scale is applied to DCEs that do not meet the 30th percentile threshold. Please refer to the PY 2022 Quality Measurement Methodology (QMMR) document for more details.
2. DCEs can earn up to 100% of the 1/5 of the Quality Withhold percentage tied to P4P.
3. In PY 2022, 4/5 of the 5% Quality Withhold (i.e., 4% of the financial benchmark) is tied to reporting (P4R). The 4/5 will be comprised of 2/5 connected to the claims-based quality measures and 2/5 connected to the CAHPS survey in PY 2022. See note 4 below.
4. DCEs will earn 100% of the 2/5 related to claims-based quality measure reporting (no action required by DCEs). DCEs may earn 100% of the 2/5 connected to CAHPS by authorizing a CMS-approved vendor to administer the CAHPS survey in PY 2022.
