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Home / Crozer ACO

Crozer ACO

ACO Name and Location

Prospect Health Services PA, Inc.
Crozer ACO 
175 East Chester Pike 
Suite 1101 
Ridley Park, PA 19078

About our ACO:

The Centers for Medicare & Medicaid Services (CMS) has announced its commitment to achieve better care for individuals, better health for populations, and reduced expenditures. For those reasons, CMS is partnering with health care providers who agree to accept joint responsibility for the cost and quality of care outcomes for Medicare beneficiaries through Accountable Care Organizations (ACOs).

An ACO is a group of doctors, hospitals, and other healthcare providers who come together voluntarily to coordinate high-quality care for Medicare patients, like you, to better meet their individual needs and preferences. Coordinated care helps patients get the right care at the right time, while avoiding unnecessary duplication of services.

For beneficiaries enrolled in the original Medicare program, relationships with ACO providers will NOT limit available benefits, and beneficiaries will still have the right to use any doctor or hospital that accepts Medicare, at any time. Participants in the Crozer ACO have additional benefits available to them at no additional cost, including:

  • Three-day Skilled Nursing Facility (SNF) Rule Waiver: Under current Medicare law, Medicare only covers care in a SNF if a patient has a prior three-day inpatient hospital stay. This new feature may allow you to get Medicare-covered SNF services at a participating SNF without a mandatory three-day inpatient hospital stay. For a list of participating SNFs, please click SNF three-day waiver providers below.

If you have any questions about the Crozer ACO or the government’s Medicare Shared Savings Program please contact us; your local State Health Insurance Assistance Program (SHIP); or Medicare 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048 or 711. You can also get more information online at the websites below:

  • Centers for Medicare & Medicaid Services 
  • Medicare Shared Savings Program
  • State Health Insurance Assistance Program (SHIP) 

  • ACO Primary Contact
    Kristin R. Beck, Executive Director, Network Management and Operations PA Coordinated Regional Care, Population Health

    Kristin.Beck@crozer.org
    610-724-5575

    Key ACO Clinical and Administrative Leadership

    • ACO Executive: Steve O’Dell
    • Medical Director: Dina Capalongo, D.O.   
    • Compliance Officer: Jordan Hall (Interim)
    • Quality Assurance/Improvement Officer: Sean Conroy, D.O.
    ACO Governing Body
    First Name Last Name Title/Position Member Voting Power Membership Type ACO Participant Legal Business Name
    Dina Capalongo D.O. 6.82% ACO Participant Representative

    Prospect Health Access Network Inc.

    Sean Conroy D.O. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Anne Donnelly M.D. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Jason Keiner D.O. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Joyann Kroser M.D. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Stephanie Hoenig-Mandos CRNP 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Celia Mouyal M.D. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Juan J. Gan M.D. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Christopher Hwang M.D. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    William Warning M.D. 6.82% ACO Participant Representative Prospect Health Access Network Inc.
    Steve O'Dell CEO 15% Administrative Member Prospect Health Services PA, Inc.
    Jordan Hall ACO Administrative Officer 2% Administrative Member Prospect Health Services PA, Inc.
    Anthony Esposito CHMG 3% Administrative Member Prospect Health Services PA, Inc.
    Jordan  Hall Compliance Officer (Interim) 3% Administrative Member Prospect Health Services PA, Inc.
    Associated Committees and Committee Leadership
    • Quality Management Committee - Sean Conroy, D.O.
    • Finance, Contracting, and Utilization Committee - Christopher Hwang, M.D., Chair
    • Compliance Committee - Jordan Hall, Chair (Interim)
    Types of ACO Participants, or Combinations of Participants, that Formed the ACO:
    • ACO professionals in a group practice arrangement
  • ACO Participants

     

    ACO Participants ACO Participant in Joint Venture
    Prospect CCMC LLC N
    Prospect DCMH LLC N

    Crozer Keystone Urgent Care LLC

    N
    Prospect Health Access Network Inc. N
    Prospect Crozer Urgent Care LLC N

    ACO participants are not in a Joint Venture.

  • Amount of Shared Savings/Losses:

    • Second Agreement Period
      • Performance Year 2022, $5,677,319.00
    • First Agreement Period
      • Performance Year 2021, $2,892,057.07
    • First Agreement Period
      • Performance Year 2020, $0
    • First Agreement Period
      • Performance Year 2019, $0

    Shared Savings Distribution:Second Agreement period Agreement Period

      • Second Agreement Period
        • Performance Year 2022
          • Proportion invested in infrastructure: 25%
          • Proportion invested in redesigned care processes/resources: 25%
          • Proportion of distribution to ACO participants: 0%
    • First Agreement Period
      • Performance Year 2021
        • Proportion invested in infrastructure: 25%
        • Proportion invested in redesigned care processes/resources: 25%
        • Proportion of distribution to ACO participants: 50%
    • First Agreement Period
      • Performance Year 2020
        • Proportion invested in infrastructure: 0%
        • Proportion invested in redesigned care processes/resources: 0%
        • Proportion of distribution to ACO participants: 0%
    • First Agreement Period
      • Performance Year 2019
        • Proportion invested in infrastructure: 0%
        • Proportion invested in redesigned care processes/resources: 0%
        • Proportion of distribution to ACO participants: 0%

     

    Quality Performance Results

    2022 Quality Performance Results

    ACO Quality Measure Number Measure Name
    Reported Performance Rate ACO Mean
    ACO-001

    Diabetes: Hemoglobin A1c (HbA1c) Poor Control

    17.67 12.46
    ACO-134

    Preventative Care and Screening: Screening for Depression and Follow-up Plan

    81.35 74.38
    ACO-236

    Controlling High Blood Pressure

    68.4 74.87
    ACO-318

    Falls: Screening for Future Fall Risk

    54.18 87.03
    ACO-110

    Preventive Care and Screening: Influenza Immunization

    66.93 80.52
    ACO-226

    Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

    63.33 80.97
    ACO-113

    Colorectal Cancer Screening

    63.3 73.63
    ACO-112

    Breast Cancer Screening

    75.48 75.11
    ACO-438

    Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

    84.34 84.24
    ACO-370

    Depression Remission at Twelve Months

    16.67 15.50
    ACO-321

    CAHPS for MIPS

    N/A N/A
    ACO-479

    Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups

    0.1476 0.1540
    ACO-MCC1

    All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditons for ACOs (MCC)

    34.98 33.99

     

For previous years' financial and quality performance results, please visit data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.61C2.
  • 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.

Fraud and Abuse Waivers

ACO Pre-Participation Waiver

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

  • Parties to the arrangement: N/A
  • Date of arrangement: N/A
  • Items, services, goods, or facility provided: N/A
  • Date and nature of any amendments to the arrangement, if applicable: N/A

ACO Participation Waiver

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement. 

  • Parties to the arrangement: N/A 
  • Date of arrangement: N/A
  • Items, services, goods, or facility provided: N/A 
  • Date and nature of any amendments to the arrangement, if applicable: N/A
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    Corporate Headquarters
    One Medical Center Blvd.,
    Upland, PA 19013

    1-800-254-3258

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