ACO Public Reporting Information for St. Louis

ACO Name & Location

SSM ACO, LLC
12312 Olive Boulevard
St. Louis, MO 63141

ACO Primary Contact

Mark Webber
314-994-7904
Mark.Webber@ssmhealth.com

Organizational Information

ACO Participants

ACO Participants ACO Participant in Joint Venture
SSM Health Care St. Louis
N
SSM Medical Group, Inc.
N

ACO Governing Body

Member First NameMember Last NameMember Title/PositionMember's Voting Power (Expressed as as a Percentage)Membership TypeACO Participant Legal Business Name, if Applicable
JasonVanGundy, MDMember & Chair9.10%ACO Participant RepresentativeSSM Health Medical Group
BobPendleton, MDMember & President9.09%ACO Participant RepresentativeSSM Health Care St. Louis
MichaelScharff, MDMember & Vice President9.09%ACO Participant RepresentativeSSM Health Medical Group
KalyanKatakam, MDMember & Medical Director9.09%ACO Participant RepresentativeSSM Health Medical Group
ElieAzrakMember9.09%ACO Participant RepresentativeSSM Health Medical Group
JoseyPage, MDMember9.09%ACO Participant RepresentativeSSM Health Medical Group
RobertPerez, MDMember9.09%ACO Participant RepresentativeSSM Health Medical Group
DavidVollman, MDMember9.09%ACO Participant RepresentativeSSM Health Medical Group
TedEckelkamp, MDMember9.09%ACO Participant RepresentativeSSM Health Medical Group
KyleGrateMember9.09%ACO Participant RepresentativeSSM Health Care St. Louis
TomHanley, MDMember9.09%Medicare Beneficiary RepresentativeN/A

Key ACO Clinical and Administrative Leadership

ACO Executive: Mark Webber
Medical Director: Kaylan Katakam, MD
Compliance Officer: Angela Distler
Quality Assurance/Improvement Officer: Mark Webber

Associated Committees and Committee Leadership

Committee NameCommittee Leader Name and Position
Finance CommitteeTim Buller, Vice President of Finance, SSM Health Medical Group
Quality Initiatives CommitteeTraci Newberry, Manager, Clinical Analytics
Compliance CommitteeAngela Distler, RN, BSN, CHC, Director Corporate Responsibility, Compliance Officer

Types of ACO Participants, or Combinations of Participants, That Formed the ACO

  • ACO professional in a group practice arrangement
  • Partnerships or joint venture arrangements between hospitals and ACO professionals (No participants are involved in a joint venture between ACO professionals and hospitals)

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

  • Performance Year 2022, $7,263,027
  • Performance Year 2021, $0
  • Performance Year 2020, $4,255,205
  • Performance Year 2019, $8,666,458
  • Performance Year 2018, $3,615,001
  • Performance Year 2017, $0

First Agreement Period

  • Performance Year 2016, $0
  • Performance Year 2015, $0
  • Performance Year 2014, $0

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2022
    • Proportion invested in infrastructure: 60%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2021
    • 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 2020
    • Proportion invested in infrastructure: 60%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2019
    • Proportion invested in infrastructure: 60%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 40%
  • Performance Year 2018
    • Proportion invested in infrastructure: 75%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 25%
  • 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

Quality performance results are based on CMS Web Interface

Measure #Measure NameCollection TypeRateACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor ControlCMS Web Interface5.9410.71
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface95.2776.16
236Controlling High Blood PressureCMS Web Interface76.3974.87
318Falls: Screening for Future Fall RiskCMS Web Interface93.0887.83
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface87.2177.34
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface92.5979.27
113Colorectal Cancer ScreeningCMS Web Interface81.7575.32
112Breast Cancer ScreeningCMS Web Interface84.9178.07
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface79.6586.37
370Depression Remission at Twelve MonthsCMS Web Interface17.1916.03
321CAHPS for MIPSCMS Web InterfaceN/AN/A
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS GroupsAdministrative Claims0.15640.151
MCC1All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)Administrative Claims33.8030.97
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey86.9583.96
CAHPS-2How well Providers CommunicateCAHPS for MIPS Survey94.2793.47
CAHPS-3Patient's Rating of ProviderCAHPS for MIPS Survey93.5692.06
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey83.3777.00
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey66.3562.68
CAHPS-6Shared Decision MakingCAHPS for MIPS Survey61.9960.97
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey72.2873.06
CAHPS-8Care CoordinationCAHPS for MIPS Survey89.0085.46
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey94.9891.97

Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

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 § 425.612
  • 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

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver: N/A
  • ACO Participation Waiver: N/A

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