Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) for Medicare
In accordance with the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Performance Year (PY) 2023, ACO REACH entities are required to publicly report certain information from the start of each PY.
Based on Section 14.01 of the PY 2023 Participation Agreement, each Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) entity shall report the following organizational information on a publicly accessible website maintained by the ACO REACH entity:
1. Name and location of the ACO REACH entity
Fairview Health Services
2450 Riverside Avenue
Minneapolis, MN 55454
2. Primary contact information for the ACO REACH entity
John Kvasnicka, President, Fairview Physician Associates
[email protected]
(952) 914-1800
3. Participant and preferred providers:
Please see Excel documents:
4. Identification of joint ventures
Identification of all joint ventures between or among the Accountable Care Organization and any of its Participant Providers and Preferred Providers: There are no joint ventures between Fairview Health Services and any of its Participant Providers and Preferred Providers.
5. Key clinical and administrative leaders
| Name | Title Position | Name of Employer |
|---|---|---|
| Kim DeRoche, MD Key Clinical Leader | Chief of Primary Care, Fairview Health Services and Physician Chief of Primary Care, Fairview Health Medical Group | Fairview Health Services |
| Susan Pleasants, MD Key Clinical Leader | Senior Vice President, Optimal Care, M Health Fairview | Fairview Health Services |
| John Kvasnicka, MD Key Clinical Leader | President | Fairview Physician Associates |
| Melissa Lindberg Key Administrative Leader | Vice President, Payer Relations | Fairview Health Services |
6. Governing body members:
| Name | Membership Type | Name of Employer |
|---|---|---|
| Steve Robinson, MD | Participant Provider | Fairview Health Services |
| Jeffrey Norman, MD | Participant Provider | Fairview Health Services |
| John Berge, MD | Participant Provider | France Avenue Family Physicians |
| Justin Golden, MD | Participant Provider | Richfield Medical Group |
| Nathan Waibel, MD | Participant Provider | Edina Sports Health and Wellness |
| Timothy Hernandez, MD | Participant Provider | Entira Family Clinics |
| Ruth Bachman | Medicare Beneficiary and Community Member | Retired |
| Jeremiah Todd | Patient Advocate | Fairview Health Services |
7. Shared Savings and Shared Losses information, including:
Shared savings and shared losses will be updated as results become available in 2023.
- The amount of any Shared Savings or Shared Losses for any Performance Year
- The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries; and
- The proportion of Shared Savings distributed to Participant Providers and Preferred Providers
Performance Year (PY) 2022 ACO REACH Shared Savings and Losses
| Gross Savings | $12,353,049.61 |
| Gross Savings Rate | 4.1% |
| Net Savings | $6,052,994.31 |
| Net Savings Rate | 2.0% |
| Proportion of Shared Savings Invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries | 30% |
| Proportion of Shared Shavings distributed to Participant Providers and Preferred Providers | 70% |
Performance Year (PY) 2023 ACO REACH Shared Savings and Losses
| Gross Savings | $9,419,351.39 |
| Gross Savings Rate | 2.70% |
| Net Savings | $4,615,482.18 |
| Net Savings Rate | 1.30% |
| Proportion of Shared Savings Invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries | 30% |
| Proportion of Shared Shavings distributed to Participant Providers and Preferred Providers | 70% |
8. Performance on the quality measures in Section 9.02
Performance on quality measures will be updated as results become available in 2023.
Performance Year (PY) 2022 ACO REACH Quality Measures Performance
| PY 2022 Total Quality Score | 100% |
| Risk-Standardized, All-Condition Readmission | 14.08 |
| Risk-Standardized, All-Condition Unplanned Admissions for Patients with Multiple Chronic Conditions (per one hundred person-years) | 32.47 |
| Timely Follow-Up After Acute Exacerbation of Chronic Conditions | 66.60 |
| Consumer Assessment of Healthcare Research and Quality (CAHPS) | N/A* |
*CAHPS was a process measure for PY2022
Performance Year (PY) 2023 ACO REACH Quality Measures Performance
| PY 2023 Total Quality Score | 96.6% |
| Risk-Standardized, All-Condition Readmission | 14.58 |
| Risk-Standardized, All-Condition Unplanned Admissions for Patients with Multiple Chronic Conditions (per one hundred person-years) | 32.61 |
| Timely Follow-Up After Acute Exacerbation of Chronic Conditions | 68.16 |
| Consumer Assessment of Healthcare Research and Quality (CAHPS) | 76.08 |
For more information go to “ACO REACH for Medicare” on https://www.mhealthfairview.org/ACOREACH.