ACO NAME AND LOCATION

agilon health Coastal ACO, Inc.
d/b/a Senior Health Connect ACO 8
440 Polaris Parkway, Suite 550
Westerville, OH 43082

Learn more about your ACO and why we sent you a letter

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
[email protected]
562-256-3800

ACO HOURS OF OPERATION

9 am to 5 pm EST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Senior Health Connect ACO 8 and any of its Participating Providers or Preferred Providers and Facilities.

• PARTICIPATING PROVIDERS
• PREFERRED PROVIDERS AND FACILITIES – There aren’t any preferred providers at this time.

CLINICAL AND ADMINISTRATIVE LEADERS

• ACO Executive: Eric Becker, agilon health
• ACO Head of Operations: Quenyona Patterson, agilon health
• Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
• Chief Technology Officer: Girish Venkatachaliah, agilon health
• Finance Director: Kenny Bellendir, agilon health
• Chief Legal Officer: Denise Zamore, agilon health
• Quality Improvement Leader: Karen Phillippi, agilon health
• Medical Director: Joseph Moran, MD, Piedmont HealthCare

GOVERNING BODY

• Craig DuBois, Voting Member, Piedmont HealthCare, 25%
• Emily Nabors, Voting Member, Piedmont HealthCare, 25%
• Jeff Smith, Voting Member, Piedmont HealthCare, 25%
• Heidi Hittner, Voting Member, agilon health, 5%
• Lauren Puglisi, Voting Member, agilon health, 5%
• Jay Zdunek, Voting Member, agilon health, 5%
• Joe Petrozza, Consumer Advocate, Voting Member, Retired, 5%
• Wanda Furches, Medicare Beneficiary, Voting Member, Retired, 5%

SHARED SAVINGS AND LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

• First Agreement Period
  • Performance Year 2023: -$495,282.34
  • Performance Year 2022: $5,391,634.45

SHARED SAVINGS DISTRIBUTION:

• First Agreement Period
  • Performance Year 2023
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: NA
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: NA
  • Performance Year 2022
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 61%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 39%

QUALITY PERFORMANCE RESULTS

2023 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 92.7%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 15.00
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 27.59
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 70.81

CAHPS for ACO Survey Measures	Reported Performance  Rate	Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information	85.55	81.52
How Well Providers Communicate	93.48	93.48
Care Coordination	83.22	84.99
Shared Decision Making	60.44	63.03
Patient Rating for Provider	91.78	92.14
Courteous & Helpful Office Staff	91.33	91.38
Health Promotion & Education	64.97	63.57
Stewardship of Patient Resources	13.99	25.48

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 15.00
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 24.45
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 68.00

CAHPS for ACO Survey Measures	Reported Performance  Rate	Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information	84.64	81.97
How Well Providers Communicate	93.37	93.10
Care Coordination	82.45	84.70
Shared Decision Making	57.43	61.56
Patient Rating for Provider	92.79	91.74
Courteous & Helpful Office Staff	91.63	91.10
Health Promotion & Education	67.83	61.84
Stewardship of Patient Resources	12.18	24.96

D0107_REACHPubDiscTempv4_IA 12/09/2024