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LHS Health Network Accountable Care Organization (ACO)

Formed in 2013, the LHS Health Network ACO seeks to provide the high value medical care for beneficiaries through coordinated, comprehensive care across physician practices, hospitals, and other healthcare providers. In December 2013, the LHS Health Network was selected as one of 123 new ACOs to improve care for Medicare beneficiaries and also participates in similar programs with certain commercial payors.

LHS Health Network provides high-value care by improving the patient experience and the health of populations and by reducing the costs of care. ACOs are built on strong primary care services. Participating physician groups help create a healthier patient population through a coordinated, accountable approach to care among providers within and beyond the LHS Health Network. ACOs are designed to achieve measured patient quality outcomes and decrease unnecessary and duplicative medical tests and treatments. The federal government promotes the development of ACOs to transform the delivery of healthcare.

Name and Location

LHS Health Network, LLC

1600 Haddon Avenue

Camden, New Jersey 08103

Primary Contact

Jennifer L. Schwartz, Executive Director

schwartzj@lourdesnet.org

856-580-6314

TYPES OF ACO PARTICIPANTS, OR COMBINATIONS OF PARTICIPANTS, THAT FORMED THE ACO
The LHS Health Network is a partnership between hospital and ACO professionals.
ACO Participants

James Q. Atkinson, MD
Anthony Bonett, MD
William Bromley, DO
Stephen Byrne, MD
Henry Donnon, MD
Heather Dowd, MD
Nishith Gami, MD
Steven Gitler, DO
Michael Goldis, MD
Hemangkumar Javaiya, MD
Stephen Kabel, DO
Perry Kaplan, DO
Jeffrey Kleeman, DO
William Madison, DO
Michael Meltzer, DO
Kalpeshkumar Patel, MD
Dolores Peterson, MD
Vincent A. Renzi, MD
Lisa A. Rink, DO
Andreas Riera, MD
Michael Robinson, DO
George Seretis, DO
Brian Shaffer, MD
Steven Sirken, DO
Tara Tomasso, MD
Natalie Tsigonis, DO
John Venuti, DO
Robert Venuti, DO
Sharon Warner, MD

 

ACO PARTICIPANTS IN JOINT VENTURES BETWEEN ACO PROFESSIONALS AND HOSPITALS

No participants are involved in a joint venture between ACO professional and hospital.

ACO Practices

Atkinson Internal Medicine, PA
Woodbury Medical Office
William H Bromley II
Dr. Henry P Donnon Jr MD
Vital Medical Care, LLC
Goldis Geriatrics & Primary Care
Stephen Kabel, DO
Perry Kaplan, DO
Fairview Village Family Practice
Cinnaminson Primary Care LLC
Families First Healthcare
Renzi Family Medicine
Lisa A Rink Family Medicine
SeretisCare Family Practice
Center for Primary Care Medicine
Cherry Hill Family Practice PA
Tara M. Tomasso, MD, LLC
Family Practice Associates at Washington PA

 

Governing Body

Dr. Robert Venuti, Voting Member and Chair, ACO Participant, Family Practice Associates at Washington PA

Dr. Nishith Gami, Voting Member, ACO Participant, Vital Medical Care, LLC

Dr. Dolores Peterson, Voting Member, ACO Participant, Families First Healthcare

Dr. Edwin Messey, Voting Member, Medicare Beneficiary Representative

Key ACO Clinical and Administrative Leadership

ACO Executive: Jennifer L. Schwartz

Medical Director: Steven N. Fox

Compliance Official: Barbara Holfelner

Quality Assurance/Improvement Officer:Donna Antenucci

Associated Committees and Committe Leadership

Quality Assurance and Improvement Committee: Dr. Steven N. Fox

Compliance Committee: Barbara Holfelner

Aggregate Shared Savings/Losses

Amount of Shared Savings/Losses

Agreement period beginning 2014, Performance Year 2014: $0

Agreement period beginning 2014, Performance Year 2015: $0

Shared Savings Distribution

Agreement period beginning 2014, Performance Year 2014: $0

Agreement period beginning 2014, Performance Year 2015: $0

Cost Benefit
LHS Health Network pays to its ACO participants $2 per member per month as a Cost Benefit for purposes meant to offset/defray costs associated with participation in Medicare Savings Program.
How Shared Savings are Distributed

The LHS Health Network will distribute shared savings in the following manner:

  • Sixty percent (60%) will be divided among LHSHN enrolled provider participants
  • Forty percent (40%) will be allocated to infrastructure development including:
    • Expanding/extending ongoing technology adoption
    • Quality/process improvement programs directed at care coordination

The LHS Health Network Governing Body will establish the individual practice/physician criteria to reward participants for their quality and cost performance improvement. Additionally, provider citizenship and engagement, as well as the number of beneficiaries aligned with each practice, are also considered in the methodology.

PAYMENT RULES WAIVERS

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

Quality Performance Results

See 2015 Quality Performance Results Table here

See 2012-2014 Quality Performance Results Table here

Note: ASC = ambulatory sensitive conditions, COPD = chronic obstructive pulmonary disease, PCP = primary care physician, EHR = electronic health record, IVD = ischemic vascular disease, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.

For more information on how to interpret scores on the above quality performance measures, see https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/sharedsavingsprogram/Downloads/MSSP-QM-Benchmarks.pdf.

For general questions or additional information about Accountable Care Organizations, please visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227); TTY users should call 1-877-486-2048.