ACO Name and Location

Loudoun Medical Group ACO LLC
Previous Names: N/A
224D Cornwall St NW
Ste 403
Leesburg, VA 20176

ACO Primary Contact

Primary Contact Name	Mary Beth Tamasy, CEO
Primary Contact Phone Number	703-737-6006
Primary Contact Email Address	mtamasy@lmgdoctors.com

---

Organizational Information

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
Loudoun Medical Group PC	N

ACO Governing Body:

Member			Member’s Voting Power*	Membership Type	ACO Participant**
Last Name	First Name	Title/Position
Crowley, MD	Anthony	Chairman	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Calihan, MD	Martha	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Kuo, MD	Michael	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Hetzel, MD	Robert	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Mellis, MD	Michael G.	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Beloy, MD	Amie	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Nekoba, MD	Jeffrey	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Thompson, MD	Jennifer B.	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Akhtar, MD	Nauman	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Tamasy	Mary Beth	Voting Member	1.00	ACO Participant Representative	Loudoun Medical Group ACO, LLC
Kearns	Kathryn	Voting Member	1.00	Medicare Beneficiary Representative	Loudoun Medical Group ACO, LLC

* Expressed as a percentage or number
** Legal Business Name/DBA, if Applicable

Key ACO Clinical and Administrative Leadership:

Mary Beth Tamasy	ACO Executive
Anthony Crowley	Medical Director
Clara Nussbaum	Compliance Officer
Clara Nussbaum	Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership:

Quality Assurance and Improvement Committee – Anthony Crowley, MD, Chair
Finance Committee –  Robert Hetzel, MD, Chair
Communications Committee – Linda Coleman, MD, Chair

---

Types of ACO participants, or combinations of participants, that formed the ACO:

• ACO professionals in a group practice arrangement

---

Shared Savings and Losses

Amount of Shared Savings/Losses

• Second Agreement Period
  • Performance Year 2018, $0
  • Performance Year 2017, $1,272,644

• First Agreement Period
  • Performance Year 2016, $0
  • Performance Year 2015, $0
  • Performance Year 2014, $0

Shared Savings Distribution

• Second Agreement Period
  • Performance Year 2018
    • 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 2017
    • Proportion invested in infrastructure: 30%
    • Proportion invested in redesigned care processes/resources: 30%
    • Proportion of distribution to ACO participants: 40%
• 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

2018 Quality Performance Results:

You may need to scroll horizontally to view all of the data.

ACO#	Measure Name	Rate	ACO Mean
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	88.05	86.14
ACO-2	CAHPS: How Well Your Providers Communicate	94.01	93.93
ACO-3	CAHPS: Patients’ Rating of Provider	91.67	92.45
ACO-4	CAHPS: Access to Specialists	80.49	81.50
ACO-5	CAHPS: Health Promotion and Education	53.53	59.26
ACO-6	CAHPS: Shared Decision Making	62.71	61.94
ACO-7	CAHPS: Health Status/Functional Status	75.77	73.35
ACO-34	CAHPS: Stewardship of Patient Resources	20.91	26.26
ACO-8	Risk Standardized, All Condition Readmission	14.22	14.98
ACO-35	Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)	18.09	18.59
ACO-36	All-Cause Unplanned Admissions for Patients with Diabetes	34.22	37.01
ACO-37	All-Cause Unplanned Admissions for Patients with Heart Failure	78.30	76.75
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	59.58	59.00
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91)	2.03	1.98
ACO-11	Use of Certified EHR Technology	100.00	98.20
ACO-12	Medication Reconciliation Post-Discharge	99.68	85.91
ACO-13	Falls: Screening for Future Fall Risk	66.67	79.73
ACO-44	Use of Imaging Studies for Low Back Pain	33.33	64.36
ACO-14	Preventive Care and Screening: Influenza Immunization	61.41	72.71
ACO-15	Pneumonia Vaccination Status for Older Adults	70.70	75.97
ACO-16	Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up	76.82	76.83
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	88.89	72.81
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	33.78	66.74
ACO-19	Colorectal Cancer Screening	61.31	68.27
ACO-20	Breast Cancer Screening	57.42	71.96
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	86.67	81.47
ACO-27	Diabetes Mellitus: Hemoglobin A1c Poor Control	21.99	15.51
ACO-41	Diabetes: Eye Exam	50.86	52.42
ACO-28	Hypertension (HTN): Controlling High Blood Pressure	67.82	73.10
ACO-30	Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet	78.40	88.92

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-day Rule Waiver:

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

Waiver for Payment for Telehealth Services:

• No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR 425.612(f) and 42 CFR 425.613.