Adena Healthcare Collaborative, LLC

Transparency is an important aspect of patient centeredness and patient engagement in the Medicare Shared Savings Program (MSSP). We believe public reporting aids transparency and can:

• Promote more informed patient choice
• Provide feedback to stakeholders and providers
• Help improve quality and lower the cost of care
• Improve oversight with respect to Adena Healthcare Collaborative, LLC's compliance with program requirements. 
• This page provides important information for the public about Adena Healthcare Collaborative, LLC.

Providing the full spectrum of health care services within the Adena Health System is consistent with the stated purposes of the Medicare Shared Savings Program and the mission of Adena. In-network care coordination provides more efficient and effective care for our patients. As such, the governing body of Adena Healthcare Collaborative, LLC has determined that, in order to further the interests of the Accountable Care Organization (ACO) as a whole in meeting the objectives of the Medicare Shared Savings Program, it is reasonably necessary for Adena Healthcare Collaborative, LLC to include an in-network care coordination component and care coordination engagement factor in the Adena Medical Group. The in-network care coordination component and care coordination factor will be made available to all eligible Adena Healthcare Collaborative, LLC ACO participants and ACO providers and suppliers. 

ACO Name and Location

Adena Healthcare Collaborative, LLC
Previous Names: N/A
272 Hospital Road
Chillicothe, OH 45601

ACO Primary Contact

Joseph Zakrzewsk

740-773-7398 

jzakrzewski@adena.org

Organizational Information

ACO participants:

ACO Participants ACO Participant in Joint Venture 
Adena Medical Group, LLC  N

ACO governing body:

Key ACO clinical and administrative leadership:

Joseph Zakrzewski  - ACO Executive
Kirk Tucker, MD - Medical Director
Kristin Boggs - Compliance Officer
Rhett Holland - Quality Assurance/Improvement Officer

Associated committees and committee leadership:

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

• Critical Access Hospital (CAH) billing under Method II
• Hospital employing ACO professionals
• Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses 

Second Agreement Period

• Performance Year 2020, $0
• Performance Year 2019, $0
• Performance Year 2018, $0

First Agreement Period

• Performance Year 2017, $0
• Performance Year 2016, $4,453,320
• Performance Year 2015, $2,551,721

Shared Savings Distribution

Second Agreement Period

• Performance Year 2020
• 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 2019
• 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 2018
• 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 2017
• 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 2016
• Proportion invested in infrastructure: 28%
• Proportion invested in redesigned care processes/resources: 8%
• Proportion of distribution to ACO participants: 64%
• Performance Year 2015
• Proportion invested in infrastructure: 25%
• Proportion invested in redesigned care processes/resources: n/a
• Proportion of distribution to ACO participants: 75%

Quality Performance Results

2020 Quality Performance Results:

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021.

Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures. 

• For 2019 Quality Performance Results, please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2019-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

• For 2018 Quality Performance Results, please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data

• For 2017 Quality Performance Results, please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data 

• For 2016 Quality Performance Results, please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data

• For 2015 Quality Performance Results, please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data

Note: In the Quality Performance Results file(s) above, search for “Adena Healthcare Collaborative, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A2628 in the public use files on data.cms.gov.

Payment Rule Waivers

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.

Prior Years ACO Reporting