ACO Public Reporting

ACO Name and Location:

Commonwealth Primary Care ACO
Previous Names: N/A
4801 S Lakeshore Dr #106
Tempe, Arizona 85282

ACO Primary Contact:

Primary Contact Name                  Lance Donkerbrook, CEO
Primary Contact Phone Number    480-296-1276
Primary Contact Email Address      ldonkerbrook@commonwealthaco.com

Organizational Information:

ACO Participants:

ACO Participants	ACO Participant in Joint Venture (Enter Y or N)
ANA M SIERRA DE ARAGON MD	N
Alex J. Onofrei MD, PC	N
BOWSER' GARDEN LLC	N
Cholla Medical Group, Inc.	N
DILIP C DHADVHAI MD PC	N
Dr. Kevin Chan, PC	N
East Flagstaff Family Medicine, LTD	N
Generations Family Practice, PLLC	N
HealthFirst Primary Care	N
James Nichols Md, Ltd.	N
Jigna Patel MD PLLC	N
Leon A Driss PC	N
MD24 AZ DOCTORS INC	N
Mark D. Goldberg, MD PC	N
PAGE FAMILY PRACTICE PLLC	N
PREMIER MEDICAL GROUP LLC	N
Petar N Novakovic MD PC	N
Primary Care Associates, PLLC	N
Quality of Life Medical Center, LLC	N
Ravi Gupta MD, PLLC	N
Robert J Bloomberg MD PC	N
RAJIV PARIKH MD PC	N
Ryan Internal Medicine, P.C.	N
SELLERSSPORTSMED LLC	N
The Wellness Medical Clinic Pc	N
Thomas C. Fiel DO PC	N
Timothy C. Bryan, Md, Plc	N
West Park Medical Corp	N

ACO Governing Body:

Member
Last Name	First Name	Title/Position	Member's Voting Power	Membership Type	ACO Participant TIN Legal Business Name/DBA, if Applicable
Donkerbrook	Lance	CEO	1 Vote	Voting Member
Voth	RJ	Medicare Beneficiary Representative, Board Chair	1 Vote	Voting Member
Aragon	Ana	ACO Participant Representative	1 Vote	Voting Member	ANA M SIERRA DE ARAGON MD
Bloomberg	Robert	ACO Participant Representative	1 Vote	Voting Member	Robert J Bloomberg MD PC
Dhadvai	Dilip	ACO Participant Representative	1 Vote	Voting Member	DILIP C DHADVAI MD PC
Goldberg	Mark	ACO Participant Representative	1 Vote	Voting Member	Mark D. Goldberg, MD PC
Gupta	Ravi	ACO Participant Representative	1 Vote	Voting Member	Ravi Gupta MD, PLLC
John	McGettigan	ACO Participant Representative	1 Vote	Voting Member	Quality of Life Medical Center, LLC
Novakovic	Petar	ACO Participant Representative	1 Vote	Voting Member	Petar Novakovic MD PC
Parikh	Rajiv	ACO Participant Representative	1 Vote	Voting Member	RAJIV PARIKH MD PC

Key ACO clinical and administrative leadership:

• Lance Donkerbrook                ACO Executive
• Mark Goldberg, MD                Medical Director
• Robert Bloomberg, MD           Compliance Officer
• Jason Jones, DO                      Quality Assurance/Improvement Officer

Associated committees and committee leadership:

Patient Engagement and Clinical Coordination Committee	Petar Novakovic, MD - Chair
Physician Engagement and Operations Subcommittee	Mark Goldberg, MD - Chair
Clinical and Quality Improvement Committee	Jason Jones, DO - Chair
Compliance and Ethics Committee	Robert Bloomberg, MD - Chair

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

• • Network of individual practices of ACO professionals

Shared Savings and Losses:

Amount of Shared Savings/Losses

• Third Agreement Period
  • Performance Year 2019: $1,042,086
• Second Agreement Period
  • Performance Year 2019: $1,042,086
  • Performance Year 2018: $2,442,372
  • Performance Year 2017: $0
  • Performance Year 2016: $0
• First Agreement Period
  • Performance Year 2015: $7,404,173
  • Performance Year 2014: $0
  • Performance Year 2013: $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings/losses amount reported for Performance Year 2019 therefore represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

• Third Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 30%
• Second Agreement Period
  • Performance Year 2019
    • Proportion invested in infrastructure: 50%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 30%
  • Performance Year 2018
    • Proportion invested in infrastructure: 60%
    • Proportion invested in redesigned care processes/resources: 20%
    • Proportion of distribution to ACO participants: 20%
  • 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: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

• First Agreement Period
  • Performance Year 2015
    • Proportion invested in infrastructure: 33%
    • Proportion invested in redesigned care processes/resources: 7%
    • Proportion of distribution to ACO participants: 40%
    • Proportion of distribution to Contractual and Other Obligations: 20%
  • 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
  • Performance Year 2013:
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2019 Quality Performance Results:

Measure Number	Measure Name	2019 Reporting Period
		ACO Performance Rate	Mean Performance Rate (SSP-ACOs)
ACO-1	CAHPS: Getting Timely Care, Appointments, and Information	85.03	85.86
ACO-2	CAHPS: How Well Your Providers Communicate	92.86	94.11
ACO-3	CAHPS: Patients’ Rating of Provider	91.44	92.69
ACO-4	CAHPS: Access to Specialists	81.23	81.54
ACO-5	CAHPS: Health Promotion and Education	65.35	60.44
ACO-6	CAHPS: Shared Decision Making	59.17	62.78
ACO-7	CAHPS: Health Status/Functional Status	74.77	73.79
ACO-34	CAHPS: Stewardship of Patient Resources*	27.12	26.17
ACO-45	CAHPS: Courteous and Helpful Office Staff	89.82	92.84
ACO-46	CAHPS: Care Coordination	84.84	86.89
ACO-8	Risk Standardized, All Condition Readmission	14.90	14.86
ACO-38	All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions	48.11	58.15
ACO-43	Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator(PQI #91))	1.60	1.87
ACO-13	Falls: Screening for Future Fall Risk	81.93	84.04
ACO-14	Preventive Care and Screening: Influenza Immunization	82.88	74.77
ACO-17	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	98.48	78.04
ACO-18	Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan	85.06	70.40
ACO-19	Colorectal Cancer Screening	81.57	70.76
ACO-20	Breast Cancer Screening	82.11	73.84
ACO-42	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	90.46	82.17
ACO-27	Diabetes: Hemoglobin A1c Poor Control (>9%)	9.89	13.88
ACO-28	Controlling High Blood Pressure	91.94	75.04

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. In addition, the Centers for Medicare & Medicaid Services (CMS) waived the requirement for ACOs to field a CAHPS for ACOs survey data.

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

Payment Rule Waivers

• • • Yes, our ACO does use the SNF 3-Day Rule Waiver, pursuant to 42 CFR 425.612.