ACO Name and Location

Sentara Accountable Care Organization, LLC
1300 Sentara Park
Virginia Beach, VA 23464

Primary Contact

Daniel J. Dickinson, MD
757-455-7040
SACO@sentara.com

Organizational Information

 ACO Participants  ACO Participant in Joint Venture (Y or N)
 ACO Participants Sentara Medical Group ACO Participant in Joint Venture (Y or N) N
 ACO Participants Martha Jefferson Medical Group LLC ACO Participant in Joint Venture (Y or N) N
 ACO Participants EVMS Academic Physicians and Surgeons Health Services Foundation ACO Participant in Joint Venture (Y or N) N
 ACO Participants Associates in Primary Care, PC ACO Participant in Joint Venture (Y or N) N
 ACO Participants Harrisonburg Family Practice Associates PC ACO Participant in Joint Venture (Y or N) N
 ACO Participants RMH Medical Group, LLC ACO Participant in Joint Venture (Y or N) N
 ACO Participants Charlottesville Internal Medicine, PLC ACO Participant in Joint Venture (Y or N) N
 ACO Participants Family Medicine Healthcare, PLLC ACO Participant in Joint Venture (Y or N) N
 ACO Participants James River Family Practice, LLC ACO Participant in Joint Venture (Y or N) N

 Member First Name  Member Last Name  Member Title / Position  Member's Voting Power (Expressed as a percentage) Membership Type  ACO Participant TIN Legal Business Name 
 Member First NameColin Member Last NameFindlay Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name Sentara Medical Group
 Member First NameDaniel Member Last NameCohen Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name Sentara Medical Group
 Member First NameJoseph Member Last NameEvans Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name Martha Jefferson Medical Group LLC
 Member First NameTimothy Member Last NamePike Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation
 Member First NameMargaret Member Last NameBaumgarten Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation
 Member First NameLindsey Member Last NameVaughn Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name Sentara Medical Group
 Member First NameA. Christian Member Last NameIudica Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name Harrisonburg Family Practice Associates PC
 Member First NameLea Member Last NameLaplace Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name Associates in Primary Care, PC
 Member First NameMarissa Member Last NameGalicia-Castillo Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type ACO Participant RepresentativeACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation
 Member First NameMelinda Member Last NameHancock Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type Community Stakeholder RepresentativeACO Participant TIN Legal Business Name N/A
 Member First NameEric Member Last NameConley Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type Community Stakeholder RepresentativeACO Participant TIN Legal Business Name N/A
 Member First NameRobert Member Last NamePalmer Member Title / PositionVoting Member Member's Voting Power (Expressed as a percentage)8.33%Membership Type Medicare Beneficiary RepresentativeACO Participant TIN Legal Business Name N/A

Member's voting power may have been rounded to reflect voting power of 100 percent.


 Title / Position  Name
 Title / Position ACO Executive NameDaniel J. Dickinson, MD
 Title / Position Medical Director Name Margaret Baumgarten, MD
 Title / Position Compliance Officer Name Michael-Angelo P Orciga
 Title / Position Quality Assurance and Improvement Officer Name Daniel J. Dickinson, MD

ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2024, $28,760,381.87
    • Performance Year 2023, $22,305,039.59
    • Performance Year 2022, $18,715,254.79
    • Performance Year 2021, $12,141,685.89
    • Performance Year 2020, $10,963,647.77

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 17.4%
      • Proportion invested in redesigned care processes/resources: 15.0%
      • Proportion of distribution to ACO participants: 67.6%
    • Performance Year 2023
      • Proportion invested in infrastructure: 15.6%
      • Proportion invested in redesigned care processes/resources: 16.3%
      • Proportion of distribution to ACO participants: 68.1%
    • Performance Year 2022
      • Proportion invested in infrastructure: 15.4%
      • Proportion invested in redesigned care processes/resources: 17.8%
      • Proportion of distribution to ACO participants: 66.8%
    • Performance Year 2021
      • Proportion invested in infrastructure: 10.6%
      • Proportion invested in redesigned care processes/resources: 18.8%
      • Proportion of distribution to ACO participants: 70.6%
    • Performance Year 2020
      • Proportion invested in infrastructure: 20%
      • Proportion invested in redesigned care processes/resources: 25.6%
      • Proportion of distribution to ACO participants: 54.4%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on CMS Web Interface collection type.

 Measure #  Measure Name  Collection Type  Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
 Measure # 321 Measure NameCAHPS for MIPS Collection Type CAHPS for MIPS   Survey Reported Performance Rate 6.64Current Year Mean Performance Rate (SSP ACOs) 6.67
 Measure # 479* Measure NameHospital-Wide, 30-Day, All-Cause
Unplanned Readmission (HWR) Rate for
MIPS Groups
 Collection Type Administrative   Claims Reported Performance Rate 0.1492Current Year Mean Performance Rate (SSP ACOs) 0.1517
 Measure # 484* Measure Name Clinician and Clinician Group Risk-standardized
Hospital Admission Rates for
Patients with Multiple Chronic Conditions
(MCC)
 Collection Type Administrative   Claims Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs) 37
 Measure # 318 Measure Name Falls: Screening for Future Fall Risk Collection Type CMS Web Interface Reported Performance Rate 98.81Current Year Mean Performance Rate (SSP ACOs) 88.99
 Measure # 110 Measure Name Preventative Care and Screening: Influenza Immunization Collection Type CMS Web Interface Reported Performance Rate 75.35Current Year Mean Performance Rate (SSP ACOs) 68.6
 Measure # 226 Measure Name Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention Collection Type CMS Web Interface Reported Performance Rate 87.5Current Year Mean Performance Rate (SSP ACOs) 79.98
 Measure # 113 Measure Name Colorectal Cancer Screening Collection Type CMS Web Interface Reported Performance Rate 84Current Year Mean Performance Rate (SSP ACOs) 77.81
 Measure # 112 Measure Name Breast Cancer Screening Collection Type CMS Web Interface Reported Performance Rate 86.62Current Year Mean Performance Rate (SSP ACOs) 80.93
 Measure # 438 Measure Name Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Collection Type CMS Web Interface Reported Performance Rate 90.84Current Year Mean Performance Rate (SSP ACOs) 86.5
 Measure # 370 Measure Name Depression Remission at Twelve Months Collection Type CMS Web Interface Reported Performance Rate 16.39Current Year Mean Performance Rate (SSP ACOs) 17.35
 Measure # 001* Measure Name Diabetes: Hemoglobin A1c (HbA1c) Poor Control Collection Type CMS Web Interface Reported Performance Rate 7.86Current Year Mean Performance Rate (SSP ACOs) 9.44
 Measure # 134 Measure Name Preventative Care and Screening: Screening for Depression and Follow-up Plan Collection Type CMS Web Interface Reported Performance Rate 92.31Current Year Mean Performance Rate (SSP ACOs) 81.46
 Measure # 236 Measure NameControlling High Blood Pressure Collection Type CMS Web Interface Reported Performance Rate77.54
Current Year Mean Performance Rate (SSP ACOs) 79.49
 Measure # CAHPS-1 Measure Name Getting Timely Care, Appointments, and Information Collection Type CAHPS for MIPS Survey Reported Performance Rate 81.74Current Year Mean Performance Rate (SSP ACOs) 83.7
 Measure # CAHPS-2 Measure Name How Well Providers Communicate Collection Type CAHPS for MIPS Survey Reported Performance Rate 95.79Current Year Mean Performance Rate (SSP ACOs) 93.96
 Measure # CAHPS-3 Measure Name Patient’s Rating of Provider Collection Type CAHPS for MIPS Survey Reported Performance Rate 93.99Current Year Mean Performance Rate (SSP ACOs) 92.43
 Measure # CAHPS-4 Measure Name Access to Specialists Collection Type CAHPS for MIPS Survey Reported Performance Rate 72.11Current Year Mean Performance Rate (SSP ACOs) 75.76
 Measure # CAHPS-5 Measure Name Health Promotion and Education Collection Type CAHPS for MIPS Survey Reported Performance Rate 67.65Current Year Mean Performance Rate (SSP ACOs) 65.48
 Measure # CAHPS-6 Measure Name Shared Decision Making Collection Type CAHPS for MIPS Survey  Reported Performance Rate 61.82Current Year Mean Performance Rate (SSP ACOs) 62.31
 Measure # CAHPS-7 Measure Name Health Status and Functional Status Collection Type CAHPS for MIPS Survey Reported Performance Rate 73.58Current Year Mean Performance Rate (SSP ACOs) 74.14
 Measure # CAHPS-8 Measure Name Care Coordination Collection Type CAHPS for MIPS Survey Reported Performance Rate 87.11Current Year Mean Performance Rate (SSP ACOs) 85.89
 Measure # CAHPS-9 Measure Name Courteous and Helpful Office Staff Collection Type CAHPS for MIPS Survey Reported Performance Rate 92.8Current Year Mean Performance Rate (SSP ACOs) 92.89
 Measure # CAHPS-11 Measure Name Stewardship of Patient Resources Collection Type CAHPS for MIPS Survey Reported Performance Rate 19.39Current Year Mean Performance Rate (SSP ACOs) 26.98

 

For previous years' Financial and Quality Performance Results, please visit data.cms.gov.

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.