Ohio Senior Care ACO

ACO NAME AND LOCATION

agilon health Ohio ACO, Inc.
d/b/a Ohio Senior Care ACO
6210 E. Highway 290, STE 450
Austin, TX 78723

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
eric.becker@agilonhealth.com
562-256-3800

ACO HOURS OF OPERATION

11 am – 8 pm EST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Ohio Senior Care ACO and any of its Participating Providers or Preferred Providers and Facilities.

• PARTICIPATING PROVIDERS
• PREFERRED PROVIDERS AND FACILITIES

CLINICAL AND ADMINISTRATIVE LEADERS

• ACO Executive: Eric Becker, agilon health
• ACO Head of Operations: Quenyona Patterson, agilon health
• Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
• Chief Technology Officer: Girish Venkatachaliah, agilon health
• Finance Director: Kenny Bellendir, agilon health
• Chief Legal Officer: Denise Zamore, agilon health
• Quality Improvement Leader: Adina Gutherie, agilon health
• Medical Director: Pat Goggin, MD, Medical Associates of Cambridge

GOVERNING BODY

• Pat Goggin, MD, Chair & Medical Director, Voting Member, Medical Associates of Cambridge, 12.5%
• Brian Luft, MD, Voting Member, PrimeCare of Southeastern Ohio, 12.5%
• Sandra Schubert, MD, Voting Member, Medical Associates of Cambridge, 12.5%
• Zach Liapis, DO, Voting Member, PriMed Physicians, 12.5%
• Marlon Twyman, MD, Voting Member, PriMed Physicians, 12.5%
• Janette Froehlich, MD, Voting Member, PriMed Physicians, 12.5%
• Heidi Hittner, Voting Member,  SVP Network Growth & Operation of agilon health, 3.125%
• Blaine Barnett, Voting Member, VP Performance Management of agilon health, 3.125%
• Curt Niekamp, Voting Member, Regional Senior Director Growth of agilon health, 3.125%
• Kenny Bellendir, Voting Member, SVP Finance of agilon health, 3.125%
• Mike Demand, Voting Member, SVP Market Operations of agilon health, 3.125%
• Jason Swartz, Voting Member, Regional Market President of agilon health, 3.125%
• Geraldine Zylinksy, Consumer Advocate, Voting Member, Self-employed, 3.125%
• Mary Luebcke, Medicare Beneficiary, Voting Member, Retired, 3.125%

SHARED SAVINGS & SHARED LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

• First Agreement Period
  • Performance Year 2022: $12,694,176.98
  • Performance Year 2021: $1,519,562

SHARED SAVINGS DISTRIBUTION:

• First Agreement Period
  • Performance Year 2022
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 47%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 53%
  • Performance Year 2021
    • Proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 77.8%
    • Proportion of Shared Savings distributed to Participant Providers and Preferred Providers: 22.2%

QUALITY PERFORMANCE RESULTS

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 14.94
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.17
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 74.16

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

D0116_REACHPubDiscTempv2_IA 11/13/2023