ACO Public Reporting Information for St. Louis

ACO Name & Location

SSM ACO, LLC
Trade Name/ DBA: SSM ACO, LLC
12800 Corporate Hill Drive
St. Louis, MO 63131

ACO Primary Contact

Mark Webber
314-994-7904
Mark.Webber@ssmhealth.com

Organizational Information

ACO Participants

ACO Participants	ACO Participant in Joint Venture
SSM Health Care St. Louis	N
SSM Medical Group, Inc.	N

ACO Governing Body

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as as a Percentage)	Membership Type	ACO Participant Legal Business Name, if Applicable
Jason	VanGundy, MD	Member & Chair	9.10%	ACO Participant Representative	SSM Health Medical Group, Inc.
Bob	Pendleton, MD	Member & President	9.09%	ACO Participant Representative	SSM Health Care St. Louis, Inc.
Michael	Scharff, MD	Member & Vice President	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Kalyan	Katakam, MD	Member & Medical Director	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Mitchell	Etling	Member	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Josey	Page, MD	Member	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Howard	Goldenberg, MD	Member	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Hari	Thanigaraj, MD	Member	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Joseph	Eckelkamp, MD	Member	9.09%	ACO Participant Representative	SSM Health Medical Group, Inc.
Kyle	Grate	Member	9.09%	ACO Participant Representative	SSM Health Care St. Louis, Inc.
Tom	Hanley, MD	Member	9.09%	Medicare Beneficiary Representative	N/A

Key ACO Clinical and Administrative Leadership

ACO Executive: Mark Webber
Medical Director: Kaylan Katakam, MD
Compliance Officer: Angela Distler, RN, BSN, CHC
Quality Assurance/Improvement Officer: Traci Newberry

Associated Committees and Committee Leadership

Committee Name	Committee Leader Name and Position
Finance Committee	Tim Buller, Vice President of Finance, SSM Health Medical Group
Quality Initiatives Committee	Traci Newberry, Manager, Clinical Analytics
Compliance Committee	Angela Distler, RN, BSN, CHC, Director Corporate Responsibility, Compliance Officer

Types of ACO Participants, or Combinations of Participants, That Formed the ACO

ACO professional in a group practice arrangement
Partnerships or joint venture arrangements between hospitals and ACO professionals (No participants are involved in a joint venture between ACO professionals and hospitals)

Shared Savings and Losses

Amount of Shared Savings/Losses

Third Agreement Period

Performance Year 2026, N/A
Performance Year 2025, N/A
Performance Year 2024, $8,633,011.97
Performance Year 2023, $9,329,236.74
Performance Year 2022, $7,263,027.00

Second Agreement Period

Performance Year 2021, $0.00
Performance Year 2020, $4,255,205.93
Performance Year 2019, $8,666,458.49
Performance Year 2018, $3,615,001.43

First Agreement Period

Performance Year 2017, N/A
Performance Year 2016, N/A
Performance Year 2015, N/A
Performance Year 2014, N/A

Shared Savings Distribution

Third Agreement Period

Performance Year 2026
- 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 2025
- 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 2024
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2023
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2022
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:

Second Agreement Period

Performance Year 2021
- 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 2020
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2019
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:
Performance Year 2018
- Proportion invested in infrastructure:
- Proportion invested in redesigned care processes/resources:
- Proportion of distribution to ACO participants:

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: 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

2024 Quality Performance Results

Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.

Measure #	Measure Name	Collection Type	Rate	ACO Mean
001	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	eCQM	20.91	28.16
134	Preventative Care and Screening: Screening for Depression and Follow-Up Plan	eCQM	74.12	54.68
236	Controlling High Blood Pressure	eCQM	73.89	71.39
321	CAHPS for MIPS	CAHPS for MIPS Survey	4.97	6.67
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1444	0.1517
321	CAHPS for MIPS	CAHPS for MIPS Survey	4.79	6.67
479	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1711	0.1553
489	Clinician and Clinician Group Risk-Standard Hospital Admission Rates for Patients with Multiple Chronic Conditions	Administrative Claims	-	35.39
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	82.38	83.7
CAHPS-2	How well Providers Communicate	CAHPS for MIPS Survey	91	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	89.32	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	66.03	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	65.08	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	72.25	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	83.51	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	92.67	92.89
CAHPS-10	Stewardship of Patient Resources	CAHPS for MIPS Survey	23.73	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.

Payment Rule Waivers

Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
- Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612
Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613

Fraud and Abuse Waivers

ACO Pre-Participation Waiver: N/A
ACO Participation Waiver: N/A