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OhioHealth Medicare Accountable Care Organization (ACO)

OhioHealth Medicare Accountable Care Organization (ACO)

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OhioHealth Medicare ACO Public Reporting Information

ACO Name and Location
OhioHealth Venture, LLC
180 East Broad Street
34th Floor
Columbus, OH 43215

ACO Primary Contact

Primary Contact Name

Gregory Whisman, MD, MBA

Primary Contact Phone Number

(614) 566.0003

Primary Contact Email Address

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture
(Enter Y or N)

Albert Salomon

N

All Ages Family Medicine, Inc.

N

Beechwold Family Practice

N

Buckeye Ob/Gyn, Inc.

N

Carolyn Hixson

N

Central Ohio Hospitalists, Inc.

N

Central Ohio Nephrology Associates, Inc.

N

Columbus Health Professionals, Inc.

N

Columbus Kidney Care 

N

Comprehensive Women's Care, Inc.

N

Costin Family Practice, Inc.

N

Crosswoods Women's Health, Inc.

N

Damascus Family Medicine, Inc. 

N

Daniel Colopy 

N

Darren Adams, DO, LLC 

N

David W. Koontz DO, Inc.

N

David Walker 

N

David Whitt 

N

Debra A. Grayson, DO, Inc. 

N

Dennison Renal Care, Inc. 

N

Diabetes and Endocrinology Center Of Ohio, LLC

N

Diley Medical Group, LLC

N

Dublin Family Care, Inc.

N

Dublin Medical Clinic, Inc. II

N

Eastwind Womens Health, Inc.

N

Family Practice West, Inc.

N

Gateway Wellness Center, LLC

N

Gina Nichols

N

Grady Memorial Hospital

N

Harding Memorial Healthcare

N

Henry Wehrum

N

Hypertension Nephrology Consultants, Inc.

N

Innovative Womens Health, LLC

N

Internal Medicine Consultant Of Columbus, Inc.

N

James H. Duncan DO, Inc.

N

James Mcginnis

N

John N. Larrimer, MD, LLC

N

Kent Guisinger

N

Kevin Olson

N

Kewa Li, MD, Inc.

N

Kimberly S. Umhoefer DO, Inc.

N

Maple Leaf Family and Sports Medicine, LLC

N

Marion Area Physicians, LLC

N

Marion General Hospital, Inc.

N

Marion Independent Physicians Association, LLC

N

Marion Ob Gyn, Inc.

N

Marion Women's Health Center, Inc.

N

Mark Hickman

N

Mark Taylor

N

Mid Ohio Medical Management Limited

N

Midwest Internal Medicine Assoc.

N

Moundview Obstetrics & Gynecology, Inc.

N

Murlidhar Deshmukh

N

Northwest Obstetrics & Gynecology Associates, Inc.

N

Ohio Health Corporation

N

Ohiohealth Corporation

N

Parminder B. Singh MD, Inc.

N

Personal MD, LLC

N

Polaris Parkway Internal Medicine & Pediatrics, Ltd.

N

Primary Medical Specialists, Inc.

N

Quality Of Life Medical

N

Riverside Nephrology Associates, Inc.

N

Riverside Pulmonary Associates, Inc.

N

Robert P. Zaino, MD, LLC

N

Robert Santiago, MD, Inc.

N

Ryan Sandlin, LLC

N

Scioto Family Physicians, Inc.

N

Scioto Valley Family Physicians, Inc.

N

Stephen A. Turner, MD, Inc.

N

Stephen R. Richards MD, Inc.

N

Sudesh S. Reddy MD, Inc.

N

Susan Daab-Krzykowski

N

Timothy Ryan

N

Trust Medical Services, Inc.

N

Varsha Kharat

N

Women Physicians in Obgyn, Inc.

N

Womens Health Partners, LLC

N

Yellow Springs Primary Care, Inc.

N

ACO Governing Body

Last Name

First Name

Title/Position

Member's
Voting Power

Membership
Type

ACO Participant TIN
Legal Business
Name/DBA, if
Applicable

Applegate, MD

David

Chairman

Voting Member

ACO Participant Representative

OhioHealth Corporation

Block

Vicki

Member

Voting Member

ACO Participant Representative

OhioHealth Corporation

Whisman, MD

Gregory

Member

Voting Member

ACO Participant Representative

OhioHealth Physician Group

Henriques, MD

Rena

Member

Voting Member

ACO Participant Representative

OhioHealth Physician Group

Kunar, MD

Matthew

Member

Voting Member

ACO Participant Representative

OhioHealth Physician Group

Voet, MD

Sherry

Member

Voting Member

ACO Participant Representative

Scioto Family Physicians, Inc.

Zoll

Kenneth

Member

Voting Member

Medicare Beneficiary Representative

N/A

Taylor, MD

Philip

Member

Non-voting Member

ACO Participant Representative

OhioHealth Physician Group

Thornhill

Hugh

Member

Non-voting Member

ACO Participant Representative

Marion Area Physicians, LLC

Vanderhoff, MD

Bruce

Member

Non-voting Member

ACO Participant Representative

OhioHealth Corporation

Behnke, MD

Stephen

Member

Voting Member

ACO Participant Representative

Central Ohio Hospitalists, Inc.

Provanzana, MD

Kathleen

Member

Voting Member

ACO Participant Representative

Marion Area Physicians, LLC

 

Key ACO Clinical and Administrative Leadership:

Philip Taylor, Jr., MD

ACO Executive

Gregory Whisman, MD

Medical Director

Lauren McKown

Compliance Officer

Gregory Whisman, MD

Quality Assurance/Improvement Officer

 

Associated Committees and Committee Leadership:

Committee Name

Committee Leader Name and Position

Informatics

Mike Ross, Chair

Quality

Gregory Whisman, MD Chair

Utilization

Amy Imm, MD Chair

Finance

TBD

 

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

  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

  • N/A

Shared Savings Distributions

  • N/A

Quality Performance Results

Our ACO did not participate in the Shared Savings Program in the previous performance year, therefore this section is not applicable at this time.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.

 

PUBLIC DISCLOSURE OF THE ACO FEDERAL WAIVER

The Secretary of the Department of Health and Human Services (HHS) has made available a participation waiver of federal fraud and abuse laws in connection with the operation of accountable care organizations (“Federal Waiver”) that have entered into a participation agreement under the Medicare Shared Savings Program (MSSP) with the Centers for Medicare and Medicaid Services (CMS). OhioHealth Venture, LLC d/b/a OhioHealth Medicare ACO (“OHACO”) participates in the MSSP, and the OHACO’s Participants are hospitals, individual physicians or group practices that participate in the OHACO through signed agreements with OHACO.

OHACO has entered into a contract with OhioHealth Corporation, an Ohio nonprofit corporation (“Service Provider”) by which Service Provider will provide certain services including:

  • Financial, Legal and Operational Services
  • Marketing, Branding, and Planning Services
  • Clinical and Quality Services
  • Consulting Services

This arrangement has been disclosed to, reviewed by, and approved by OHACO’s Board of Managers. OHACO’s Board of Managers has concluded and documented its bona fide determination that the arrangements reasonably relate to one or more purposes of the MSSP. To comply with the Federal Waiver’s requirements and obtain the protections of the Federal Waiver, OHACO is publicly disclosing the arrangement entered into with OhioHealth Corporation on this website.

OHACO has entered into a contract with OhioHealth Group, an Ohio limited liability company (“Service Provider”) by which Service Provider will provide certain services including:

  • Financial, Legal and Operational Services
  • Marketing, Branding, and Planning Services
  • Clinical and Quality Services
  • Data and Analytics Services
  • Consulting Services

This arrangement has been disclosed to, reviewed by, and approved by OHACO’s Board of Managers. OHACO’s Board of Managers has concluded and documented its bona fide determination that the arrangements reasonably relate to one or more purposes of the MSSP. To comply with the Federal Waiver’s requirements and obtain the protections of the Federal Waiver, OHACO is publicly disclosing the arrangement entered into with OhioHealth Corporation on this website.