Medicare Shared Savings Program (MSSP)

A practitioner holds a tablet computer while smiling and talking to a patient in medical facility

A Medicare model, focusing on delivering the right care at the right time, while avoiding unnecessary services and medical errors.

It is an alternative payment model that:

  • Promotes accountability for a patient population
  • Coordinates items and services for Medicare Fee for Service Beneficiaries
  • Encourages investment in high quality and efficient services
  • Transitions from volume to value-based payment

ACO Name and Location

CVS ACO, LLC

233 Spring Street, 12th Floor

New York, NY 10013

ACO Primary Contact

Khue Nguyen
925-464-0701

knguyen@cvshealth.com

Organizational Information

ACO Participants

ACO Participant
in Joint Venture

MINUTECLINIC DIAGNOSTIC OF OHIO LLC

N

OHIO STATE UNIVERSITY

N
OHIO STATE UNIVERSITY - CAP N
OHIO STATE UNIVERSITY HOSPITALS N
OHIO STATE UNIVERSITY ORTHOPEDIC N
OSU EMERGENCY MEDICINE LLC N
OSU EYE PHYSICIANS AND SURGEONS, LLC N
OSU FAMILY PRACTICE SERVICES N
OSU GENERAL INTERNAL MEDICINE LLC N
OSU GYN & OB CONSULTANTS, LLC N
OSU HEALTH SYSTEM ANESTHESIA N
OSU HEALTH SYSTEM NEUROSURGERY N
OSU INTERNAL MEDICINE LLC N
OSU NEUROSCIENCE CENTER, LLC N
OSU OBSERVATION MEDICINE, LLC N
OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC

N
OSU PATHOLOGY SERVICES, LLC N
OSU PHYSICAL MEDICINE AND REHABILITATION, LLC N
OSU PLASTIC SURGERY, LLC N
OSU PSYCHIATRY, LLC N
OSU RADIATION ONCOLOGY LLC N
OSU RADIOLOGY LLC N
OSU SPORTS MEDICINE CENTER N
OSU SURGERY, LLC N
OSU UROLOGY, LLC N
YUMA REGIONAL MEDICAL CENTER N

 

ACO Governing Body

Member First Name

Member Last Name

Member Title/Position

Member's Voting Power (Expressed as a percentage)

Membership Type

ACO Participant Legal Business Name, if applicable

Mohamed

Diab

CEO

15%

Other

N/A
Khue Nguyen Treasurer 4% Other N/A
Jonathan Rubens Secretary 4% Other N/A
David Fairchild CMO 15% ACO Participant Representative MinuteClinic Diagnostic of Ohio LLC
Rachit Thariani Chief Administrative Officer 15% ACO Participant Representative Ohio State University
Jonathan Parsons Executive Vice Chair of Clinical Operations 15% ACO Participant Representative Ohio State University
Aaron Clark Medical Director 15% ACO Participant Representative Ohio State University
Brent Mulgrew Medicare Beneficiary Representative 2% Medicare Beneficiary Representative N/A
Navaneeth Kumar Executive 15% ACO Participant Representative Yuma Regional Medical Center

Key ACO Clinical and Administrative Leadership

ACO Executive: Mohamed Diab, MD

Medical Director: Jonathan Rubens, MD

Compliance Officer: Beverley Barra

Quality Assurance/Improvement Officer: Jonathan Rubens, MD

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name and Position

TBD

 

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

  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Fourth Agreement Period

Performance Year N/A

Third Agreement Period

Performance Year N/A

Second Agreement Period

Performance Year N/A

First Agreement Period

Performance Year N/A

 

Shared Savings Distribution

Fourth Agreement Period

Performance Year N/A

  • Proportion invested in infrastructure: N/A%
  • Proportion invested in redesigned care processes/resources: N/A%
  • Proportion of distribution to ACO participants: N/A%

Third Agreement Period

Performance Year N/A

  • Proportion invested in infrastructure: N/A%
  • Proportion invested in redesigned care processes/resources: N/A%
  • Proportion of distribution to ACO participants: N/A%

Second Agreement Period

Performance Year N/A

  • 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 N/A

  • 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

2023 Quality Performance Results

Our ACO did not participate in the Shared Savings Program in Performance Year 2023; therefore, this section is not applicable at this time.

For previous years' Financial and Quality Performance Results, please visit: Data.CMS.gov.

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.