NH-Cares Accountable Care Organization (ACO)

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NH-Cares Accountable Care Organization (ACO)

NH-Cares ACO is a joint venture between three hospitals and ACO professionals. It's a not-for-profit organization based in Concord, NH and founded in 2018. The ACO consists of more than 630 healthcare providers employed by Concord Hospital, Mid-State Health Center, Riverbend Community Mental Health, Concord Regional Visiting Nursing Association, Speare Memorial Hospital and Exeter Health Resources who coordinate the health care of more than 24,000+ Medicare Fee-for-Service beneficiaries in their combined service areas. They are dedicated to promoting improved care coordination, improving patient outcomes and creating a collaborative environment with community partners. This approach ensures patients receive high quality, appropriate care from the right provider at the right time by identifying and addressing problems early. Working with Medicare, NH-Cares ACO provides its beneficiaries with high-quality care while reducing growth in Medicare expenditures.

Contact Information

250 Pleasant Street
Concord, NH 03301

Betsey Rhynhart, ACO Executive Director
Concord Hospital
(603) 227-7000, ext. 7267

For general questions or additional information about Accountable Care Organizations, visit www.medicare.gov/acos.html or call (800) MEDICARE (1-800-633-4227), TTY users call (877) 486-2048.

Organizational Information

ACO Participants

  1. Concord Hospital, Inc.
  2. Riverbend Comunity Mental Health, Inc.
  3. Concord Regional Visiting Nurse Association, Inc.
  4. Mid-State Health Center
  5. Speare Memorial Hospital
  6. Core Physicians
  7. Exeter Hospital
ACO participants in joint ventures between ACO and professionals and hospitals
  1. No participants are involved in a joint venture between ACO professionals and hospitals
ACO Governing Body
  1. Ms. Linda Kenney-Janaosz, Voting Member, ACO Participant, Exeter Hospital
  2. Ms. Michelle McEwen, Voting Member, ACO Participant, Speare Memorial Hospital
  3. Ms. Sandy Cassetta, Voting Member, ACO Participant, Core Physicians
  4. Mr. Scott Sloane, Voting Member, ACO Participant, Concord Hospital
  5. Mr. Robert Steigmeyer, CEO, ACO
  6. Ms. Betsey Rhynhart, Executive Director ACO
  7. Ms. Beth Slepian, Voting Member, ACO Participant Concord Hospital
  8. Dr. Michael McLeod, Voting Member, ACO Participant, Concord Hospital
  9. Dr. Melanie Lanier, Voting Member, ACO Participant, Core Physicians
  10. Mr. Robert MacLeod, Voting Member, ACO Participant, Mid-State Health Center
  11. Peter Evers, Voting Member, ACO Participant, Riverbend Community Mental Health
  12. Don Welford, Voting Member, Medicare Beneficiary, Concord Hospital
  13. Ms. Rebecca Ekholm, Non-Voting Member, ACO Participant, Mid-State Health Center
  14. Dr. Darren Guy, Voting Member, ACO Participant, Exeter Hospital
Key ACO Clinical and Administrative Leadership
  1. CEO: Mr. Robert Steigmeyer
  2. Executive Director: Ms. Betsey Rhynhart
  3. Medical Director: Dr. Darren Guy
  4. Compliance Official: Ms. Rebecca Ekholm
  5. Quality Assurance/Improvement Officer: Dr. Darren Guy
Associated Committees and Committee Leadership
  1. Compliance Committee: Ms. Rebecca Ekholm, Chair
  2. Clinical Transformation Committee: Dr. Darren Guy, Chair
  3. Data and Analytics Committee: Mr. Jeffrey Smith,Co-chair Healthcare Analytics & Ms. Linda Kenney-Janosz, Co-chair
  4. Finance Committee: Ms. Allyson Hicks, Chair
Types of ACO participants or combinations of participants that formed the ACO
  1. Partnership or joint venture arrangement between hospital and ACO professionals
  2. Hospital employing ACO professionals
  3. Federally qualified Health Center (FQHC)
  4. Critical access hospital
  5. Rural health center

Shared Savings & Losses

Amount of Shared Savings/Losses

  • First Agreement Period

  • Performance Year 2019, $0
  • Performance Year 2020, $0
  • Performance Year 2021, $0
  • Second Agreement Period
  • Performance Year 2022, $0
  • Performance Year 2023, $0
  • Performance Year 2024, $0

Shared Savings Distribution

  • First Agreement Period
  • Performance Year 2019
      • Proportion invested in infrastructure:
      • Proportion invested in redesigned care processes/resources:
      • Proportion of distribution to ACO participants:

    Payment Rule Waivers

    NH-Cares ACO ACO does not utilize the SNF 3-Day Rule Waiver.

    Quality Performance Results

    The 2019 Quality Performance Results Table will be available in 2020.