Accountable Care Organization (ACO)
Concord Hospital Inc., 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 2021. The ACO consists of more than 648 healthcare providers employed by Concord Hospital, Inc., Concord Hospital - Laconia and Concord Hospital - Franklin, who coordinate the health care of more than 12,501 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 key 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, Concord Hospital ACO provides its beneficiaries with high-quality care while reducing growth in Medicare expenditures.
Beneficiary Information
Contact Information
Concord Hospital ACO, LLC
250 Pleasant Street
Concord, NH 03301-2598
ACO Primary Contact
Betsey Rhynhart
aco@crhc.org
For general questions or additional information about Accountable Care Organizations, visit www.medicare.gov/providers-services/coordinating-care or call (800) MEDICARE (1-800-633-4227), TTY users call (877) 486-2048.
Organizational Information
ACO Participants
Concord Hospital ACO, LLC
Concord Hospital - Franklin ACO, LLC
Concord Hospital - Laconia, ACO, LLC
ACO Participant in Joint Venture
No
Members
|
Last Name
|
First Name
|
Title/Position
|
Member's Voting Power (%)
|
Membership Type
|
ACO Participant Legal Business Name/DBA
|
| Rhynhart |
Betsey |
ACO Executive Director |
10% |
ACO Participant Representative |
Concord Hospital ACO, LLC |
| Fore |
Christopher |
ACO CEO and Quality Officer |
10% |
ACO Participant Representative |
Concord Hospital ACO, LLC |
| McLeod |
Michael |
ACO Medical Director |
10% |
ACO Participant Representative |
Concord Hospital ACO, LLC |
| Hicks |
Allyson |
Vice President Finance |
10% |
ACO Participant Representative |
Concord Hospital, Inc. |
| Dolan |
Katherine |
Senior Data Analyst |
10% |
ACO Participant Representative |
Concord Hospital, Inc. |
| Welford |
Don |
Medicare Beneficiary |
10% |
Medicare Beneficiary |
N/A |
Key ACO Clinical and Administrative Leadership
- Executive Director: Betsey Rhynhart
- Medical Director: Michael McLeod, DO
- Compliance Officers: Jennifer Thompson
- CEO and Quality Assurance/Improvement Officer: Christopher Fore, MD
Associated Committees and Committee Leadership
- Concord Hospital ACO, LLC (Christopher Fore, MD Chair)
- Concord Hospital - Franklin ACO, LLC (Gretchen Andrews, Chair)
- Concord Hospital - Laconia, ACO, LLC (Christopher Fore, MD Chair, Jennifer Leonard, RN, Gretchen Andrews, RN)
Types of ACO participants or combinations of participants that formed the ACO
- ACO professionals in group practice arrangements
- Hospitals employing ACO professionals
- Critical Access Hospital (CAH) that bill under Method II
- Rural Health Clinic
Shared Savings & Losses
Amount of Shared Savings/Losses
- First Agreement Period
- Performance Year 2023, $0
Shared Savings Distribution
- First Agreement Period
- Performance Year 2023
- Proportion invested in infrastructure: 0
- Proportion invested in redesigned care processes/resources: 0
- Proportion of distribution to ACO participants: 0
2024 Quality Performance Results
Quality performance results are based on CMS Web Interface Measure Set and CAHPs for MIPS Measures.
|
Measure #
|
Measure Name
|
Collection Type
|
Rate
|
ACO Mean
|
|
001
|
Diabetes: Hemoglobin A1c(HbA1c) Poor Control (1)
|
CMS Web Interface Measure Set
|
8.96
|
9.44
|
|
134
|
Preventative Care and Screening: Screening for Depression and Follow-up plan
|
CMS Web Interface Measure Set
|
82.49
|
81.46
|
|
236
|
Controlling high blood pressure
|
CMS Web Interface Measure Set
|
72.85
|
79.49
|
|
318
|
Falls: Screening for future fall risk
|
CMS Web Interface Measure Set
|
90.56
|
88.99
|
|
110
|
Preventative Care and Screening: Influenza Immunization
|
CMS Web Interface Measure Set
|
68.45
|
68.6
|
|
226
|
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention
|
CMS Web Interface Measure Set
|
62.07
|
79.98
|
|
113
|
Colorectal Cancer Screening
|
CMS Web Interface Measure Set
|
76.7
|
77.81
|
|
112
|
Breast Cancer Screening
|
CMS Web Interface Measure Set
|
81.48
|
80.93
|
|
438
|
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
|
CMS Web Interface Measure Set
|
74.77
|
86.5
|
|
370
|
Depression Remission at Twelve Months
|
CMS Web Interface Measure Set
|
2.33
|
17.35
|
|
321
|
CAHPS for MIPS (3)
|
CMS Web Interface Measure Set
|
4.18
|
6.67
|
|
479
|
Hospital-wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups (1)
|
CMS Web Interface Measure Set
|
0.1595
|
0.1517
|
|
484
|
Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (1)
|
CMS Web Interface Measure Set
|
45.84
|
37
|
|
CAHPS - 1
|
Getting Timely Care, Appointments, and Information
|
CAHPS for MIPS Measures
|
78.93
|
83.7
|
|
CAHPS – 2
|
How Well Providers Communicate
|
CAHPS for MIPS Measures
|
92.14
|
93.96
|
|
CAHPS - 3
|
Patient’s Rating of Provider
|
CAHPS for MIPS Measures
|
90.16
|
92.43
|
|
CAHPS – 4
|
Access to Specialists
|
CAHPS for MIPS Measures
|
70.14
|
75.76
|
|
CAHPS – 5
|
Health Promotion and Education
|
CAHPS for MIPS Measures
|
64.75
|
65.48
|
|
CAHPS – 6
|
Shared Decision Making
|
CAHPS for MIPS Measures
|
57.15
|
62.31
|
|
CAHPS – 7
|
Health Status and Functional Status
|
CAHPS for MIPS Measures
|
72.71
|
74.14
|
|
CAHPS – 8
|
Care Coordination
|
CAHPS for MIPS Measures
|
83.69
|
85.89
|
|
CAHPS – 9
|
Courteous and Helpful Office Staff
|
CAHPS for MIPS Measures
|
93.58
|
92.89
|
|
CAHPS - 11
|
Stewardship of Patient Resources
|
CAHPS for MIPS Measures
|
24.72
|
26.98
|
Payment Rule Waivers - None
Fraud and Abuse Waivers - None
For previous years' financial and quality improvement results, please visit data.cms.gov.
