ACO Name and Location
Sentara Accountable Care Organization, LLC
1300 Sentara Park
Virginia Beach, VA 23464
Primary Contact
Grayling Yarbrough
757-252-3087
gxyarbro@sentara.com
Organizational Information
| ACO Participants | ACO Participant in Joint Venture (Y or N) |
| ACO Participants Sentara Medical Group | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Martha Jefferson Medical Group LLC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants EVMS Academic Physicians and Surgeons Health Services Foundation | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Associates in Primary Care, PC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Hampton Family Practice, PLLC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Harrisonburg Family Practice Associates PC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Albemarle Physician Services - Sentara Inc | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants RMH Medical Group, LLC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Charlottesville Internal Medicine, PLC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants Family Medicine Healthcare, PLLC | ACO Participant in Joint Venture (Y or N) N |
| ACO Participants James River Family Practice, LLC | ACO Participant in Joint Venture (Y or N) N |
| Member First Name | Member Last Name | Member Title / Position | Member's Voting Power (Expressed as a percentage) | Membership Type | ACO Participant TIN Legal Business Name |
| Member First Name Colin | Member Last Name Findlay | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Sentara Medical Group |
| Member First Name Steven | Member Last NamePearman | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Sentara Medical Group |
| Member First Name Joseph | Member Last NameEvans | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Martha Jefferson Medical Group LLC |
| Member First Name Bobbie | Member Last NameSperry | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Hampton Family Practice, PLLC |
| Member First Name Margaret | Member Last Name Baumgarten | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation |
| Member First Name Lindsey | Member Last NameVaughn | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Sentara Medical Group |
| Member First Name A. Christian | Member Last Name Iudica | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Harrisonburg Family Practice Associates PC |
| Member First Name Lea | Member Last NameLaplace | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name Associates in Primary Care, PC |
| Member First Name Jason | Member Last NameDukes | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type ACO Participant Representative | ACO Participant TIN Legal Business Name EVMS Academic Physicians and Surgeons Health Services Foundation |
| Member First Name Lance | Member Last Name Torcom | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type Community Stakeholder Representative | ACO Participant TIN Legal Business Name N/A |
| Member First NamePaul | Member Last NameGaden | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type Community Stakeholder Representative | ACO Participant TIN Legal Business Name N/A |
| Member First Name Robert | Member Last Name Palmer | Member Title / Position Voting Member | Member's Voting Power (Expressed as a percentage) 8.33% | Membership Type Medicare Beneficiary Representative | ACO Participant TIN Legal Business Name N/A |
Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.
| Title / Position | Name |
| Title / Position ACO Executive | Name Grayling Yarbrough |
| Title / Position Medical Director | Name Moss Mendelson, MD |
| Title / Position Compliance Officer | Name Michael-Angelo P Orciga |
| Title / Position Quality Assurance and Improvement Officer | Name Grayling Yarbrough |
ACO professionals in a group practice arrangement
Shared Savings and Losses
Amount of Shared Savings/Losses:
- First Agreement Period
- Performance Year 2022, $18,715,254.79
- Performance Year 2021, $12,141,685.89
- Performance Year 2020, $10,963,647.77
Shared Savings Distribution:
- First Agreement Period
- Performance Year 2022
- Proportion invested in infrastructure: 15.4%
- Proportion invested in redesigned care processes/resources: 17.8%
- Proportion of distribution to ACO participants: 66.8%
- Performance Year 2021
- Proportion invested in infrastructure: 10.6%
- Proportion invested in redesigned care processes/resources: 18.8%
- Proportion of distribution to ACO participants: 70.6%
- Performance Year 2020
- Proportion invested in infrastructure: 20%
- Proportion invested in redesigned care processes/resources: 25.6%
- Proportion of distribution to ACO participants: 54.4%
- Performance Year 2022
Quality Performance Results
2022 Quality Performance Results:
Quality performance results are based on CMS Web Interface collection type.
| Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
| Measure # 001 | Measure Name Diabetes: Hemoglobin A1c (HbA1c) Poor Control | Collection Type CMS Web Interface | Reported Performance Rate 6.57 | Current Year Mean Performance Rate (SSP ACOs) 10.71 |
| Measure # 134 | Measure Name Preventative Care and Screening: Screening for Depression and Follow-up Plan | Collection Type CMS Web Interface | Reported Performance Rate 92.94 | Current Year Mean Performance Rate (SSP ACOs) 76.97 |
| Measure # 236 | Measure Name Controlling High Blood Pressure | Collection Type CMS Web Interface | Reported Performance Rate 75.35 | Current Year Mean Performance Rate (SSP ACOs) 76.16 |
| Measure # 318 | Measure Name Falls: Screening for Future Fall Risk | Collection Type CMS Web Interface | Reported Performance Rate 95.03 | Current Year Mean Performance Rate (SSP ACOs) 87.83 |
| Measure # 110 | Measure Name Preventative Care and Screening: Influenza Immunization | Collection Type CMS Web Interface | Reported Performance Rate 83.33 | Current Year Mean Performance Rate (SSP ACOs) 77.34 |
| Measure # 226 | Measure Name Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | Collection Type CMS Web Interface | Reported Performance Rate 94.44 | Current Year Mean Performance Rate (SSP ACOs) 79.27 |
| Measure # 113 | Measure Name Colorectal Cancer Screening | Collection Type CMS Web Interface | Reported Performance Rate 89.42 | Current Year Mean Performance Rate (SSP ACOs) 75.32 |
| Measure # 112 | Measure Name Breast Cancer Screening | Collection Type CMS Web Interface | Reported Performance Rate 85.96 | Current Year Mean Performance Rate (SSP ACOs) 78.07 |
| Measure # 438 | Measure Name Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | Collection Type CMS Web Interface | Reported Performance Rate 88.41 | Current Year Mean Performance Rate (SSP ACOs) 86.37 |
| Measure # 370 | Measure Name Depression Remission at Twelve Months | Collection Type CMS Web Interface | Reported Performance Rate 0.00 | Current Year Mean Performance Rate (SSP ACOs) 16.03 |
| Measure # 479 | Measure Name Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Collection Type Administrative Claims | Reported Performance Rate 0.1454 | Current Year Mean Performance Rate (SSP ACOs) 0.1510 |
| Measure # 484 | Measure Name Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions | Collection Type Administrative Claims | Reported Performance Rate 29.37 | Current Year Mean Performance Rate (SSP ACOs) 30.97 |
| Measure # CAHPS-1 | Measure Name Getting Timely Care, Appointments, and Information | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 79.76 | Current Year Mean Performance Rate (SSP ACOs) 83.96 |
| Measure # CAHPS-2 | Measure Name How Well Providers Communicate | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 91.16 | Current Year Mean Performance Rate (SSP ACOs) 93.47 |
| Measure # CAHPS-3 | Measure Name Patient’s Rating of Provider | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 90.88 | Current Year Mean Performance Rate (SSP ACOs) 92.06 |
| Measure # CAHPS-4 | Measure Name Access to Specialists | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 71.97 | Current Year Mean Performance Rate (SSP ACOs) 77.00 |
| Measure # CAHPS-5 | Measure Name Health Promotion and Education | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 61.80 | Current Year Mean Performance Rate (SSP ACOs) 62.68 |
| Measure # CAHPS-6 | Measure Name Shared Decision Making | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 60.33 | Current Year Mean Performance Rate (SSP ACOs) 60.97 |
| Measure # CAHPS-7 | Measure Name Health Status and Functional Status | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 72.33 | Current Year Mean Performance Rate (SSP ACOs) 73.06 |
| Measure # CAHPS-8 | Measure Name Care Coordination | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 85.49 | Current Year Mean Performance Rate (SSP ACOs) 85.46 |
| Measure # CAHPS-9 | Measure Name Courteous and Helpful Office Staff | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 91.50 | Current Year Mean Performance Rate (SSP ACOs) 91.97 |
| Measure # CAHPS-11 | Measure Name Stewardship of Patient Resources | Collection Type CAHPS for MIPS Survey | Reported Performance Rate 26.26 | Current Year Mean Performance Rate (SSP ACOs) 25.62 |
For Previous Years’ Financial and Quality Performance Results, Please Visit data.cms.gov.