Medicare Shared Savings Program
Pursuit National Care Network
Shared Savings Program Public Reporting
Shared Savings Program Public Reporting
ACO Name and Location
Pursuit National Care Network, LLC
40 Burton Hills Blvd
Suite 370
Nashville, TN 37215
ACO Primary Contact
Primary Contact Name: Kristin Shaw, MPH, Director of Medicare ACO
Primary Contact Phone: 855-333-2070
Primary Contact Email: MSSPRevereACO@bookmarkmed.com
Organizational Information
ACO Participants
| ACO Participants | ACO Participant in Joint Venture |
|---|---|
| ADVANCED DIAGNOSTIC IMAGING PC | No |
| ANIKET CHAKRABARTI MD PC | No |
| BREVARD HEALTH CARE LLC | No |
| CHAVEZ JO INTERNAL MEDICINE P.A. | No |
| Doctor Malvar & Associate | No |
| DONNA L BACON MD PA | No |
| HYDE PARK HEALTH ASSOCIATES INC. | No |
| LAILA ATTAR | No |
| LOTUS MED LLC | No |
| MERRIMACK VALLEY MEDICAL ASSOCIATES PC | No |
| NEW ENGLAND PRIMARY CARE ASSOCIATES P.C. | No |
| PERSONAL CARE PHYSICIANS PC | No |
| PRIMA CARE PC | No |
| PRIMARY CARE CLINIC BOSTON PC | No |
| RICARDO A SERRANO MD PA | No |
| SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC | No |
| SAPPHIRE HEALTH AND WELLNESS LLC | No |
| SUNITA GODIWALA | No |
| TRISTAN MEDICAL ENTERPRISES PC | No |
| TRISTAN MEDICAL PC | No |
| WRIGHT FAMILY MEDICINE, INC | No |
ACO Governing Body
| Member First Name | Member Last Name | Member Title/Position | Voting Power | Membership Type | ACO Participant Legal Business Name |
|---|---|---|---|---|---|
| Ehab | Sorial | Provider Manager | 15% | ACO Participant Representative | PRIMA CARE PC |
| Laila | Attar | Provider Manager | 15% | ACO Participant Representative | LAILA ATTAR |
| Manuela | Mendes | Provider Manager | 15% | ACO Participant Representative | PRIMA CARE PC |
| Vartan | Yeghiazarians | Provider Manager | 15% | ACO Participant Representative | SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC |
| Leo | Lane | Provider Manager | 15% | ACO Participant Representative | MERRIMACK VALLEY MEDICAL ASSOCIATES PC |
| Benson | Sloan | Member Manager | 5% | Other | N/A |
| Mark | Jansen | Member Manager | 5% | Other | N/A |
| Tommy | Jansen | Member Manager | 5% | Other | N/A |
| Joseph | Weinstein | Member Manager | 5% | Other | N/A |
| Andrew | Herman | Member Manager | 5% | Other | N/A |
| Chuck | Benson | Beneficiary | 0% | Medicare Beneficiary Representative | N/A |
*Member's voting power may have been rounded to reflect a total voting power of 100%.
| Member First Name | Member Last Name | Member Title/Position | Membership Type | ACO Participant Legal Business Name |
|---|---|---|---|---|
| Nabil | Aziz | Provider Manager | ACO Participant Representative | Nabil W Aziz MD PA |
| Paul | Burns | Provider Manager | ACO Participant Representative | Paul Burns |
Key ACO Clinical and Administrative Leadership
ACO Executive: Kristin Shaw
Medical Director: Dr. Joseph Weinstein
Compliance Officer: Amy Paul, Heather Smith
Quality Assurance / Improvement Officer: Elizabeth Taveres
Associated Committees and Committee Leadership
| Committee Name | Committee Leader Name and Position |
|---|---|
| Revere Medicare ACO Compliance Committee | Amy Paul, Director of Compliance |
Types of ACO Participants, or Combinations of Participants, That Formed the ACO
- Federally Qualified Health Center (FQHC)
- ACO professionals in a group practice arrangement
- Hospital employing ACO professionals
- Networks of Individual Practices
Shared Savings and Losses
Amount of Shared Savings/Losses
Third Agreement Period
Second Agreement Period
First Agreement Period
Note: Our ACO participated in multiple performance years during Calendar Year 2019. The shared savings/losses amount reported for Performance Year 2019, therefore, represents net shared savings or losses across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Shared Savings Distributions
Third Agreement Period
| Year | Infrastructure | Redesigned Care Processes | ACO Participants |
|---|---|---|---|
| Performance Year 2026 | N/A | N/A | N/A |
| Performance Year 2025 | N/A | N/A | N/A |
Second Agreement Period
| Year | Infrastructure | Redesigned Care Processes | ACO Participants |
|---|---|---|---|
| Performance Year 2024 | 25% | 25% | 50% |
| Performance Year 2023 | 25% | 25% | 50% |
| Performance Year 2022 | 10% | 10% | 80% |
| Performance Year 2021 | 10% | 10% | 80% |
| Performance Year 2020 | 10% | 10% | 80% |
| Performance Year 2019-A | 15% | 15% | 70% |
First Agreement Period
| Year | Infrastructure | Redesigned Care Processes | ACO Participants |
|---|---|---|---|
| Performance Year 2019 | 15% | 15% | 70% |
| Performance Year 2018 | N/A | N/A | N/A |
Note: Our ACO participated in multiple performance years during Calendar Year 2019. The distribution of shared savings reported for Performance Year 2019, therefore, represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.
Quality Performance Results
2024 Quality Performance Results:
Quality performance results are based on the eCQMs/MIPS CQMs/Medicare CQMs collection type.
| Measure # | Measure Name | Collection Type | Reported Performance Rate | Current Year Mean Performance Rate (SSP ACOs) |
|---|---|---|---|---|
| 321 | CAHPS for MIPS | CAHPS for MIPS Survey | 7.53 | 6.67 |
| 479* | Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups | Administrative Claims | 0.159 | 0.1517 |
| 484* | Clinician and Clinician Group Risk standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) | Administrative Claims | – | 37 |
| 318 | Falls: Screening for Future Fall Risk | CMS Web Interface | – | – |
| 110 | Preventative Care and Screening: Influenza Immunization | CMS Web Interface | – | – |
| 226 | Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention | CMS Web Interface | – | – |
| 113 | Colorectal Cancer Screening | CMS Web Interface | – | – |
| 112 | Breast Cancer Screening | CMS Web Interface | – | – |
| 438 | Statin Therapy for the Prevention and Treatment of Cardiovascular Diseases | CMS Web Interface | – | – |
| 370 | Depression Remission at Twelve Months | CMS Web Interface | – | – |
| 001* | Diabetes: Hemoglobin A1c (HbA1c) Poor Control | MIPS CQM | 28.21 | 23.88 |
| 134 | Text Here | MIPS CQM | 42.6 | 53.1– |
| 236 | Controlling High Blood Pressure | MIPS CQM | 76.68 | 72.43 |
| CAHPS-1 | Getting Timely Care, Appointments, and Information | CAHPS | 86.23 | 83.7 |
| CAHPS-2 | How Well Providers Communicate | CAHPS | 94.63 | 93.96 |
| CAHPS-3 | Patient's Rating of Provider | CAHPS | 92.64 | 92.43 |
| CAHPS-4 | Access to Specialists | CAHPS | 77.37 | 75.76 |
| CAHPS-5 | Health Promotion and Education | CAHPS | 65.64 | 65.48 |
| CAHPS-6 | Shared Decision Making | CAHPS | 66.25 | 62.31 |
| CAHPS-7 | Health Status and Functional Status | CAHPS | 75.51 | 74.14 |
| CAHPS-8 | Care Coordination | CAHPS | 87.13 | 85.89 |
| CAHPS-9 | Courteous and Helpful Office Staff | CAHPS | 93.03 | 92.89 |
| CAHPS-11 | Stewardship of Patient Resources | CAHPS | 23.05 | 26.98 |
For previous years' Financial and Quality Performance Results, please visit: Data.cms.gov
*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.
*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.
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.
Prepaid Shared Savings (PSS)
In accordance with 42 CFR § 425.640(i)(1), an ACO must publicly report information about the ACO's use of prepaid shared savings for each performance year, as set forth in 42 CFR § 425.308(b)(10). Prepaid shared savings used for any expenses other than allowable uses under 42CFR § 425.640(e)(1) are subject to compliance action.
Spend Plan
| Payment Use | General Spend Category | General Spend Subcategory | Beneficiary Group | Cost Sharing Support (Part B Service(s)) | Projected Spending 2026 | Actual Spending 2026 |
|---|---|---|---|---|---|---|
| Care Management | Direct Beneficiary Services | Cost sharing support that reduces or eliminates cost sharing for categories of Part B services for Shared Savings Program beneficiaries identified by the ACO. | Medicare Beneficiaries | Eligible Part B Evaluation and Management Services | $3,424,352.00 | $0.00 |
| IT | Healthcare Infrastructure | IT-enabled screening tools | — | — | $500,000.00 | $0.00 |
| IT | Healthcare Infrastructure | Investment in certified electronic health record technology (CEHRT) | — | — | $750,000.00 | $0.00 |
| Subtotals | $4,674,352.00 | $0.00 | ||||
| Percentage of Spend on Direct Beneficiary Services (Must Be No Less Than 50%) | 73.26% | 0.00% | ||||
Spend Plan Summary
Fraud and Abuse Waivers
ACO Pre-Participation Waiver:
The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement: N/A
ACO Participation Waiver:
- Effective November 15, 2023, CNCN entered into an Infrastructure Support Program Agreement (the “Agreement”) with PrimaCare, P.C. to support the employment of Nurse Quality Coordinators by PrimaCare, P.C. The Nurse Quality Coordinators will identify and manage actionable clinical interventions among the Medicare population to improve quality of care and patient outcomes.
CNCN has developed a Participation Waiver Program Agreement, pursuant to which CNCN will contract with a select group of skilled nursing facilities (“SNFs”), which are participating in the CNCN MSSP ACO, to incentivize high quality and cost-effective performance through health care reform, enhance the coordination of care across the continuum, and improve the quality and efficiency of care experience by CNCN ACO beneficiaries. The agreement will create a network that rewards high performing SNFs based on quality and efficiency metrics and ensures high-value SNF partners are an option for CNCN MSSP ACO physicians and beneficiaries.
The following are the SNFs with whom CNCN has currently contracted (all effective 3/4/2024 or 3/6/2024 or 3/13/2024):
Aspen Hill, effective 3/4/2024Bostonian, effective 3/4/2024Briarwood, effective 3/4/2024Brighton House, effective 3/4/2024Care One Brookline, effective 3/4/2024Care One New Bedford, effective 3/4/2024Care One Newton, effective 3/4/2024Care One Randolph, effective 3/4/2024Care One Weymouth, effective 3/4/2024Cedar View, effective 3/4/2024Clifton Rehab, effective 3/4/2024Countryside, effective 3/4/2024Foremost at Sharon, effective 3/4/2024Hancock Park, effective 3/4/2024Hannah B Shaw, effective 3/4/2024Hannah Duston, effective 3/4/2024Hebrew Rehab, effective 3/4/2024Kimwell, effective 3/4/2024Liberty Health Care, effective 3/4/2024Life Care Center Melbourne, effective 3/4/2024Life Care Center Palm Bay, effective 3/6/2024Maples, effective 3/6/2024Marina Bay, effective 3/6/2024Maristhill, effective 3/6/2024Meadow Green, effective 3/6/2024MI - Mary Immaculate, effective 3/6/2024Nemasket, effective 3/6/2024NewBridge on the Charles, effective 3/6/2024O'Brien, effective 3/6/2024Palm Garden Vero Beach, effective 3/6/2024Penacook Place, effective 3/6/2024Presentation Rehab, effective 3/6/2024RegalCare Taunton, effective 3/6/2024River Terrace, effective 3/6/2024Rockledge Health and Rehab, effective 3/13/2024Sante of Chandler, effective 3/13/2024Sante of Mesa, effective 3/13/2024Sante of North Scottsdale, effective 3/13/2024Sante of Surprise, effective 3/13/2024Sarah Brayton, effective 3/13/2024Sippican, effective 3/13/2024Solaris Merritt Island, effective 3/13/2024Somerset Ridge, effective 3/13/2024SOV Howland, effective 3/13/2024SOV Liberty, effective 3/13/2024St. John XXIII, effective 3/13/2024St. Joseph Manor, effective 3/13/2024The Ellis, effective 3/13/2024The Nevins, effective 3/13/2024Viera Health & Rehab, effective 3/13/2024Webster Park, effective 3/13/2024West Acres, effective 3/13/2024Whittier Bradford TCU, effective 3/13/2024Windsor House Champion, effective 3/13/2024
Posted 3/28/25