Physicians Accountable Care Solutions, LLC

Medicare Shared Savings Program

Accountable Care Organization - A2636              

68 Bridge St, Suite 118, Suffield, CT 06078

Anonymous 24/7 Compliance Hotline: 860-986-6606

ACO Primary Contact

Dr. Phil Gaziano

ACO Participants: See full roster here

Identification of ACO Participants in Joint Ventures between ACO Professionals and Hospitals

No participants are involved in a joint venture between ACO professionals and hospitals.

ACO Governing Body
Name Title Voting Participant Representative Member Status
Philip Gaziano, MD CEO and Board Chair Yes N/A ACO Vendor
Robert Russo, MD Secretary and Treasurer Yes Medical Specialty Group Participant
Brian Zehnder, MD Quality Assurance Officer Yes Exodus Healthcare Network, PLLC Participant
Jan Gillespie, MD Medical Director Yes Northern CO. Pain Management Participant
William Klas, MD Yes Marshall Medical Center Participant
Kevin Halbritter, MD Yes West Virginia University Hospitals, Inc. Participant
Brian Johnson, MD Yes Allegheny Clinic Participant
Steven Miller, MD Yes Intermountain Ear Nose And Throat Specialists LLC Participant
Gerald Rossman, MD Yes Allegheny Clinic Participant
Dr. Frank Sammarco Yes Soundview Medical Associates, LLC Participant
Dr. Jill Owens Yes Bradford Family Medicine, Inc. Participant
Lynn Carlson Medicare Beneficiary Representative Yes N/A Beneficiary
Philip Gaziano, MD Data Use Custodian Yes N/A ACO Vendor
Thomas Gaziano, MD No Harvard Institute for Global Health Community Stakeholder
John Wood, Esq. Compliance Officer No N/A Consumer Advocate

Key Clinical and Administrative Leadership Personnel

Title Name
ACO Executive Philip Gaziano, MD
Medical Director Jan Gillespie, MD.
Compliance Official John Wood, Esq.
Quality Assurance/Improvment Officer Brian Zehnder, MD
Secretary and Treasurer Robert Russo, MD

Finance and Audit Committee: Chair Robert Russo, MD, Treasurer

Compliance Committee: Chair John Wood, Esq., Chief Compliance Officer

Quality Committee: Chair Brian Zehnder, MD, Quality Assurance Officer

Data Security, Analytics, Utilization, and Reporting Committee: Chair Philip Gaziano, MD, Data Use Custodian

Shared Savings Committee: Philip Gaziano, MD, Data Use Custodian

Types of ACO participants, or combinations of participants, that formed the ACO

  • ACO professionals in a group practice arrangement
  • A network of individual practices of ACO professionals
  • A hospital employing ACO professionals
  • A critical access hospital (CAH) billing under Method II
  • A rural health center (RHC)

Amount of Shared Savings/Losses

Agreement Period beginning January 1, 2015, Performance Year 2015: $0

How Shared Savings Are Distributed:

Agreement Period beginning January 1, 2015, Performance Year 2015:

Proportion invested in infrastructure: 20%

Proportion invested in redesigned care processes/resources: 5%

Proportion of distribution to ACO participants:   75%

Payment Rule Waivers

No, our ACO does not utilize the SNF 3-Day Rule Waiver.

Quality Reporting Results

Measure Number Measure Name ACO Performance Rate Mean Performance Rate (SSP- ACOs)
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 80.06 80.61
ACO-2 CAHPS: How Well Your Providers Communicate 91.14 92.65
ACO-3 CAHPS: Patients’ Rating of Provider 90.90 91.94
ACO-4 CAHPS: Access to Specialists 83.00 83.61
ACO-5 CAHPS: Health Promotion and Education 55.01 59.06
ACO-6 CAHPS: Shared Decision Making 77.67 75.17
ACO-7 CAHPS: Health Status/Functional Status 70.65 72.30
ACO-34 CAHPS: Stewardship of Patient Resources* 29.32 26.87
ACO-8 Risk Standardized, All Condition Readmission 14.98 14.86
ACO-35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission 18.24 18.07
ACO-36 All-Cause Unplanned Admissions for Patients with Diabetes* 56.33 54.60
ACO-37 All-Cause Unplanned Admissions for Patients with Heart Failure* 80.01 76.96
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 65.90 62.92
ACO-9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 1.21 1.11
ACO-10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 1.05 1.04
ACO-11 Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements 79.48 76.22
ACO-39 Documentation of Current Medications in the Medical Record* 89.78 84.07
ACO-13 Falls: Screening for Future Fall Risk 40.06 56.46
ACO-14 Preventive Care and Screening: Influenza Immunization 51.93 62.03
ACO-15 Pneumonia Vaccination Status for Older Adults 59.52 63.73
ACO-16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 70.37 71.15
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 92.25 90.16
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 32.42 45.25
ACO-19 Colorectal Cancer Screening 56.49 60.06
ACO-20 Breast Cancer Screening 64.72 65.67
ACO-21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 75.10 70.04
ACO-40 Depression Remission at Twelve Months* 0.00 6.11
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.83 20.38
ACO-41 Diabetes: Eye Exam* 36.12 41.05
ACO-28 Hypertension: Controlling High Blood Pressure 67.19 69.62
ACO-30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 85.56 83.82
ACO-31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 88.53 87.22
ACO-33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 77.99 77.73
CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease*= Measure required beginning Reporting Year 2015.
N/A= Reporting on the depression remission measure is not required for 2015, as indicated by N/A

For more information on how to interpret scores on the above quality performance measures, see For general questions or additional information about Accountable Care Organizations, please visit or call 1-800-MEDICARE (1-800-633-4227) TTY users should call 1-877-486-2048.