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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 to include Riverbend Community Mental Health, Granite Visiting Nurses Association, Lakes Region Community Mental Health and Health First Family Care Center. 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
brhynhar@crhc.org
(603) 230-7267

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	ACO Participant in Joint Venture
Concord Hospital ACO, LLC	No

Last Name	Member First Name	Title/Position	Member's Voting Power Expressed – as a Percentage or Number	Membership Type	ACO Participant Legal Business Name/DBA, if Applicable

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

Committee Name	Committee Leader Name and Position
ACO Management Committee	Christopher Fore, MD Chair
Clinical Quality Improvement Committee	Gretchen Andrews, Chair
Quality Management Oversight Committee	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

Quality Performance Results

2023 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	9.83	9.84
134	Preventative Care and Screening: Screening for Depression and Follow-up plan	CMS Web Interface Measure Set	76.35	80.97
236	Controlling high blood pressure	CMS Web Interface Measure Set	74.96	77.80
318	Falls: Screening for future fall risk	CMS Web Interface Measure Set	83.03	89.42
110	Preventative Care and Screening: Influenza Immunization	CMS Web Interface Measure Set	70.18	70.76
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface Measure Set	70.00	79.29
113	Colorectal Cancer Screening	CMS Web Interface Measure Set	73.51	77.14
112	Breast Cancer Screening	CMS Web Interface Measure Set	73.42	80.36
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface Measure Set	83.64	87.05
370	Depression Remission at Twelve Months	CMS Web Interface Measure Set	0.00	16.58
321	CAHPS for MIPS (3)	CMS Web Interface Measure Set	3.58	6.25
479	Hospital-wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups (1)	CMS Web Interface Measure Set	0.1666	0.1553
484	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (1)	CMS Web Interface Measure Set	38.96	35.39
CAHPS - 1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Measures	79.86	83.68
CAHPS – 2	How Well Providers Communicate	CAHPS for MIPS Measures	90.94	93.69
CAHPS - 3	Patient’s Rating of Provider	CAHPS for MIPS Measures	88.82	92.14
CAHPS – 4	Access to Specialists	CAHPS for MIPS Measures	66.78	75.97
CAHPS – 5	Health Promotion and Education	CAHPS for MIPS Measures	61.73	63.93
CAHPS – 6	Shared Decision Making	CAHPS for MIPS Measures	52.62	61.60
CAHPS – 7	Health Status and Functional Status	CAHPS for MIPS Measures	77.09	74.12
CAHPS – 8	Care Coordination	CAHPS for MIPS Measures	81.48	85.77
CAHPS – 9	Courteous and Helpful Office Staff	CAHPS for MIPS Measures	93.91	92.31
CAHPS - 11	Stewardship of Patient Resources	CAHPS for MIPS Measures	24.43	26.69

Payment Rule Waivers - None

Fraud and Abuse Waivers - None

For previous years' financial and quality improvement results, please visit data.cms.gov.

Accountable Care Organization (ACO)

Beneficiary Information

Contact Information

Organizational Information

ACO Participants

ACO Participant in Joint Venture

Last Name

Member First Name

Title/Position

Member's Voting Power Expressed – as a Percentage or Number

Membership Type

ACO Participant Legal Business Name/DBA, if Applicable

Shared Savings & Losses