Pursuit National Care Network (PNCN)

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@reveremedical.com

Organizational Information

ACO Participants

ACO Participants

ACO Participant in Joint Venture

ADVANCED DIAGNOSTIC IMAGING PC

ANIKET CHAKRABARTI MD PC

BREVARD HEALTH CARE LLC

CHAVEZ JO INTERNAL MEDICINE P.A.

Doctor Malvar & Associate

DONNA L BACON MD PA

HYDE PARK HEALTH ASSOCIATES INC.

LAILA ATTAR

LOTUS MED LLC

MERRIMACK VALLEY MEDICAL ASSOCIATES PC

NEW ENGLAND PRIMARY CARE ASSOCIATES P.C.

PERSONAL CARE PHYSICIANS PC

PRIMA CARE PC

PRIMARY CARE CLINIC BOSTON PC

RICARDO A SERRANO MD PA

SALEM NEW HAMPSHIRE PHYSICIANS NETWORK PC

SAPPHIRE HEALTH AND WELLNESS LLC

SUNITA GODIWALA

TRISTAN MEDICAL ENTERPRISES PC

TRISTAN MEDICAL PC

WRIGHT FAMILY MEDICINE, INC

ACO Governing Body

Member First Name

Member Last Name

Member Title/Position

Member’s Voting Power (Expressed as a percentage or number)

Membership Type

ACO Participant Legal Business Name and D/B/A, if applicable

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

Other

N/A

Mark

Jansen

Member Manager

Other

N/A

Tommy

Jansen

Member Manager

Other

N/A

Joseph

Weinstein

Member Manager

Other

N/A

Andrew

Herman

Member Manager

Other

N/A

Chuck

Benson

Beneficiary

Medicare Beneficiary Representative

N/A

*Member's voting power may have been rounded to reflect a total voting power of 100%.

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
- Performance Year 2026, N/A
- Performance Year 2025, N/A
Second Agreement Period
- Performance Year 2024, $49,919,779.46
- Performance Year 2023, $37,681,449.69
- Performance Year 2022, $47,805,502.00
- Performance Year 2021, $34,490,236.58
- Performance Year 2020, $51,533,448.93
First Agreement Period
- Performance Year 2019, $2,080,335.93
- Performance Year 2018, $0.00

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
- Performance Year 2026
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A
- Performance Year 2025
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: N/A
Second Agreement Period
- Performance year 2024
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 50%
- Performance Year 2023
  - Proportion invested in infrastructure: 25%
  - Proportion invested in redesigned care processes/resources: 25%
  - Proportion of distribution to ACO participants: 50%
- Performance Year 2022
  - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 10%
  - Proportion of distribution to ACO participants: 80%
- Performance Year 2021
  - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 10%
  - Proportion of distribution to ACO participants: 80%
- Performance Year 2020
  - Proportion invested in infrastructure: 10%
  - Proportion invested in redesigned care processes/resources: 10%
  - Proportion of distribution to ACO participants: 80%
- Performance Year 2019-A
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
First Agreement Period
- Performance Year 2019
  - Proportion invested in infrastructure: 15%
  - Proportion invested in redesigned care processes/resources: 15%
  - Proportion of distribution to ACO participants: 70%
- Performance Year 2018
  - Proportion invested in infrastructure: N/A
  - Proportion invested in redesigned care processes/resources: N/A
  - Proportion of distribution to ACO participants: 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

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) PoorControl

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.

Member First Name

Member Last Name

Member Title/Position

Membership Type

ACO Participant Legal Business Name and D/B/A, if applicable

Nabil

Aziz

Provider Manager

15%

ACO Participant Representative

Nabil W Aziz MD PA

Paul

Burns

15%

Burns

ACO Participant Representative

Paul Burns

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

Healthcare Infrastructure

IT-enabled screening tools

$500,000.00

$0.00

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

Projected Total Maximum Prepaid Shared Savings Amount

$4,674,352.00

ACO Selected Projected Total Prepaid Shared Savings Amount

$4,674,352.00

Remaining Selected Funding to Allocate

$0.00

Prepaid Shared Savings Received

$0.00

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:
1. 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
2. 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:
  - Aspen Hill, effective 3/4/2024
  - Bostonian, effective 3/4/2024
  - Briarwood, effective 3/4/2024
  - Brighton House, effective 3/4/2024
  - Care One Brookline, effective 3/4/2024
  - Care One New Bedford, effective 3/4/2024
  - Care One Newton, effective 3/4/2024
  - Care One Randolph, effective 3/4/2024
  - Care One Weymouth, effective 3/4/2024
  - Cedar View, effective 3/4/2024
  - Clifton Rehab, effective 3/4/2024
  - Countryside, effective 3/4/204
  - Foremost at Sharon, effective 3/4/2024
  - Hancock Park, effective 3/4/2024
  - Hannah B Shaw, effective 3/4/2024
  - Hannah Duston, effective 3/4/2024
  - Hebrew Rehab, effective 3/4/2024
  - Kimwell, effective 3/4/2024
  - Liberty Health Care, effective 3/4/2024
  - Life Care Center Melbourne, effective 3/4/2024
  - Life Care Center Palm Bay, effective 3/4/2024
  - Maples, effective 3/6/2024
  - Marina Bay, effective 3/6/2024
  - Maristhill, effective 3/6/2024
  - Meadow Green, effective 3/6/2024
  - MI - Mary Immaculate, effective 3/6/2024
  - Nemasket, effective 3/6/2024
  - NewBridge on the Charles, effective 3/6/2024
  - O'Brien, effective 3/6/2024
  - Palm Garden Vero Beach, effective 3/6/2024
  - Penacook Place, effective 3/6/2024
  - Presentation Rehab, effective 3/6/2024
  - RegalCare Taunton, effective 3/6/2024
  - River Terrace, effective 3/6/2024
  - Rockledge Health and Rehab, effective 3/6/2024
  - Sante of Chandler, effective 3/6/2024
  - Sante of Mesa, effective 3/6/2024
  - Sante of North Scottsdale, effective 3/6/2024
  - Sante of Surprise, effective 3/6/2024
  - Sarah Brayton, effective 3/6/2024
  - Sippican, effective 3/13/2024
  - Solaris Merritt Island, effective 3/13/2024
  - Somerset Ridge, effective 3/13/2024
  - SOV Howland, effective 3/13/2024
  - SOV Liberty, effective 3/13/2024
  - St. John XXIII, effective 3/13/2024
  - St. Joseph Manor, effective 3/13/2024
  - The Ellis, effective 3/13/2024
  - The Nevins, effective 3/13/2024
  - Viera Health & Rehab, effective 3/13/2024
  - Webster Park, effective 3/13/2024
  - West Acres, effective 3/13/2024
  - Whittier Bradford TCU, effective 3/13/2024
  - Windsor House Champion, effective 3/13/2024
‍

Posted 3/28/25