Stellar Health ACO - Stellar Health

ACO Name and Location

Stellar Health ACO LLC
Trade Name/DBA: Stellar Health ACO
215 Park Avenue S, Floor 17, New York, NY, 10003

ACO Primary Contact

Daniel Lithwick
929-476-0540
shaco-team@stellar.health

Organizational Information

ACO Participants:

ACO Participants	ACO Participant in Joint Venture
BORO PARK MEDICAL PC	No
BROADLAWNS MEDICAL CENTER	No
CLARKSVILLE MEDICAL GROUP, P.A.	No
COMMUNITY WELLNESS PHYSICIAN PLLC	No
DARLENE ANN DUNAY	No
DR ZAVEEN A KUREISHY	No
E.A. HAWSE HEALTH CENTER INC	No
FAMILY HEALTH CENTER, P.A.	No
FAMILY PRACTICE ASSOCIATES OF CLARKSVILLE,PA	No
FARMINGTON MEDICAL CENTER INC	No
HUDSON PHYSICIANS SC	No
LAKE COUNTY MEDICAL GROUP SC	No
LAKEVIEW CLINIC, LTD.	No
LARISA KACHOWSKI MD	No
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS, PA	No
NING CAO MEDICAL SERVICES, PC	No
NORTHWEST FAMILY PHYSICIANS PA	No
PHYSICIANCARE P.C.	No
RICHARD BEBIRIAN	No
RICHMOND INTERNAL MEDICINE GROUP, P.C.	No
RIVER VALLEY MEDICINE AND PEDIATRICS INC.	No
ROBERT FREDERICK NOONAN JR MD PA	No
SENECA PRIMARY CARE, INC	No
SOLI F TAVARIA MD PC	No
SOPHIA MEYER FAMILY MEDICINE LLC	No
STELLIS HEALTH, PA	No
SUPERIOR WALK-IN CENTER, PC	No
TAHIRUL HODA	No
TAMRAT BEKELE	No
WASHINGTON REGIONAL MEDICAL SYSTEM	No
WILLIAM SWANSON	No
WONSOCK SHIN MD LLC	No

ACO Governing Body:

First Name	Last Name	Title / Position	Voting Power	Membership Type	ACO Participant Legal Business Name
Brent	Wilde	Board Member	12.5%	ACO Participant Representative	Stellis Health, PA
Daniel	Lithwick	ACO Executive	12.5%	Other	N/A
Danielle	Larson	Board Member	12.5%	ACO Participant Representative	Washington Regional Medical System
Jason	Wilson	Board Member	12.5%	ACO Participant Representative	Medical Associates of Northwest Arkansas, PA
Kayla	Metz	Board Member	12.5%	ACO Participant Representative	Clarksville Medical Group, P.A.
Susan	Gateley	Board Member	12.5%	Medicare Beneficiary Representative	N/A
Theresa	Molnau	Board Member	12.5%	ACO Participant Representative	Northwest Family Physicians PA
Tracy	Rheineck	Board Member	12.5%	ACO Participant Representative	Lakeview Clinic, Ltd.

Member’s voting power may have been rounded to reflect a total voting power of 100 percent.

Key ACO Clinical and Administrative Leadership:

ACO Executive: Daniel Lithwick

Medical Director: Soujanya Pulluru

Compliance Officer: Samantha Kelen

Quality Assurance/Improvement Officer: Daniel Lithwick

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
N/A	N/A

Types of ACO Participants, or Combinations of Participants, That Formed the ACO:

Shared Savings and Losses

Amount of Shared Savings/Losses:

Second Agreement Period

Performance Year 2026, N/A

First Agreement Period

Performance Year 2025, N/A
Performance Year 2024, $2,448,632.56

Shared Savings Distribution:

Second 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
First Agreement Period
- 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
Performance Year 2024
– Proportion invested in infrastructure: 73%
– Proportion invested in redesigned care processes/resources: 6%
– Proportion of distribution to ACO participants: 21%

Quality Performance Results

2024 Quality Performance Results:

Quality performance results are based on the CMS Web Interface collection type.

Measure #	Measure Title	Collection Type	Performance Rate	Current Year Mean Performance Rate (Shared Savings Program ACOs)
321	CAHPS for MIPS	CAHPS for MIPS Survey	7.54	6.67
479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1533	0.1517
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	38.33	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	75	88.99
110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	60.86	68.6
226	Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	100	79.98
113	Colorectal Cancer Screening	CMS Web Interface	59.3	77.81
112	Breast Cancer Screening	CMS Web Interface	60.89	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	93.92	86.5
370	Depression Remission at Twelve Months	CMS Web Interface	25	17.35
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	18.01	9.44
134	Preventive Care and Screening: Screening for Depression and Follow-up Plan	CMS Web Interface	60.29	81.46
236	Controlling High Blood Pressure	CMS Web Interface	65.22	79.49
CAHPS-1	Getting Timely Care, Appointments, and Information	CAHPS for MIPS Survey	89.65	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	96.84	93.96
CAHPS-3	Patient’s Rating of Provider	CAHPS for MIPS Survey	93.6	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	75.24	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	57.33	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	62.77	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	72.85	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	87.39	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	94.42	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	25.45	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.

Fraud and Abuse Waivers

ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Parties to the arrangement: Stellar Health ACO LLC: All ACO Participants
- Date of arrangement: 06/11/2024
- Items, services, goods, or facility provided: Payments to eligible providers for quality and utilization outcomes that support MSSP objectives.
- Date and nature of any amendments to the arrangement, if applicable: 11/17/2025, Improves clarity and specificity to strengthen safe harbor protection of all related activities.
Parties to the arrangement: Stellar Health ACO LLC: All ACO Participants
- Date of arrangement: 11/17/2023
- Items, services, goods, or facility provided: Facilitation of partnerships between providers, suppliers and partner organizations to administer care programs compatible with the ACO program.
- Date and nature of any amendments to the arrangement, if applicable: 11/17/2025,
  1) expands payment and activity for how incentive programs are implemented
  2) adds concept of a partner compensation
  3) addresses gaps of administrative functions by Stellar Health Group
  4) adds clarity to strengthen safe harbor protection for activities

The Secretary of the U.S. Department of Health and Human Services has provided waivers of certain federal fraud and abuse laws for ACOs participating in the Medicare Shared Savings Program (see 80 Fed. Reg. 66,726 (Oct. 29, 2015)). Stellar Health ACO I LLC seeks waiver protection for the arrangements described above.