Pioneer Valley Accountable Care, LLC
One Monarch Place, Suite 1710
Springfield, MA 01144
PVAC Primary Contact:
​Donna Hanifan
​413-459-4512
[email protected]

PVAC Participating Physician Groups & Hospitals

ACO Governing Body:​

Key Clinical and Administrative Leaders:

ACO Executive: Brian Banker, M.D.
Medical Director: Brian Banker, M.D.
Compliance Officer: Kathleen Orcutt
Quality Assurance/Improvement Officer: Amy Roy, RN, MSN, CCM

Committees and Committee Leadership:

Types of ACO participants, or combinations of participants, that formed the ACO:
  • Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Saving/Losses: 
  • Third Agreement Period ​
    • ​Performance Year 2024, $10,500,970.39 
  • Second Agreement Period 
    • Performance Year 2023, $4,007,533.81
  • First Agreement Period 
    • Performance Year 2022, $6,781,187.89
Shared Savings Distribution:
  • Third Agreement Period
    • Performance Year 2024
      • Proportion invested in infrastructure: 16.4%
      • Proportion invested in redesigned care processes/resources:  9.1%
      • Proportion of distribution to ACO participants:  74.5%  
  • Second Agreement Period  
    • Performance Year 2023  
      • Proportion invested in infrastructure: 17.8%
      • Proportion invested in redesigned care processes/resources:  9.7%   
      • Proportion of distribution to ACO participants:  72.5% 
  • First Agreement Period  
    • Performance Year 2022
      • Proportion invested in infrastructure: 16.1%
      • Proportion invested in redesigned care processes/resources:  9.6%   
      • Proportion of distribution to ACO participants:  74.3% ​


​Quality Performance Results

 2024 Quality Performance Results:  

  • 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.

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov
​

Payment Rules Waivers

Payment for Telehealth Services:
  • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.
​
Skilled Nursing Facility (SNF) 3-Day Rule Waiver:
  • Our ACO uses the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.

Fraud and Abuse Waivers

Pre-Participation Waiver
Not Applicable
ACO ParticipationWaiver
Not Applicable