CMS Reporting

Accountable Care Organization Realizing Equity, Access and Community Health (ACO REACH)

Notice: CVS Accountable Care Termination from ACO REACH program

CVS Accountable Care voluntarily terminated its participation in the ACO REACH program, effective March 31, 2025. Comprehensive plans are in place to support beneficiaries and participating and preferred providers.

ACO Name and Location

CVS Accountable Care Organization, Inc.

233 Spring Street
12th Floor
New York, NY 10013

ACO Primary Contact

Primary Contact	CVS Accountable Care, Inc.
Primary Contact Phone Number	866-204-2273

Leadership

CVS ACO REACH

Key clinical and administrative leaders (all employed by CVS Accountable Care Organization, Inc.)

Name	Position
James Margiotta	President, CVS Accountable Care
Matt Simmons	Executive Director
Alka Arcari	Technology Officer

Clinical Leadership

Name	Position
Garth Walker, MD	Senior Medical Director, Rush Health

ACO REACH governing body

Name	Position
Joe Lamantia	Executive VP and Chief Transformation Officer, Catholic Health
Jim Sherry	Executive Director, Chautauqua Integrated Delivery System
Maud White	Executive Director, Crouse Medical Practice
Briannon O'Connor	Chief Clinical Officer, Forward Leading IPA
Adam Smith	Physician Executive, Logan Health
Travis Turner	VP Clinical Integration, Mary Washington
Renato Suntay	CFO, Meadville Medical Center
David Fairchild, MD	Sr. VP CVS Health, MinuteClinic
Arshad Rahim, MD	Sr. VP Population Health, Mount Sinai
Brittany Russell	VP Clinical Services, Mountain View Hospital
Rowena Bergmans	Chief Value Officer, Nuvance Health
Brian Stein, MD	Chief Quality Officer, Rush Health
Richard Rico	CFO, Sky Lakes Medical
Todd Liu	VP, Accountable Care and General Counsel, Value Care Alliance
Lynn Schornick	Beneficiary Representative
Ann Meyer	Consumer Advocate
Khue Nguyen	SVP, Chief Strategy Officer (CVS ACO REACH), Board Treasurer
Jonathan Rubens, MD	Chief Medical Officer (CVS ACO REACH) Board Vice Chair, Board Secretary

Identification of all CVS ACO Providers

Identification of all joint ventures between or among the CVS ACO and any of its Participant Providers: No joint ventures

Shared Savings and Losses

Performance Year 2023 - ACO Realizing Equity, Access, and Community Health (REACH) Model

Shared Savings:	$ (8,967,823)
Proportion invested in infrastructure:	N/A
Proportion invested in redesigned care processes/resources:	N/A
Proportion of distribution to providers:	N/A

Performance Year 2022 - GPDC (Global and Professional Direct Contracting model)

Gross Savings	$627,688
DCE Shared Savings	$307,567
Shared Savings Distributed to Providers	21%
Shared Savings Invested	79%

Performance on quality measures

Performance Year 2023 - ACO Realizing Equity, Access, and Community Health (REACH) Model

Risk-Standardized, All-Condition Readmissions (ACR) Score	15.27
Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) Score	34.91
Timely Follow-Up After Acute Exacerbations of Chronic Conditions	72.85
CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM)	81.36
CAHPS: How Well Providers Communicate SSM	93.78
CAHPS: Care Coordination SSM	86.68
CAHPS: Shared Decision-Making SSM	69.41
CAHPS: Patient Rating of Provider SSM	92.14
CAHPS: Courteous and Helpful Office Staff SSM	92.49
CAHPS: Health Promotion and Education SSM	67.79
CAHPS: Stewardship of Patient Resources SSM	27.79

Performance Year 2022 - GPDC (Global and Professional Direct Contracting model)

Risk-Standardized, All-Condition Readmissions (ACR) Score	19.86
Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions (per 100 person-years) (UAMCC) Score	74.18
Days at Home for Patients with Complex, Chronic Conditions (DAH) Score	312.70
CAHPS: Getting Timely Appointments, Care, and Information Summary Survey Measure (SSM)	33.79
CAHPS: How Well Providers Communicate SSM	64.29
CAHPS: Care Coordination SSM	54.45
CAHPS: Shared Decision-Making SSM	70.39
CAHPS: Patient Rating of Provider SSM	47.96
CAHPS: Courteous and Helpful Office Staff SSM	58.05
CAHPS: Health Promotion and Education SSM	59.51
CAHPS: Stewardship of Patient Resources SSM	21.80