Hampton Roads Good Help ACO, LLC d/b/a Hampton Roads Good Help ACO
7007 Harbour View Blvd
Suffolk, VA 23435
Key Clinical and Administrative Leadership
- ACO Executive(Interim): Dr. Michael Kiritsy
- Medical Director(Interim): Dr. Michael Kiritsy
- Compliance Officer: Matthew Potter, J.D.
- Quality Assurance/Improvement Officer: Pamela Reiser, MD
Types of ACO participants, or combinations of participants, that formed the ACO:
- Hospital employing ACO professionals
- ACO professionals in a group practice arrangement
Shared Savings and Losses:
Amount of Shared Savings/Losses
- Second Agreement Period
- Performance Year 2021: $0
- Performance Year 2020: $1,729,879.23
- First Agreement Period
- Performance Year 2019: $5,409,225.36
- Performance Year 2018: $2,220,389.69
- Performance Year 2017: $0
Shared Savings Distribution
- Second Agreement Period
- Performance Year 2021: N/A
- Performance Year 2020
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 100%
- First Agreement Period
- Performance Year 2019
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 100%
- Performance Year 2018
- Proportion invested in infrastructure: N/A
- Proportion invested in redesigned care processes/resources: N/A
- Proportion of distribution to ACO participants: 100%
- Performance Year 2017
- 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 2019
ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
Maryview Hospital | N |
Mary Immaculate Hospital | N |
Bon Secours Mercy Health Franklin LLC | N |
Bon Secours Medical Group Hampton Roads Primary Care LLC | N |
Roper Saint Francis Physicians Network | Y |
St. Francis Physician Services | N |
St. Francis Hospital Inc | N |
ACO Governing Body
Member | Member’s Voting Power – Expressed as a percentage or number | Membership Type | ACO Participant Legal Business Name/DBA, if Applicable | ||
First Name | Last Name | Title/Position | |||
Michael | Kiritsy, MD | Chair(Interim) | 8.33% | Administrative | N/A |
Aron | Boney, MD | Board Member | 8.33% | ACO Participant Representative | Bon Secours Medical Group Hampton Roads Primary Care, LLC |
Arthur | Collins | Medicare Beneficiary | 8.33% | Medicare Beneficiary Representative | N/A |
Aron | Hyson, MD | Board Member | 8.33% | ACO Participant Representative | Roper Saint Francis Physician Network |
Anand | Kapur, MD | Board Member | 8.33% | ACO Participant Representative | Bon Secours Medical Group Hampton Roads Primary Care LLC |
Steve | Newman, MD | Board Member | 8.33% | ACO Participant Representative | St. Francis Physician Services Inc |
Robert | Oliverio, MD | Board Member | 8.33% | ACO Participant Representative | Roper Saint Francis Physician Network |
Jocelyn | Ricasa, MD | Board Member | 8.33% | ACO Participant Representative | Bon Secours Medical Group Hampton Roads, LLC |
John | Rowe, MD | Board Member | 8.33% |
ACO Participant Representative |
Roper Saint Francis Physician Network |
Bruce | Swords, MD | Board Member | 8.33% | ACO Participant Representative | St. Francis Physician Services Inc |
Jennifer | Tollefson, LNHA | Board Member | 8.33% | ACO Participant Representative | St. Francis Physician Services Inc. |
Brian | Yanofchick | Board Member | 8.33% | ACO Participant Representative |
Maryview Hospital |
Quality Improvement Committee
Name | Position |
Pamela Reiser, MD | Chair |
Glenn Brothers, DO | Member |
Jordan Grnak, DO | Member |
Anand Kapur, MD | Member |
Divya Kulkarmi, MD | Member |
Robert Oliverio, MD | Member |
Vikas Thakral, MD | Member |
Finance Committee
Name | Position |
Michele Nedelka, MD | Chair |
Stephen Jones | Member |
Raana Naidu, MD | Member |
Robert Oliverio, MD | Member |
Vishwas Patel, MD | Member |
Scott C. Weikle, DO | Member |
Jennifer Tollefson, LNHA | Member |
Quality Performance Results
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface
Measure# |
Measure Name |
Performance Rate |
Current Year Mean |
001 | Diabetes: Hemoglobin A1c(HbA1c)Poor Control2 | 5.84 | 12.46 |
134 | Preventative Care and Screening: Screening for Depression and Follow-Up Plan | 98.54 | 74.38 |
236 | Controlling High Blood Pressure | 80.69 | 74.87 |
318 | Falls: Screening for Future Fall Risk | 97.63 | 87.03 |
110 | Preventative Care & Screening: Influenza Immunization | 80.47 | 80.52 |
226 | Preventative Care & Screening: Tobacco Use: Screening & Cessation Intervention | 97.78 | 80.97 |
113 | Colorectal Cancer Screening | 82.66 | 73.63 |
112 | Breast Cancer Screening | 89.69 | 75.11 |
438 | Statin Therapy for Prevention and Treatment of Cardiovascular Disease | 83.91 | 84.24 |
370 | Depression Remission at Twelve Months | N/A | N/A |
321 | CAHPS for MIPS | N/A | N/A |
479 | Hospital-Wide, 30 Day, All-Cause Unplanned Readmission(HWR) Rate for MIPS Groups | .1496 | .1540 |
MCC1 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs(MCC) | 32.38 | 33.94 |
CAHPS-1 | Getting timely care, appointments & information | 74.11 | 84.67 |
CAHPS-2 | How well Providers communicate | 88.90 | 93.56 |
CAHPS-3 | Patient’s rating of Provider | 87.72 | 92.19 |
CAHPS-4 | Access to Specialists | 74.32 | 78.80 |
CAHPS-5 | Health Promotion and Education | 62.05 | 61.61 |
CAHPS-6 | Shared Decision Making | 60.36 | 60.89 |
CAHPS-7 | Health Status and Functional Status | 70.19 | 71.78 |
CAHPS-8 | Care Coordination | 78.84 | 85.66 |
CAHPS-9 | Courteous and Helpful Office Staff | 86.98 | 91.88 |
CAHPS-11 | Stewardship of Patient Resources | 26.12 | 24.71 |
Please note, measure 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.
For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.
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.
- Waiver for Payment for Telehealth Services:
- Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.
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: Hampton Roads GoodHelp ACO and Roper Saint Francis Healthcare and Charleston Oncology, PA
Date of arrangement: January 1, 2023
Items, services, goods, or facility provided: infrastructure efficiency such as specialty pharmacy management, infusion management, clinical research integration with defined goals and outcome metrics: Oncology Quality scorecard and Oncology Program(IPN) scorecard
Date and nature of amendments to the arrangement, if applicable: N/A
Parties to the arrangement: Hampton Roads GoodHelp ACO and Transitional Care Management Services
Date of arrangement: January 26, 2023
Items, services, goods, or facility provided: Transitional Care Management program provides transitional care management services upon hospital discharge to beneficiaries with medical and/or psychosocial problems requiring moderate or high complexity medical decision-making arrangement.
Date and nature of amendments to the arrangement, if applicable: N/A
Parties to the arrangement: Hampton Roads GoodHelp ACO and Ambulatory Care Management Services
Date of arrangement: January 26, 2023
Items, services, goods, or facility provided: Ambulatory Care Management program provides support for Participating Providers in managing high risk and rising risk patients in collaboration with a patient centered team approach arrangement.
Date and nature of amendments to the arrangement, if applicable: N/A
ACO Board 2023
Hampton Roads Good Help ACO Org Chart – 2023