Tandigm Value Partners Public Reporting

ACO Name and Location

Tandigm Value Partners, LLC
300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428

ACO Primary Contact

Tiara Swindell
tvp@tandigm.com
(215) 568-4735

Organizational Information

ACO Participants

ACO Participant in Joint Venture ACO Participant in Joint Venture
Grand View Hospital Y
Kim Kuhar, DO Internal Medicine PC Y
Steven Sklar, DO PC Y
TriValley Primary Care PC Y

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member’s Voting Power (Expressed as a percentage) Membership Type ACO Participant Legal Business Name, if applicable
Mike Lachenmayer Executive Director 12.5% Other N/A
Natalie McGann Medical Director 12.5% ACO Participant Representative TriValley Primary Care, PC
Kim Kuhar Physician and Voting Member 12.5% ACO Participant Representative Kim Kuhar, DO, Internal Medicine, PC
Raquel Tomaine Physician and Voting Member 12.5% ACO Participant Representative Grand View Hospital
Hal Cohan Physician and Voting Member 12.5% ACO Participant Representative TriValley Primary Care, PC
Suzann Szewczak Physician and Voting Member 12.5% ACO Participant Representative Grand View Hospital
James Foxhall Physician and Voting Member 12.5% ACO Participant Representative TriValley Primary Care, PC
Phil Jackson Voting Member 12.5% Medicare Beneficiary Representative N/A

Key ACO Clinical and Administrative Leadership

ACO Executive: Mike Lachenmayer

Medical Director: Natalie McGann, MD

Compliance Officer: Marianne Stahl

Quality Assurance/Improvement Officer: Dana Pedrick, MHA, BSN, RN, CPC, ACM

Associated Committees and Committee Leadership 

Committee Name: Compliance Committee

Committee Leader Name and Position: Marianne Stahl (Chair)

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

  • ACO professionals in group practice arrangements
  • Networks of individual practices of ACO Professionals
  • Hospitals employing ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2022: $6,286,260

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2022
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 60%

Quality Performance Results

2022 Quality Performance Results:

Quality performance results are based on CMS Web Interface

CMS Web Interface Measure Set

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] CMS Web Interface 4.76 10.71
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan CMS Web Interface 89.24 76.97
Quality ID# 236 Controlling High Blood Pressure CMS Web Interface 79.76 76.16
Quality ID# 318 Falls: Screening for Future Fall Risk CMS Web Interface 93.54 87.83
Quality ID# 110 Preventative Care and Screening: Influenza Immunization CMS Web Interface 86.03 77.34
Quality ID# 226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention CMS Web Interface 84.21 79.27
Quality ID# 113 Colorectal Cancer Screening CMS Web Interface 80.40 75.32
Quality ID# 112 Breast Cancer Screening CMS Web Interface 86.56 78.07
Quality ID# 438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease CMS Web Interface 84.71 86.37
Quality ID# 370 Depression Remission at Twelve Months CMS Web Interface 3.70 16.03

CMS Administrative Claims Measure Set

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] Administrative Claims 0.1628 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims 31.95 30.97

CAHPS for MIPS Measure Set

Measure ID Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 85.24 83.96
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.09 93.47
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 92.81 92.06
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 73.43 77.00
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 70.85 62.68
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 60.45 60.97
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 78.35 73.06
CAHPS-8 Care Coordination CAHPS for MIPS Survey 86.90 85.46
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 92.76 91.97
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 25.88 25.62

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.

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: Tandigm Value Partners, LLC and Tandigm Care Solutions, LLC
  • Date of arrangement: 08/04/2022
  • Items, services, goods, or facility provided: Social Work and Behavioral Health Services
  • Date and nature of any amendments to the arrangement, if applicable: N/A