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: Ted Schmid

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: Ted Schmid (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 2023 $9,459,732
    • Performance Year 2022: $6,286,260

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 30%
      • Proportion of distribution to ACO participants: 60%
    • 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

2023 Quality Performance Results

Quality performance results are based on eCQM/MIPS CQM collection type.

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Quality ID#: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [1] eCQM 34.75 27.39
Quality ID#: 134 Preventive Care and Screening: Screening for Depression and Follow-up Plan eCQM 46.29 48.99
Quality ID#: 236 Controlling High Blood Pressure eCQM 71.90 72.35
Quality ID#: 321 CAHPS for MIPS [2] eCQM 8.20 6.25
Measure # 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [1] Administrative Claims 0.1470 0.1553
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] Administrative Claims --- 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 87.68 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 94.54 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 93.81 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 78.44 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 70.21 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 63.62 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 77.82 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 85.40 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 93.01 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 29.06 26.69

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.
  • Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR § 425.612(f) and 42 CFR § 425.613.

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