Penn Ave Health, LLC is an Accountable Care Organization (ACO) and participates in the ACO Realizing Equity, Access, and Community Health (REACH) Model, run by the Center of Medicare and Medicaid Innovation (CMMI) of the Centers for Medicare & Medicaid Services (CMS).


I. Name and location of the ACO:

Penn Ave Health, LLC
3230 Pennsylvania Ave SE, Ste 205
Washington, DC 20020


II. Primary contact information for the ACO:

Jake Halpert, CEO/Director
Penn Ave Health, LLC
3230 Pennsylvania Ave SE, Ste 205
Washington, DC 20020

jake.halpert@florencehealth.com


III. Identification of all ACO REACH Participant Providers and Preferred Providers

Participant and Preferred Providers List

IV. Identification of all joint ventures between or among the ACO and any of its Participant Providers and Preferred Providers

Penn Ave Health is co-owned in a joint venture by Ennoble Care LLC and Blue Rock Care Inc.

V. Identification of the ACO's key clinical and administrative leaders and the name of any company by which they are employed

  • Director: Jake Halpert (Florence Health)

  • Chief Operations and Financial Officer: Chris Poe (Florence Health)

  • Chief Medical Officer: Alka Gupta, MD (Bluerock Care)

  • Compliance Officer: Lyn McMullen (Florence Health)

VI. Identification of members of the ACO's governing body and the name of any entity with which they are affiliated

  • Jake Halpert, Board Chair, Participant Provider, and Majority Director (Kush Patel, MD PC/Florence Health)

  • Eddie Chabbott, Participant Provider, and Majority Director (Kush Patel, MD PC/Florence Health)

  • Alka Gupta, MD, Chief Medical Officer, Majority Director (Bluerock Care)

  • Dr. Lisa Fitzpatrick, Health Literacy, Board Member (Founder Grapevine Health)

  • Vacancy, Board Member, Beneficiary Member

  • Mark Kirschbaum, Board Member, Consumer Advocate



VII. Shared Savings and Shared Losses Information

Performance Year 2022

Performance Year 2023

Performance Year 2024

  • Gross Savings: $21,289,300.22

  • Net savings: $15,488,992.64

  • Proportion of Shared Savings invested in infrastructure, care processes and other resources: 5%

  • Proportion of Shared Savings distributed to Participant & Preferred Providers: 95%

VIII. Performance on Quality Measures

Performance Year 2022

Performance Year 2023

2023 Annual Quality Score: 85.5%

Performance Year 2024

  • Risk-Standardized, All-Condition Readmission: 15.35

  • Risk-Standardized, All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions: 27.25

  • Timely Follow-Up After Acute Exacerbations of Chronic Conditions: 76.04

  • PY 2024 Total Quality Score: 98.4%

IX. Compliance Contact Information

ACO Compliance Officer: Lyn McMullen (lyn.mcmullen@florencehealth.com)

ACO Compliance Reporting Tool: wrgtraining.com/anonymous-reporting-tool/