Transcription of ACO Name and Location - midatlanticaco.com
1 A3319_PubDiscv17_1020_IA Approved 10/13/2020 ACO name and Location Mid-Atlantic Collaborative Care, LLC Previous Names: N/A 4888 Loop Central Drive Suite 300 Houston, TX 77081 ACO Primary Contact Lorri Havlovitz 920-562-7882 Organizational Information ACO participants: ACO Participants ACO Participant in Joint Venture Adult Primary Care Center Llc N AIPING SUI, MD & WEI XU, MD PC N Amit K. Rajvanshi Md Pc N Amit Rajvanshi N Anuradha Reddy Md N APPLE BLOSSOM FAMILY PRACTICE PLLC N Ashvin J. Patel, PA N ATTAN KASID MD PC N Benjamin Lee N Benjamin S. Lee, , N Centreville Internal Medicine N Dr. Merlyn Vemury MD PC N Eveit E Gobrial LLC N Gnatt Medical Associates Llc N Kamalinee Deshpande MD PA N M S HAQ MD PC N Menon Medical Center Llc N Metropolitan Elite Family Practice, LLC N Mountain View Internal Medicine And Pediatrics Inc.
2 N Nova Medical Services, Pllc N Praveen Gupta N Praveen Gupta N PREMIER HEALTH LLC N Premiere Primary Care Center, LLC N ROBERT P SILEO MD PC N Roya Sedghi, N Skyview Family Medicine PC N URGE MEDICAL N Vijayalakshmi Reddy Md Llc N WINCHESTER INTERNAL MEDICINE, INC N WINCHESTER URGENT CARE PC N YEHEYIS T. NEGUSSIE MD PC N ACO governing body: A3319_PubDiscv17_1020_IA Approved 10/13/2020 Member Last name Member First name Member Title/Position Member's Voting Power: expressed as a percentage or number Membership Type ACO Participant Legal Business name /DBA, if applicable Schwentker Andrew ,Voting Member 25% ACO Participant Representative WINCHESTER INTERNAL MEDICINE, INC Menon Roji , Voting Member 25% ACO Participant Representative Menon Medical Center Llc Reddy Vijayalakshmi , Voting Member 25% ACO Participant Representative Vijayalakshmi Reddy Md Llc Hemeng Yvette Voting Member 23% Other.
3 ACO Affiliate (CHS) Representative N/A Wolford Barbara Voting Member 2% Medicare Beneficiary Representative N/A Key ACO clinical and administrative leadership: ACO Executive: Lorri Havlovitz Medical Director: Roji Menon, MD Compliance Officer: Lori-Don Gregory Quality Assurance/Improvement Officer: Anuradha Reddy, MD Associated committees and committee leadership: Committee name Committee Leader name and Position Management Committee Yvette Hemeng, Chair Quality Improvement and Innovations Subcommittee Anuradha Reddy, , Chair Types of ACO participants, or combinations of participants, that formed the ACO: Networks of individual practices of ACO professionals Shared Savings and Losses Amount of Shared Savings/Losses First Agreement Period o Performance Year 2019, $ 6,215,418 o Performance Year 2018, $4,732,370 o Performance Year 2017, $2,415,357 Shared Savings Distribution First Agreement Period o Performance Year 2019 Proportion invested in infrastructure: 36% Proportion invested in redesigned care processes/resources: 27% Proportion of distribution to ACO participants: 36% o Performance Year 2018 Proportion invested in infrastructure: 30% A3319_PubDiscv17_1020_IA Approved 10/13/2020 Proportion invested in redesigned care processes/resources: 39% Proportion of distribution to ACO participants.
4 30% o Performance Year 2017 Proportion invested in infrastructure: Proportion invested in redesigned care processes/resources: Proportion of distribution to ACO participants: Quality Performance Results 2019 Quality Performance Results: ACO# Measure name Rate ACO Mean ACO-1 CAHPS: Getting Timely Care, Appointments, and Information ACO-2 CAHPS: How Well Your Providers Communicate ACO-3 CAHPS: Patients Rating of Provider ACO-4 CAHPS: Access to Specialists ACO-5 CAHPS: Health Promotion and Education ACO-6 CAHPS: Shared Decision Making ACO-7 CAHPS: Health Status/Functional Status ACO-34 CAHPS: Stewardship of Patient Resources ACO-45 CAHPS: Courteous and Helpful Office Staff ACO-46 CAHPS: Care Coordination ACO-8 Risk Standardized, All Condition Readmission ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) ACO-13 Falls: Screening for Future Fall Risk ACO-14 Preventive Care and Screening: Influenza Immunization ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ACO-18 Preventive Care and Screening.
5 Screening for Depression and Follow-up Plan ACO-19 Colorectal Cancer Screening ACO-20 Breast Cancer Screening ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease ACO-40 Depression Remission at Twelve Months ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control (>9%) ACO-28 Controlling High Blood Pressure For Previous Years Financial and Quality Performance Results, please visit