UMass Memorial Medicare Accountable Care Organization (ACO)

ACO Participants

ACO Participants

ACO Participants in Joint Venture

Aesclepion Healthcare LLC

N

Associates in Otolaryngology Head and Neck Surgery, PC

N

Athol Memorial Hospital, Inc

N

Benjamin Grajales, MD

N

Center for Digestive Wellness PC

N

Charles A. Birbara, MD

N

Charlton Family Practice

N

Christopher I Bechara MD PC

N

Community Health Connections, Inc

N

Community Healthlink, Inc

N

Community Neuroscience Services, LLC

N

Complete Family Medicine, PLLC

N

Curewell Gastroenterology, PC

N

D'Ambrosio Eye Care, Inc

N

Edward M. Kennedy Community Health Center, Inc

N

Family Foot Care Center PC

N

Family Health Center of Worcester, Inc

N

Family Medical & Maternity Care PC

N

Focused Primary Care, PC

N

Gardner Family Medicine, Inc

N

Glen Bombardier

N

Greater Boston Medical Associates, Inc

N

Harrington Memorial Hospital, Inc

N

Heart Rhythm Specialists of Central Massachusetts, PC

N

Henry Heywood Memorial Hospital

N

Heywood Medical Group, Inc

N

Holyoke Medical Center, Inc

N

Hugh Cooper

N

James M. Shenko, MD, PC

N

Lawrence M Dubuske MD

N

Leominster Dermatology LLP

N

Leominster Medical Associates

N

Longview Orthopaedic Center, LLC

N

Marlboro Internal Medicine, PC

N

Marlborough Hospital Corp

N

Mass Lung & Allergy PC

N

Medpractice PC

N

Mercy Family Practice PC

N

Mountain View Family Practice, PC

N

Nancy D. Berube, MD PC

N

New England Hospitalists, PC

N

New England Medical Imaging, PC

N

North Worcester Gastroenterology, PC

N

Northeast Allergy, Asthma & Immunology, PC

N

Orthopaedic Associates of Marlboro, PC

N

Partners in Internal Medicine, PC

N

Paul Dufault

N

Primary Physician Partners

N

R. Leslie Shelton, MD, PC

N

Richard V. Montilla, MD, PC

N

Robert Byrne

N

Stephen Child

N

Sturbridge Professional Services, PC

N

Tad Baum, MD, PC

N

Tricia Vorderstrasse MD PC

N

UMass Memorial HealthAlliance Clinton Hospital, Inc

N

UMass Memorial Medical Center, Inc

N

UMass Memorial Medical Group, Inc

N

Vedere Pathology, PC

N

Vitreo-Retinal Associates PC

N

Vladas Litani, MD

N

Wachusett Radiology Inc

N

Western Mass Physician Associates, Inc

N

William Brodkin

N

William Friedman

N

Worcester Eye Consultants, PC

N

Worcester Physicians and Nurses Services LLC

N

Zbigniew Dombek, MD

N

ACO Governing Body

Member Name

Member Title/Position

Member's Voting Power (as a %)

Membership Type

ACO Participant Legal Business Name, if applicable

Eric Dickson, MD

Chairman Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.; UMass Memorial Medical Center, Inc.

John Greenwood

President Voting Member

6.25%

Other - ACO President

N/A

Charles Cavagnaro, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial HealthAlliance Clinton Hospital, Inc.; Marlborough Hospital Corp

Francesco Aiello, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Jordan Eisenstock, MD

Voting Member

6.25%

ACO Participant Representative

Community Neuroscience Services, LLC

Barbara Kupfer

Voting Member

6.25%

Medicare Beneficiary Representative

N/A

Lalita Matta, MD

Voting Member

6.25%

ACO Participant Representative

Marlboro Internal Medicine, PC

Edward Moore

Voting Member

6.25%

ACO Participant Representative

Harrington Memorial Hospital, Inc.

Justin Precourt, RN

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Center, Inc.

Jennifer Reidy, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Francis Sweeney, MD

Voting Member

6.25%

ACO Participant Representative

Heywood Medical Group, Inc., Henry Heywood Memorial Hospital

Debra Twehous, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Matthew Trainor, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Joahd Touré, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Stephen Tosi, MD

Voting Member

6.25%

ACO Participant Representative

UMass Memorial Medical Group, Inc.

Kartik Viswanathan, MD 

Voting Member

6.25%

ACO Participant Representative

Holyoke Medical Center, Inc

`

Due to rounding, ‘Member’s Voting Power’ may not equal 100 percent.

 

Key ACO Clinical and Administrative Leadership:

  • ACO Executive: John Greenwood
  • Medical Director: Thomas Scornavacca, DO
  • Compliance Officer: Jennifer Heil
  • Quality Assurance/Improvement Officer: Tracey Wilkie

Associated Committees and Committee Leadership

Committee Name

Committee Leader Name

Position

Finance Committee

Jeanne Shirshac

Chair

Quality Improvement Committee

Kastoori Iyengar, MD

Chair

Utilization/Care Management Committee

Sarah McGee, MD, Chair

Chair

Compliance Committee

Jennifer Heil

Chair

Governance Committee

John Greenwood

Chair

`

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

  • ACO professionals in a group practice arrangement
  • Hospital employing ACO professionals
  • Networks of individual practices of ACO professionals

Shared Savings and Losses
Amount of Shared Savings/Losses:

  • Third Agreement Period
    • Performance Year 2023, $5,282,468
    • Performance Year 2022, $5,181,428
       
  • Second Agreement Period
    • Performance Year 2021, $0
    • Performance Year 2020, $6,732,247
    • Performance Year 2019, $0
    • Performance Year 2018, $0
       
  • First Agreement Period
    • Performance Year 2017, $9,105,746
    • Performance Year 2016, $0
    • Performance Year 2015, $0
       

Shared Savings Distribution:

  • Third Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
         
    • Performance Year 2022
      • Proportion invested in infrastructure: 25%
      • Proportion invested in redesigned care processes/resources: 25%
      • Proportion of distribution to ACO participants: 50%
         
  • Second Agreement Period
    • Performance Year 2021
      • 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 2020
      • Proportion invested in infrastructure: 21%
      • Proportion invested in redesigned care processes/resources: 29%
      • Proportion of distribution to ACO participants: 50%
         
    • Performance Year 2019
      • 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 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
         
  • First Agreement Period
    • Performance Year 2017
      • Proportion invested in infrastructure: 26%
      • Proportion invested in redesigned care processes/resources: 24
      • Proportion of distribution to ACO participants: 50%
         
    • Performance Year 2016
      • 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 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A

 

 

Quality Performance Results

2023 Quality Performance Results:

Quality performance results are based on CMS Web Interface.

Measure #

Measure Name

Collection Type

Rate

ACO Mean

Measure #001

Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1]

Web Interface

10.08

9.84

Measure #134

Preventative Care and Screening: Screening for Depression and Follow-up Plan

Web Interface

80.63

80.97

Measure #236

Controlling High Blood Pressure

Web Interface

77.41

77.80

Measure #318

Falls: Screening for Future Fall Risk

Web Interface

93.95

89.42

Measure #110

Preventative Care and Screening: Influenza Immunization

Web Interface

78.72

70.76

Measure #226

Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention

Web Interface

69.23

79.29

Measure #113

Colorectal Cancer Screening

Web Interface

80.95

77.14

Measure #112

Breast Cancer Screening

Web Interface

83.88

80.36

Measure #438

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Web Interface

89.84

87.05

Measure #370

Depression Remission at Twelve Months

Web Interface

10.45

16.58

Measure #479

Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1]

 

Administrative Claims

0.1643

0.1553

Measure #484

Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1]

Administrative Claims

39.6

35.39

CAHPS-1

Getting Timely Care, Appointments, and Information

CAHPS for MIPS Survey

87.02

83.68

CAHPS-2

How Well Providers Communicate

CAHPS for MIPS Survey

92.85

93.69

CAHPS-3

Patient’s Rating of Provider

CAHPS for MIPS Survey

91.77

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

66.54

63.93

CAHPS-6

Shared Decision Making

CAHPS for MIPS Survey

61.19

61.60

CAHPS-7

Health Status and Functional Status

CAHPS for MIPS Survey

76.26

74.12

CAHPS-8

Care Coordination

CAHPS for MIPS Survey

84.63

85.77

CAHPS-9

Courteous and Helpful Office Staff

CAHPS for MIPS Survey

93.19

992.31

CAHPS-11

Stewardship of Patient Resources

CAHPS for MIPS Survey

14.46

26.69

`

For previous years’ Financial and Quality Performance Results, please visit data.cms.gov.

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