UMass Memorial Medicare Accountable Care Organization (ACO)
UMass Memorial ACO Focuses on Quality Care
Participating in the Medicare ACO is our commitment to providing the Worcester and Central Massachusetts region with quality, personalized and innovative care. Our Medicare ACO leverages our resources to focus on providing Medicare patients (also called Medicare Fee-for-Service beneficiaries) with the best possible experience of timely, appropriate and high-quality health care services.
- Providing personalized care coordination services across the health continuum
- Facilitating more effective physician visits and communication among your doctors and providers
- Providing you with targeted health information and wellness programs that focus on disease prevention
- Helping you coordinate timely appointments, manage medications and determine appropriate follow-up care
- Improving the efficiency of your health care
Learn more below, or call our toll-free number at 844-549-0213.
For additional resources: Please visit www.medicare.gov or call 800-MEDICARE (800-633-4227 or (TTY users should call 877-486-2048)) for general questions or additional information about Accountable Care Organizations.
The Health Policy Commission (HPC) Accountable Care Organization (ACO) Certification Program
We are honored to receive ACO Certification from the Massachusetts Health Policy Commission. This program is designed to accelerate care delivery transformation in Massachusetts and promote a high quality, efficient health system. The purpose of the HPC Accountable Care Organization ACO certification program is to complement existing local and national care transformation and payment reform efforts, encourage value-based care delivery, and promote investments by all payers in high-quality and cost-effective care across the continuum.

Beneficiary Notices:
ACO Name and Location
UMASS Memorial Accountable Care Organization, Inc
One Biotech Park
365 Plantation Street, 3rd Floor
Worcester, MA 01605
ACO Primary Contact
Caryn Sweeney
508-334-1364
UMMACOprimarypubliccontact@umassmemorial.org
Organizational Information
ACO Participants:
ACO Participants |
ACO Participant 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 |
Cardiology Internists of Leominster Inc |
N |
Center for Digestive Wellness PC |
N |
Centmass Imaging, Inc |
N |
Chair City Family Medicine, 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 |
Curewell Gastroenterology, PC |
N |
D'Ambrosio Eye Care, Inc |
N |
Daniel H Ervin, DO, PC |
N |
Edward Kamens |
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 |
Gardner Family Medicine, Inc |
N |
Glen Bombardier |
N |
Greater Boston Medical Associates, Inc |
N |
Harrington Memorial Hospital, Inc |
N |
Harrington Physician Services 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 |
John Howland |
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 |
North Quabbin Family Physicians, PC |
N |
North Worcester Gastroenterology, PC |
N |
Northeast Allergy, Asthma & Immunology, 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 |
Robert Fishman |
N |
Stephen Child |
N |
Stephen Weedon |
N |
Sturbridge Professional Services, PC |
N |
Tad Baum, MD, PC |
N |
Tak Medical Group, 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 |
Urology Central |
N |
Vitreo-Retinal Associates PC |
N |
Vladas Litani, MD |
N |
Wachusett Radiology Inc |
N |
Western Mass Physician Associates, Inc |
N |
William Brodkin |
N |
William Dunn |
N |
William Friedman |
N |
Worcester Eye Consultants, PC |
N |
Worcester Physicians and Nurses Services LLC |
N |
Zbigniew Dombek, MD |
N |
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 |
Dickson, MD |
Eric |
Chairman |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc.; UMass Memorial Medical Center, Inc. |
Greenwood |
John |
President |
5.88% |
Other - ACO President |
UMass Memorial Accountable Care Organization, Inc. |
Kupfer |
Barbara |
Voting Member |
5.88% |
Medicare Beneficiary Representative |
N/A |
Tosi, MD |
Stephen |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
Gustafson, MD |
Michael |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Center, Inc. |
Brown |
Douglas |
Voting Member |
5.88% |
ACO Participant Representative |
Marlborough Hospital Corp.; UMass Memorial Health Care, Inc., HealthAlliance Hospitals, Inc. |
Twehous, MD |
Debra |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc |
Corbett, MD |
William |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
Kerrigan |
Stephen |
Voting Member |
5.88% |
ACO Participant Representative |
Edward M. Kennedy Community Health Center, Inc. |
Reidy, MD |
Jennifer |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
Matta, MD |
Lalita |
Voting Member |
5.88% |
ACO Participant Representative |
Lalita Matta MD |
Fishman, DO |
Robert |
Voting Member |
5.88% |
ACO Participant Representative |
Robert Fishman, DO |
Aiello, MD |
Francesco |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc. |
Eisenstock, MD |
Jordan |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc |
Trainor, MD |
Matthew |
Voting Member |
5.88% |
ACO Participant Representative |
UMass Memorial Medical Group, Inc |
Moore |
Edward |
Voting Member |
5.88% |
ACO Participant Representative |
Harrington Memorial Hospital, Inc., Harrington Physician Services Inc. |
Sweeney, MD |
Francis |
Voting Member |
5.88% |
ACO Participant Representative |
Heywood Medical Group, Inc., Henry Heywood Memorial Hospital |
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 and Position |
Finance Committee |
Jeanne Shirshac, Chair |
Quality Improvement Committee |
Thomas Scornavacca, DO, Chair |
Utilization/Care Management Committee |
Thomas Scornavacca, DO, 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:
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:
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
2021 Quality Performance Results:
Quality performance results are based on CMS Web Interface.
Measure # |
Measure Name |
Rate |
ACO Mean |
001 |
Diabetes: Hemoglobin A1c (HbA1c) Poor Control2 |
8.36 |
12.46 |
134 |
Preventative Care and Screening: Screening for Depression and Follow-up Plan |
72.62 |
74.38 |
236 |
Controlling High Blood Pressure |
80.40 |
74.87 |
318 |
Falls: Screening for Future Fall Risk |
97.04 |
87.03 |
110 |
Preventative Care and Screening: Influenza Immunization |
85.24 |
80.52 |
226 |
Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention |
82.61 |
80.97 |
113 |
Colorectal Cancer Screening |
81.48 |
73.63 |
112 |
Breast Cancer Screening |
84.12 |
75.11 |
438 |
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease |
84.62 |
84.24 |
479 |
Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2 |
0.1669 |
0.1540 |
MCC1 |
All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC)2 |
40.34 |
33.99 |
CAHPS-1 |
Getting Timely Care, Appointments, and Information |
86.22 |
84.67 |
CAHPS-2 |
How Well Providers Communicate |
93.70 |
93.56 |
CAHPS-3 |
Patient’s Rating of Provider |
91.47 |
92.19 |
CAHPS-4 |
Access to Specialists |
79.22 |
78.80 |
CAHPS-5 |
Health Promotion and Education |
64.63 |
61.61 |
CAHPS-6 |
Shared Decision Making |
60.86 |
60.89 |
CAHPS-7 |
Health Status and Functional Status |
75.03 |
71.78 |
CAHPS-8 |
Care Coordination |
83.83 |
85.66 |
CAHPS-9 |
Courteous and Helpful Office Staff |
91.34 |
91.88 |
CAHPS-11 |
Stewardship of Patient Resources |
20.66 |
24.71 |
Please note, the Quality ID #: 370 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.”
For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov