Medicare Shared Savings Program

ACO Name and Location

McLaren High Performance Network, LLC
2701 Cambridge Court
Suite 200
Auburn Hills, MI 48326

ACO Primary Contact

Organizational Information

ACO participants:

ACO Participants	ACO Participant in Joint Venture
ADVANCED CARDIOVASCULAR CLINIC PC	N
ALBERT A. PRZYBYLSKI, D.O, PC	N
AMMAR GHANEM MD PLLC	N
ASHRAF MOSTAFA MD PLLC	N
BARBARA ANN KARMANOS CANCER HOSPITAL	N
BEECHER SURGICAL ASSOCIATES, PLLC	N
Capital Area Anesthesia PC	N
CAPITOL AREA PULMONARY ASSOCIATES PC	N
CARDIOLOGY ASSOC OF PORT HURON	N
CARDIOLOGY ASSOCIATES OF MICHIGAN, P.C.	N
CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC	N
CARDIOLOGY INSTITUTE OF MICHIGAN, PLLC	N
Chest And Sleep Medicine Consultants, Plc	N
COMPREHENSIVE MEDICAL GROUP PC	N
COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC	N
EAGER INTERNAL MEDICINE PLLC	N
ELK RAPIDS MEDICAL CLINIC, P.C.	N
Esa M Ali MD PC	N
Foremost Podiatry Pc	N
FRED WURSTER DO PC	N
Gary E Hosey DPM PC	N
GLOBAL HOSPITALISTS PLLC	N
Heart & Vascular Institute of MI PC	N
HEART RHYTHM CLINIC OF MICHIGAN PC	N
Hesham E Gayar MD PC	N
HISHAM I AHMED MD PC	N
HURON EMERGENCY MEDICINE SPECIALISTS PLLC	N
JAPHET JOSEPH, MD PC	N
John D Arsen DPM Inc	N
JOHN KETNER	N
K MOHAN MD PC	N
Kellam & Associates, P. C.	N
LANSING SURGICAL ASSOCIATES, P.L.L.C.	N
Lapeer Pediatrics PC	N
LAPEER WOMENS HEALTH PLLC	N
Looking Glass Foot & Ankle Pc	N
LUNG HEALTH CENTER PLLC	N
Macomb Internal Medicine Pc	N
MASON MEDICAL GROUP PC	N
McLaren Caro Region	N
MCLAREN FLINT	N
MCLAREN GREATER LANSING	N
MCLAREN HOSPITAL GROUP	N
MCLAREN LAPEER REGION	N
MCLAREN MACOMB	N
McLaren Medical Group	N
McLaren Northern Michigan	N
McLaren Port Huron	N
McLaren Thumb Region	N
Michael A Kia Do Pc	N
MICHAEL J MUELLER MD PC	N
MICHIGAN INTERNAL MEDICINE ASSOCIATES, P.C.	N
MICHIGAN ORTHOPEDIC CENTER PC	N
MID MICHIGAN INTERNAL MEDICINE PC	N
MID MICHIGAN KIDNEY AND HYPERTENSION SPECIALISTS, P.C.	N
Mt Morris Medical Group Pllc	N
MUHAMMED MIRZA	N
Najjar Infectious Disease PC	N
NORTH OAKLAND NORTH MACOMB IMAGING INC	N
Northeast Surgical Group PC	N
Northern Michigan Hematology and Oncology	N
Northern Michigan Pain Specialists PC	N
Northpointe OB-GYN PC	N
OPDYKE MEDICAL PLLC	N
Orthopedic Associates of Port Huron PC	N
PARTNERS IN FAMILY MEDICINE, PLLC	N
PERRY MLK MEDICAL CENTER P.C.	N
PETOSKEY RADIATION ONCOLOGY PLC	N
PULMONARY & CRITICAL CARE ASSOCIATES PC	N
Pulmonary & Critical Care Medicine Consultants Pc	N
Pulmonary Associates PC	N
ROBERT J FRANCHI D O P C	N
ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC	N
SARDELLI ORTHOPAEDICS	N
SHARMA CLINIC PLLC	N
Sunil K Kaushal, MD, P.C.	N
Surgical Consultants PLLC	N
THE DIGESTIVE DISEASE INSTITUTE PC	N
THOMAS C HOSEY DPM & ASSOCIATES PC	N
TROY GASTROENTEROLOGY PC	N
Vascular Surgery Assoc PC	N
WILFREDO RIVERA, M.D., P.C.	N
X-RAY ASSOCIATES OF PORT HURON PC	N

ACO governing body:

Member First Name	Member Last Name	Member Title/Position	Member's Voting Power (Expressed as a percentage or number)	Membership Type	ACO Participant Legal Business Name and D/B/A, if applicable
David	Pinelli	Chairman	10	ACO Participant Representative	McLaren Lapeer Region
Brad	Ropp	Vice Chairman	10	ACO Participant Representative	McLaren Medical Group
Justin	Klamerus	Secretary	10	ACO Participant Representative	McLaren Northern Michigan
Brian	Balutanski	Treasurer	10	ACO Participant Representative	McLaren Macomb
Esa	Ali	Voting Member	10	ACO Participant Representative	Esa M Ali MD PC
Lawrence	Cowsill	Voting Member	10	ACO Participant Representative	McLaren Port Huron
Thomas	Redmond	Voting Member	10	Medicare Beneficiary	N/A
Jessica	Cromer	Voting Member	10	Other	N/A
Gary	Wentzloff	Voting Member	10	ACO Participant Representative	McLaren Greater Lansing
Michael	Ziccardi	Voting Member	10	ACO Participant Representative	McLaren Flint

Key ACO Clinical and Administrative Leadership:

ACO Executive: Gary Wentzloff

Medical Director: Michael Ziccardi, DO

Compliance Officer: Dawn Smith

Quality Assurance/Improvement Officer: Kim Hamm

Associated Committees and Committee Leadership:

Committee Name	Committee Leader Name and Position
Quality and Clinical Integration Committee	Emily Smith, D.O., Chair
Utilization Management Committee	Michael Ziccardi, D.O., Chief Medical Officer, Chair
Finance Committee	Brian Balutanski, VP/Corporate Controller

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

ACO professionals in a group practice arrangement
Hospital employing ACO professionals
Partnerships or joint venture arrangements between hospitals and ACO professionals
Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount Shared Savings/Losses:

Third Agreement Period

Performance Year 2026, N/A
Performance Year 2025, N/A

Second Agreement Period

Performance Year 2024, $-3,075,634.81
Performance Year 2023, $0
Performance Year 2022, $0
Performance Year 2021, $5,361,143
Performance Year 2020, $4,779,012

First Agreement Period

Performance Year 2019, $17,316,006
Performance Year 2018, $6,395,854
Performance Year 2017, $0

Shared Savings Distribution:

Third Agreement Period

Performance Year 2026

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 2025

Proportion invested in infrastructure: N/A
Proportion invested in redesigned care processes/resources: N/A
Proportion of distribution to ACO participants: N/A

Second Agreement Period

Performance Year 2024

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 2023

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 2022

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 2021

Proportion invested in infrastructure: 33%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 57%

Performance Year 2020

Proportion invested in infrastructure: 38%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 52%

First Agreement Period

Performance Year 2019

Proportion invested in infrastructure: 20%
Proportion invested in redesigned care processes/resources: 10%
Proportion of distribution to ACO participants: 70%

Performance Year 2018

Proportion invested in infrastructure: 58%
Proportion invested in redesigned care processes/resources: 18%
Proportion of distribution to ACO participants: 24%

Performance Year 2017

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

2024 Quality Performance Results:

Quality performance results are based on CMS Web Interface collection type.

ACO Quality Measure Number	Measure Title	Collection Type	Rate	ACO Mean
321	CAHPS for MIPS	CAHPS for MIPS Survey	5.55	6.67
479*	Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups	Administrative Claims	0.1571	0.1517
484*	Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC)	Administrative Claims	-	37
318	Falls: Screening for Future Fall Risk	CMS Web Interface	98.12	88.99
110	Preventive Care and Screening: Influenza Immunization	CMS Web Interface	70	68.6
226	Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention	CMS Web Interface	92.16	79.98
113	Colorectal Cancer Screening	CMS Web Interface	77.46	77.81
112	Breast Cancer Screening	CMS Web Interface	76.82	80.93
438	Statin Therapy for the Prevention and Treatment of Cardiovascular Disease	CMS Web Interface	90.94	86.5
370	Depression Remission at Twelve Months	CMS Web Interface	3.03	17.35
001*	Diabetes: Hemoglobin A1c (HbA1c) Poor Control	CMS Web Interface	9.33	9.44
134	Preventative Care and Screening: Screening for Depression and Follow-Up Plan	CMS Web Interface	87.13	81.46
236	Controlling High Blood Pressure	CMS Web Interface	83.89	79.49
CAHPS-1	Getting Timely Care, Appointment, and Information	CAHPS for MIPS Survey	80.84	83.7
CAHPS-2	How Well Providers Communicate	CAHPS for MIPS Survey	91.81	93.96
CAHPS-3	Patient's Rating of Provider	CAHPS for MIPS Survey	89.7	92.43
CAHPS-4	Access to Specialists	CAHPS for MIPS Survey	78.88	75.76
CAHPS-5	Health Promotion and Education	CAHPS for MIPS Survey	69.55	65.48
CAHPS-6	Shared Decision Making	CAHPS for MIPS Survey	63.15	62.31
CAHPS-7	Health Status and Functional Status	CAHPS for MIPS Survey	74.24	74.14
CAHPS-8	Care Coordination	CAHPS for MIPS Survey	83.77	85.89
CAHPS-9	Courteous and Helpful Office Staff	CAHPS for MIPS Survey	91.37	92.89
CAHPS-11	Stewardship of Patient Resources	CAHPS for MIPS Survey	29.19	26.98

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov

*For Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) [Quality ID #001], Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups [Measure #479], and Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], a lower performance rate indicates better measure performance.

*For Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (MCC) [Measure #484], patients are excluded if they were attributed to Qualifying Alternative Payment Model (APM) Participants (QPs). Most providers participating in Track E and ENHANCED track ACOs are QPs, and so performance rates for Track E and ENHANCED track ACOs may not be representative of the care provided by these ACOs' providers overall. Additionally, many of these ACOs do not have a performance rate calculated due to not meeting the minimum of 18 beneficiaries attributed to non-QP providers.

Payment Rule Waivers

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

McLaren High Performance Network, LLC
Medicare Shared Savings Program