McLaren High Performance Network, LLC
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

Kim Hamm
800-822-4950
kim.hamm@mclaren.org

Archives of Shared Savings Program

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture

ADVANCED CARDIOVASCULAR CLINIC PC

Y

ALBERT A. PRZYBYLSKI, D.O, PC

Y

AMMAR GHANEM MD PLLC

Y

ARJA MD PC

Y

Anup Sud MD PC

Y

BARBARA ANN KARMANOS CANCER HOSPITAL

Y

BARBARA ANN KARMANOS CANCER INSTITUTE

Y

BLUE WATER OB & GYN PC

Y

Board of Trustees of Michigan State University

Y

Brenda Rogers-Grays, DO, PC

Y

CARDIOLOGY ASSOC OF PORT HURON

Y

CARDIOLOGY ASSOCIATES OF MICHIGAN, P.C.

Y

CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC

Y

CARDIOLOGY INSTITUTE OF MICHIGAN, PLLC

Y

CARO COMMUNITY HOSPITAL

Y

COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC

Y

Capital Area Anesthesia PC

Y

Capital Internal Medicine Associates PC

Y

Charles J Taunt Jr Do Pc

Y

Chest And Sleep Medicine Consultants,Plc

Y

DANIEL R MESKO DO PC

Y

ELK RAPIDS MEDICAL CLINIC, P.C.

Y

Esa M Ali MD PC

Y

FADI SALLOUM MD PC

Y

FRED WURSTER DO PC

Y

FULL SPECTRUM FAMILY MEDICINE PC

Y

Foremost Podiatry Pc

Y

Frederick R Armenti MD PC

Y

GHIULSER SELIM

Y

GREAT LAKES MEDICINE PLC

Y

Gary E Hosey DPM PC

Y

Gladstone A Payton DO PC

Y

HEART RHYTHM CLINIC OF MICHIGAN PC

Y

HURON MEMORIAL HOSPITAL

Y

Heart & Vascular Institute of MI PC

Y

Hesham E Gayar MD PC

Y

J Wesley Mesko Md Pc

Y

JAPHET JOSEPH, MD PC

Y

JOHN KETNER

Y

JONATHAN ALTMAN

Y

John D Arsen DPM Inc

Y

John N Flood Do Pc

Y

K MOHAN MD PC

Y

Kellam & Associates, P. C.

Y

LANSING SURGICAL ASSOCIATES, P.L.L.C.

Y

LUNG HEALTH CENTER PLLC

Y

Lapeer Pediatrics PC

Y

Larkin Family Medicine PLC

Y

Looking Glass Foot & Ankle Pc

Y

MASON MEDICAL GROUP PC

Y

MCLAREN BAY REGION

Y

MCLAREN CENTRAL MICHIGAN

Y

MCLAREN FLINT

Y

MCLAREN GREATER LANSING

Y

MCLAREN HEALTH MANAGEMENT GROUP

Y

MCLAREN LAPEER REGION

Y

MCLAREN MACOMB

Y

MCLAREN OAKLAND

Y

MCLAREN PRIMARY CARE

Y

MEDPARTNERS PLC

Y

MICHAEL J MUELLER MD PC

Y

MICHIGAN INTERNAL MEDICINE ASSOCIATES,P.C.

Y

MOUNT PLEASANT MEDICAL ASSOCIATES PLLC

Y

MSU HEALTH CARE INC.

Y

Macomb Internal Medicine Pc

Y

McLaren Medical Group

Y

McLaren Northern Michigan

Y

McLaren Port Huron

Y

Michael A Kia Do Pc

Y

Mt Morris Medical Group Pllc

Y

NORTH OAKLAND NORTH MACOMB IMAGING INC

Y

Najjar Infectious Disease PC

Y

Northeast Surgical Group PC

Y

Northern Michigan Hematology And Oncology

Y

Northern Michigan Medical Management

Y

Northern Michigan Pain Specialists PC

Y

Northpointe OB-GYN PC

Y

OPDYKE MEDICAL PLLC

Y

Orthopedic Associates of Port Huron PC

Y

PARTNERS IN FAMILY MEDICINE, PLLC

Y

PERRY MLK MEDICAL CENTER P.C.

Y

PETOSKEY RADIATION ONCOLOGY PLC

Y

PULMONARY & CRITICAL CARE ASSOCIATES PC

Y

Pain Management Centers PC

Y

Patrick H Noud Md Plc

Y

Petoskey Family Medicine PC

Y

Preecha Supanwanid, Md Pc

Y

Pulmonary & Critical Care Medicine Consultants Pc

Y

Pulmonary Associates PC

Y

ROBERT J FRANCHI D O P C

Y

ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC

Y

SHARMA CLINIC PLLC

Y

SINGH & ARORA ONCOLOGY HEMATOLOGY P C

Y

ST. LUKE'S HOSPITAL

Y

Sunil K Kaushal, MD, P.C.

Y

Surgical Consultants PLLC

Y

THE CARDIAC INSTITUTE

Y

THOMAS C HOSEY DPM & ASSOCIATES PC

Y

Total Kidney Care

Y

VITAL CARE HOME MEDICAL EQUIP INC

Y

VITALCARE, INC

Y

Vascular Surgery Assoc PC

Y

WELLCARE PHYSICIANS GROUP LLC

Y

WILFREDO RIVERA, M.D., P.C.

Y

ACO governing body:

Member

Last Name

Member

FirstName

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

McKenna

Michael

Chairman

1

ACO Participant Representative

McLaren Northern Michigan

Ropp

Brad

Vice Chairman

1

ACO Participant Representative

McLaren Greater Lansing

Kendall

Kathy

Secretary

1

Other – President/CEO, McLaren Integrated HMO Group

N/A

Mazurkiewicz

David

Treasurer

1

ACO Participant Representative

McLaren Macomb

Wentzloff

Gary

Voting Member

1

ACO Participant Representative

McLaren Central Michigan 

Ziccardi

Michael

Voting Member

1

ACO Participant Representative

McLaren Flint

Cowsill

Lawrence

Voting Member

1

ACO Participant Representative

McLaren Oakland

Pinelli

David

Voting Member

1

ACO Participant Representative

McLaren Bay Region

Ali

Esa

Voting Member

1

ACO Participant Representative

Esa M Ali MD PC

Hayes

Mary

Voting Member

1

Medicare Beneficiary

N/A

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

Sara Liter-Kuester, D.O., Chair

Utilization Management Committee

Michael Ziccardi, D.O., Chief Medical Officer, Chair

Finance Committee

David Mazurkiewicz, EVP/CFO, Chair

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 of Shared Savings/Losses:

  • First Agreement Period
    • Performance Year 2020, $ 4,779,012
    • Performance Year 2019, $17,316,006
    • Performance Year 2018, $ 6,395,854
    • Performance Year 2017, $ 0

Shared Savings Distribution:

  • First Agreement Period
    • Performance Year 2020
      • Proportion invested in infrastructure: 38% 
      • Proportion invested in redesigned care processes/resources: 10%
      • Proportion of distribution to ACO participants: 52%
    • 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

2020 Quality Performance Results:

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

ACO-43

Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))

0.88

0.95

ACO-13

Falls: Screening for Future Fall Risk

90.88

84.97

ACO-14

Preventive Care and Screening: Influenza Immunization

72.84

76.03

ACO-17

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

83.33

81.67

ACO-18

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

72.82

71.46

ACO-19

Colorectal Cancer Screening

70.31

72.59

ACO-20

Breast Cancer Screening

70.59

74.05

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84.13

83.37

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

19.79

14.7

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

70.36

72.87

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.

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