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

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

BARBARA ANN KARMANOS CANCER HOSPITAL

Y

BARBARA ANN KARMANOS CANCER INSTITUTE

Y

BEECHER SURGICAL ASSOCIATES, PLLC

Y

BLUE WATER OB & GYN PC

Y

Board of Trustees of Michigan State University

Y

Brenda Rogers-Grays, DO, PC

Y

CAPITOL AREA PULMONARY ASSOCIATES PC

Y

Capital Area Anesthesia PC

Y

Capital Internal Medicine Associates PC

Y

CAPITOL AREA PULMONARY ASSOCIATES 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

Charles J Taunt Jr Do Pc

Y

Chest And Sleep Medicine Consultants, Plc

Y

COMPREHENSIVE MEDICAL GROUP PC

Y

COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC

Y

DANIEL R MESKO DO PC

Y

EAGER INTERNAL MEDICINE PLLC

Y

ELK RAPIDS MEDICAL CLINIC, P.C.

Y

Esa M Ali MD PC

Y

Foremost Podiatry Pc

Y

FRED WURSTER DO PC

Y

Gary E Hosey DPM PC

Y

Gladstone A Payton DO PC

Y

GLOBAL HOSPITALISTS PLLC

Y

HAROLD ROTH

Y

Heart & Vascular Institute of MI PC

Y

HEART RHYTHM CLINIC OF MICHIGAN PC

Y

Hesham E Gayar MD PC

Y

HISHAM I AHMED MD PC

Y

HURON MEMORIAL HOSPITAL

Y

J Wesley Mesko Md Pc

Y

JAPHET JOSEPH, MD PC

Y

JASON M COCHRAN D.O. P.C.

Y

JEFFREY A KHABIR, MD, PLLC

Y

JEFFREY POTTS

Y

John D Arsen DPM Inc

Y

JOHN KETNER

Y

John N Flood Do Pc

Y

JONATHAN ALTMAN

Y

K MOHAN MD PC

Y

Kellam & Associates, P. C.

Y

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

Y

Lapeer Pediatrics PC

Y

LAPEER WOMENS HEALTH PLLC

Y

Larkin Family Medicine PLC

Y

LIGHTHOUSE FAMILY MEDICINE, PLLC

Y

Looking Glass Foot & Ankle Pc

Y

LUNG HEALTH CENTER PLLC

Y

Macomb Internal Medicine 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 Medical Group

Y

McLaren Northern Michigan

Y

MCLAREN OAKLAND

Y

McLaren Port Huron

Y

MEDPARTNERS PLC

Y

MEREDITH C HEISEY DO

Y

Michael A Kia Do Pc

Y

MICHAEL J MUELLER MD PC

Y

MICHIGAN INTERNAL MEDICINE ASSOCIATES, P.C.

Y

MID MICHIGAN INTERNAL MEDICINE PC

Y

MOUNT PLEASANT MEDICAL ASSOCIATES PLLC

Y

MSU HEALTH CARE INC.

Y

Mt Morris Medical Group Pllc

Y

Najjar Infectious Disease PC

Y

NORTH OAKLAND NORTH MACOMB IMAGING INC

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

Patrick H Noud Md Plc

Y

PERRY MLK MEDICAL CENTER P.C.

Y

Petoskey Family Medicine PC

Y

PETOSKEY RADIATION ONCOLOGY PLC

Y

Preecha Supanwanid, Md Pc

Y

PULMONARY & CRITICAL CARE ASSOCIATES PC

Y

Pulmonary & Critical Care Medicine Consultants Pc

Y

Pulmonary Associates PC

Y

RIAD R HAJJAR MD PC

Y

ROBERT J FRANCHI D O P C

Y

ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC

Y

SHAHEEN MOHAMMED MD PC

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

THOMAS C HOSEY DPM & ASSOCIATES PC

Y

TOTAL FAMILY HEALTHCARE P.C.

Y

Total Kidney Care

Y

Vascular Surgery Assoc PC

Y

WELLCARE PHYSICIANS GROUP LLC

Y

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

Y

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 Bay Region             
Brad Ropp Vice Chairman 10 ACO Participant Representative McLaren Greater Lansing
Kathy Kendall Secretary 10 Other – President/CEO, McLaren Integrated HMO Group N/A
David Mazurkiewicz Treasurer 10 ACO Participant Representative McLaren Macomb
Gary Wentzloff Voting Member 10 ACO Participant Representative McLaren Central Michigan
Michael Ziccardi Voting Member 10 ACO Participant Representative McLaren Flint
Lawrence Cowsill Voting Member 10 ACO Participant Representative McLaren Oakland
Justin Klamerus Voting Member 10 ACO Participant Representative McLaren Northern Michigan
Esa Ali Voting Member 10 ACO Participant Representative Esa M Ali MD PC
Mary Hayes Voting Member 10 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 2021, $5,361,143
    • 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 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%
    • 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

2021 Quality Performance Results:

Quality performance results are based on CMS Web Interface

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control 14.29 12.46
134 Preventative Care and Screening: Screening for Depression and Follow-up Plan 76.15 74.38
236 Controlling High Blood Pressure 78.68 74.87
318 Falls: Screening for Future Fall Risk 90.88 87.03
110 Preventative Care and Screening: Influenza Immunization 70.98 80.52
226 Preventative Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.48 80.97
113 Colorectal Cancer Screening 71.32 73.63
112 Breast Cancer Screening 70.97 75.11
438 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.89 84.24
370 Depression Remission at Twelve Months 13.16 15.50
321 CAHPS for MIPS N/A N/A
479 Hospital-Wide 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups 0.1579 0.1540
MCC1 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions for ACOs (MCC) 36.90 33.99
CAHPS-1 Getting Timely Care, Appointments, and Information 85.22 84.67 
CAHPS-2 How Well Providers Communicate 93.91 93.56
CAHPS-3 Patient's Rating of Provider 91.49 92.19
CAHPS-4 Access to Specialists 83.14 78.80 
CAHPS-5 Health Promotion and Education 58.38 61.61
CAHPS-6 Shared Decision Making 61.50 60.89
CAHPS-7 Health Status and Functional Status 68.86 71.78
CAHPS-8 Care Coordination 84.70 85.66
 CAHPS-9 Courteous and Helpful Office Staff 92.18 91.88
 CAHPS-11 Stewardship of Patient Resources 23.62 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

Archives of Shared Savings Program