McLaren High Performance Network, LLC
Medicare Shared Savings Program

ACO Name and Location

McLaren High Performance Network, LLC
Previous Names: N/A
2701 Cambridge Court Suite 200
Auburn Hills, MI 48326

Public Reporting in 2017

Public Reporting in 2018

Public Reporting in 2019

ACO Primary Contact

Primary Contact Name

Kim Hamm

Primary Contact Phone Number

800-822-4950

Primary Contact Email Address

kim.hamm@mclaren.org

 

Organizational Information

ACO participants:

ACO Participants

ACO Participant in Joint Venture (Enter Y or N)

Michael Swords Do Pllc

Y

Thomas C Hosey Dpm & Associates Pc

Y

Barbara Ann Karmanos Cancer Hospital

Y

PRIMARY CARE INC

Y

Brenda Rogers-Grays, DO, PC

Y

CARDIOLOGY CONSULTANTS OF EAST MICHIGAN PLLC

Y

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

Y

J Wesley Mesko Md Pc

Y

Charles J Taunt Jr Do Pc

Y

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

Y

Najjar Infectious Disease PC

Y

Northern Michigan Medical Management

Y

Michael A Kia Do Pc

Y

Surgical Consultants PLLC

Y

Lapeer Pediatrics PC

Y

Jason Cochran Do Pc

Y

Esa M Ali MD PC

Y

Cardiac Institute

Y

ADVANCED CARDIOVASCULAR CLINIC PC

Y

Raouf Mikhail

Y

Laura Lucio-Reincke, Pllc

Y

Looking Glass Foot & Ankle Pc

Y

Northern Michigan Hematology And Oncology

Y

John Ketner

Y

Mount Clemens Regional Medical Center

Y

McLaren Port Huron

Y

Central Michigan Community Hospital

Y

Pontiac Osteopathic Hospital

Y

Ingham Regional Medical Center

Y

HURON MEMORIAL HOSPITAL

Y

Barbara Ann Karmanos Cancer Institute

Y

Kellam & Associates, P. C.

Y

Gladstone A Payton DO PC

Y

Bay Regional Medical Center

Y

Capital Area Anesthesia PC

Y

McLaren Northern Michigan

Y

Singh & Arora Oncology Hematology PC

Y

Vascular Surgery Assoc PC

Y

Preecha Supanwanid, Md Pc

Y

Capital Internal Medicine Associates PC

Y

McLaren Regional Medical Center

Y

Pulmonary & Critical Care Medicine Consultants Pc

Y

Orthopedic Associates of Port Huron PC

Y

PULMONARY & CRITICAL CARE ASSOCIATES PC

Y

VITALCARE, INC

Y

Pulmonary Associates PC

Y

VITAL CARE HOME MEDICAL EQUIP INC

Y

Lapeer Regional Medical Center

Y

Anup Sud MD PC

Y

Northeast Surgical Group PC

Y

North Oakland North Macomb Imaging, Inc

Y

Macomb Internal Medicine Pc

Y

Hampton Medical Center PC

Y

Hesham E Gayar MD PC

Y

McLaren Medical Group

Y

Northpointe OB-GYN PC

Y

Mid-Michigan Physicians PC

Y

Sunil K Kaushal, MD, P.C.

Y

Gary E Hosey DPM PC

Y

Pain Management Centers PC

Y

Cynthia L Glasson Inc

Y

Michigan Cardiology PC

Y

CARO COMMUNITY HOSPITAL

Y

CARDIOLOGY ASSOCIATES OF MICHIGAN, P.C.

Y

Petoskey Family Medicine PC

Y

VISITING NURSE SERVICES OF MICHIGAN

Y

Michael J Mueller Md Pc

Y

Northern Michigan Pain Specialists PC

Y

John D Arsen DPM Inc

Y

MEDPARTNERS PLC

Y

K MOHAN MD PC

Y

JAPHET JOSEPH, MD PC

Y

Michigan State University

Y

Mt Morris Medical Group Pllc

Y

Heart & Vascular Institute of MI PC

Y

Larkin Family Medicine PLC

Y

Family First - Armada PLLC

Y

Mount Pleasant Medical Associates PLLC

Y

John N Flood Do Pc

Y

Foremost Podiatry Pc

Y

Patrick H Noud Md Plc

Y

CARDIOLOGY INSTITUTE OF MICHIGAN, PLLC

Y

Frederick R Armenti MD PC

Y

Total Kidney Care

Y

HEART RHYTHM CLINIC OF MICHIGAN PC

Y

AMMAR GHANEM MD PLLC

Y

LUNG HEALTH CENTER PLLC

Y

Chest And Sleep Medicine Consultants,Plc

Y

ACO governing body:

Member

Member's Voting Power –Expressed as a percentage or number

Membership Type -

ACO Participant Legal Business Name/DBA, if Applicable

Last Name

First Name

Title/Position

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 – Presidetn/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

Accetta

Vito

Voting Member

1

Medicare Beneficiary

N/A

Key ACO clinical and administrative leadership:

Gary Wentzloff

ACO Executive

Michael Ziccardi

Medical Director

Kim Hamm

Compliance Officer

Kim Hamm

Quality Assurance/Improvement Officer

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 2018, $6,395,854
    • Performance Year 2017, $0

Shared Savings Distribution

  • First Agreement Period
    • 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

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

80.68

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

91.50

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

90.49

92.45

ACO-4

CAHPS: Access to Specialists

80.69

81.50

ACO-5

CAHPS: Health Promotion and Education

56.26

59.26

ACO-6

CAHPS: Shared Decision Making

59.96

61.94

ACO-7

CAHPS: Health Status/Functional Status

72.91

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

25.10

26.26

ACO-8

Risk Standardized, All Condition Readmission

14.95

14.98

ACO-35

Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)

18.72

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

40.84

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

79.26

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

62.92

59.00

ACO-43

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

1.89

1.98

ACO-11

Use of Certified EHR Technology

99.90

98.20

ACO-12

Medication Reconciliation Post-Discharge

98.10

85.91

ACO-13

Falls: Screening for Future Fall Risk

90.06

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

64.12

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

68.99

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

70.23

75.97

ACO-16

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up

67.06

76.83

ACO-17

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

81.25

72.81

ACO-18

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

60.73

66.74

ACO-19

Colorectal Cancer Screening

71.03

68.27

ACO-20

Breast Cancer Screening

68.27

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79.54

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

19.50

15.51

ACO-41

Diabetes: Eye Exam

56.74

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

73.05

73.10

ACO-30

Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet

90.67

88.92

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

 

Note: In the Quality Performance Results file(s) above, search for “McLaren High Performance Network, LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A3317 in the public use files on data.cms.gov.

Payment Rule Waivers

  • No, our ACO does not use the SNF 3-Day Rule Waiver.