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

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

Capital Area Anesthesia PC

Y

Capital Internal Medicine 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

COSMETIC DERMATOLOGY AND VEIN CENTERS OF DOWNRIVER PC

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

Family First - Armada PLLC

Y

Foremost Podiatry Pc

Y

FRED WURSTER DO PC

Y

Frederick R Armenti MD PC

Y

FULL SPECTRUM FAMILY MEDICINE PC

Y

Gary E Hosey DPM PC

Y

Gladstone A Payton DO PC

Y

Heart & Vascular Institute of MI PC

Y

HEART RHYTHM CLINIC OF MICHIGAN PC

Y

Hesham E Gayar MD PC

Y

HURON MEMORIAL HOSPITAL

Y

J Wesley Mesko Md Pc

Y

JAPHET JOSEPH, MD PC

Y

John D Arsen DPM Inc

Y

JOHN KETNER

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

Lapeer Pediatrics PC

Y

Larkin Family Medicine PLC

Y

Looking Glass Foot & Ankle Pc

Y

LUNG HEALTH CENTER PLLC

Y

Macomb Internal Medicine 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

MCLAREN PRIMARY CARE

Y

MEDPARTNERS PLC

Y

Michael A Kia Do Pc

Y

MICHAEL J MUELLER MD PC

Y

MOUNT PLEASANT MEDICAL ASSOCIATES PLLC

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

Orthopedic Associates of Port Huron PC

Y

Pain Management Centers PC

Y

PARTNERS IN FAMILY MEDICINE, PLLC

Y

Patrick H Noud Md Plc

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

RAOUF MIKHAIL

Y

ROBERT J FRANCHI D O P C

Y

ROSTAM ADULT AND PEDIATRIC MEDICINE PLLC

Y

SINGH & ARORA ONCOLOGY HEMATOLOGY P C

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

Vascular Surgery Assoc PC

Y

VITAL CARE HOME MEDICAL EQUIP INC

Y

VITALCARE, INC

Y

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



ACO governing body:

Member

Last Name

Member

First Name

Member

Title/Position

Member's Voting Power: expressed as a percentage or number

Membership Type

ACO Participant Legal Business Name/DBA, 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: Kim Hamm

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

Shared Savings Distribution:

  • 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

2019 Quality Performance Results:

ACO #

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

82.21

85.86

ACO-2

CAHPS: How Well Your Providers Communicate 

93.62

94.11

ACO-3

CAHPS: Patients’ Rating of Provider

93.07

92.69

ACO-4

CAHPS: Access to Specialists 

81.24

81.54

ACO-5

CAHPS: Health Promotion and Education 

57.85

60.44

ACO-6

CAHPS: Shared Decision Making 

65.37

62.78

ACO-7

CAHPS: Health Status/Functional Status 

73.69

73.79

ACO-34

CAHPS: Stewardship of Patient Resources 

23.54

26.17

ACO-45

CAHPS: Courteous and Helpful Office Staff

91.72

92.84

ACO-46

CAHPS: Care Coordination

84.54

86.89

ACO-8

Risk Standardized, All Condition Readmission

14.81

14.86

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

61.75

58.15

ACO-43

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

1.88

1.87

ACO-13

Falls: Screening for Future Fall Risk 

91.35

84.04

ACO-14

Preventive Care and Screening: Influenza Immunization 

70.75

74.77

ACO-17

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

57.14

78.04

ACO-18

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

61.57

70.40

ACO-19

Colorectal Cancer Screening

72.11

70.76

ACO-20

Breast Cancer Screening

70.65

73.84

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

74.29

82.17

ACO-27

Diabetes: Hemoglobin A1c Poor Control (>9%) 

15.63

13.88

ACO-28

Controlling High Blood Pressure 

75.07

75.04

Please note, the ACO-40 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