ACO Participants

  • Alma Family Practice PC
  • Mark L Skory
  • DAVID J. SMITH MD PC
  • Bay Area Health Clinic PC
  • Family Medicine Associates of Midland, P.C.
  • Great Lakes Medical Associates, PC
  • Kochar PLC
  • Midland Family Physicians PC
  • Prism Medical Associates, PC
  • Revan Maragiri MD PLC
  • Riverview Medical Associates,P.C.
  • Annu Mohan MD PLLC
  • Charles W. Schisler, D.O., P.C.
  • VC Reddy MD & SS Dandamudi MD PC
  • Walter Gruber
  • Clinton County Medical Center PC
  • Tessa B Schisler DO PLC
  • Auburn Clinic
  • NIKOLAI KINACHTCHOUK,M.D. & LIOUDMILA KINACHTCHOUK,M.D. P.L.C.

No participants are involved in a joint venture between ACO professionals and hospitals

ACO Governing Body

  • Sarvepalli, Prakash, Physician and Vice Chair, 1, Voting Member, ACO Participant Representative, Great Lakes Medical Associates, PC
  • Strom, Scott, Physician, 1, Voting Member, ACO Participant Representative, Alma Family Practice PC
  • Skory, Mark, Physician, 1, Voting Member, ACO Participant Representative, Mark L Skory
  • Smith,Eric, Physician, 1, Voting Member, ACO Participant Representative, David J. Smith MD PC
  • Kochar, Harmohan, Physician, 1, Voting Member, ACO Participant Representative, Kochar PLC
  • Archbold, Jeffery, Physician, 1, Voting Member, ACO Participant Representative, Midland Family Physicians PC
  • Saxena, Rakesh, Physician, 1, Voting Member, ACO Participant Representative, Prism Medical Associates, PC
  • Maragiri, Revan, Physician, 1, Voting Member, ACO Participant Representative, Revan Maragiri MD PC
  • Myers, Nanette, Physician, 1, Voting Member, ACO Participant Representative, Riverview Medical Associates,P.C.
  • Mohan, Annu, Physician, 1, Voting Member, ACO Participant Representative, Annu Mohan MD PLLC
  • Schisler, Charles, Physician, 1, Voting Member, ACO Participant Representative, Charles W. Schisler, D.O., P.C.
  • Reddy, Valluru, Physician, 1, Voting Member, ACO Participant Representative, VC Reddy MD & SS Dandamudi MD PC
  • Gruber, Walter, Physician, 1, Voting Member, ACO Participant Representative, Walter Gruber
  • Messenger, Andrew, Physician, 1, Voting Member, ACO Participant Representative, Clinton County Medical Center PC
  • Ahmed, Naeem, Physician, 1, Voting Member, ACO Participant Representative, Bay Area Health Clinic
  • Kinachtchouk, Nikolai, Physician, 1, Voting Member, ACO Participant Representative, Nikolai Kinachtchouk, M.D. & Lioudmila
    Kinachtchouk, M.D., P.L.C
  • Ralaigh, Shay, Practice Transformation Partner, 1, Voting Member, Great Lakes Organized System of Care
  • Duford, Don, Patient, Voting Member, Medicare Beneficiary Representative, N/A
  • Kostoff, Lori Chair, 1, Voting Member, ACO Executive, Aledade, Inc., N/A

Key Clinical and Administrative Leadership

  • ACO Executive: Ms. Lori Kostoff
  • Medical Director: Dr. Jennifer Aloff
  • Compliance Officer: Mr. Brian Lynch
  • Quality Assurance/Improvement Officer: Dr. Emily Maxson

ACO Committees and Committee Leaderships

  • Beneficiary Engagement Committee: Dr. Nanette Myers, Donald Dufford
  • Compliance Committee: Brian Lynch, Dr. Charles Schisler, Dr. Rakash Saxena
  • Evidence-Based Medicine Committee: Dr. Prakesh Sarvepalli, Dr. Sailaja Sarvepalli, Jen Aloff
  • Performance Improvement Committee: Dr. Scott Strom, Dr. Harmohan Kochar, Dr. Annu Mohan
  • Transitions of Care Committee: Dr. Praveen Kamaraju, Dr. Andrew Messenger

Composition of ACO

  • ACO professionals in a group practice arrangement
  • Networks of individual practices of ACO professionals

Amount of Shared Savings/Losses

  • N/A

How Shared Savings Are Distributed

10%

Reinvest in infrastructure

30%

Invested in redesigned care processes/resources

60%

Distribution to ACO Participants

100%

Primary Care Professionals

N/A

Specialists

N/A

Hospital

Payment Rule Waivers

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

Quality Reporting

2017 Quality Performance Results:

ACO#Measure NameRateACO Mean
Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low samples.
ACO-1CAHPS: Getting Timely Care, Appointments, and Information N/A80.51
ACO-2CAHPS: How Well Your Providers Communicate N/A93.01
ACO-3CAHPS: Patients’ Rating of Provider N/A92.25
ACO-4CAHPS: Access to Specialists N/A83.49
ACO-5CAHPS: Health Promotion and EducationN/A60.32
ACO-6CAHPS: Shared Decision Making N/A75.4
ACO-7CAHPS: Health Status/Functional Status N/A72.3
ACO-34CAHPS: Stewardship of Patient Resources N/A26.97
ACO-8Risk Standardized, All Condition ReadmissionN/A14.7
ACO-35Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM)N/A18.17
ACO-36All-Cause Unplanned Admissions for Patients with DiabetesN/A53.2
ACO-37All-Cause Unplanned Admissions for Patients with Heart FailureN/A75.23
ACO-38All-Cause Unplanned Admissions for Patients with Multiple Chronic ConditionsN/A59.81
ACO-9Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5)N/A9.27
ACO-10Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8)N/A14.53
ACO-11Percent of PCPs who Successfully Meet Meaningful Use RequirementsN/A82.72
ACO-39Documentation of Current Medications in the Medical RecordN/A87.54
ACO-13Falls: Screening for Future Fall Risk N/A64.04
ACO-14Preventive Care and Screening: Influenza ImmunizationN/A68.32
ACO-15Pneumonia Vaccination Status for Older AdultsN/A69.21
ACO-16Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-UpN/A74.45
ACO-17Preventive Care and Screening: Tobacco Use: Screening and Cessation InterventionN/A90.98
ACO-18Preventive Care and Screening: Screening for Clinical Depression and Follow-up PlanN/A53.63
ACO-19Colorectal Cancer ScreeningN/A61.52
ACO-20Breast Cancer ScreeningN/A67.61
ACO-21Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented N/A76.79
ACO-42Statin therapy for the Prevention and Treatment of Cardiovascular DiseaseN/A77.72
ACO-27Diabetes Mellitus: Hemoglobin A1c Poor Control N/A18.24
ACO-41Diabetes: Eye ExamN/A44.94
ACO-28Hypertension (HTN): Controlling High Blood Pressure N/A70.69
ACO-30Ischemic Vascular Disease (IVD): Use of Aspirin or Another AntithromboticN/A85.05
ACO-31Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)N/A88.67
ACO-33Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%)N/A79.67