Name and Location
USMM Accountable Care Partners, LLC
Previous Names: N/A
500 Kirts Blvd.
Troy, MI 48084

Primary Contact
William Robinson
Email: wrobinson@harmonycares.com
Phone: (207) 804-6686

ACP Participants

ACO Participants

ACO Participant in Joint Venture   (Enter Y or N)

VPA of Texas, PLLC

N

RMED, LLC

N

VPA, PC

N

ACO Governing Body

Member First Name Member Last Name Member Title/Position Member’s Voting Power Membership Type ACO Participant Legal Business Name and D/B/A, if applicable
Alexander Sozdatelev Manager 10 ACO Participant Representative RMed, LLC
William Robinson Manager 10 Other N/A
Basil Younis Manager 10 ACO Participant Representative VPA of Texas, PLLC
Zack Mulligan Manager 10 ACO Participant Representative RMed, LLC
Stefanie Cain Manager 10 ACO Participant Representative VPA, P.C.
Austin Moody Manager & Officer 10 ACO Participant Representative RMed, LLC
Marthe Adler Manager 10 ACO Participant Representative VPA, P.C.
Bhavesh Patel Manager 10 ACO Participant Representative RMed, LLC
Lynn Beatty Athens Manager 10 ACO Participant Representative VPA, P.C.
Judith Hass Manager 10 Medicare beneficiary representative N/A

ACO Clinical and Administrative Leadership

Key ACO Clinical and Administrative Leadership

  • ACO Executive: William Robinson
  • Medical Director: Dr. Austin Moody
  • Compliance Officer: Janine Valdez
  • Quality Assurance/Improvement Officer: Samantha Van Bolderen

Types of ACO Participants, or Combinations of Participants, That Formed the ACO

Networks of individual practices of ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

•   Third Agreement Period
    o  Performance Year 2023, $38,226,021.79
    o  Performance Year 2022, $22,841,776.40
    o  Performance Year 2021, $25,813,466.19
    o  Performance Year 2020, $19,404,826.74
    o  Performance Year 2019-A, $0
•  Second Agreement Period
    o  Performance Year 2019, $0
• First Agreement Period
   o  Performance Year 2018, $12,620,610
   o  Performance Year 2017, $20,750,377
   o  Performance Year 2016, $21,195,787
   o  Performance Year 2015, $7,393,855
 

Shared Savings Distribution

  • Third Agreement Period
    • Performance Year 2023
      • Proportion invested in infrastructure: 15%
      • Proportion invested in redesigned care processes/resources: 81%
      • Proportion of distribution to ACO participants: 4%
      • Performance Year 2022
        • Proportion invested in infrastructure: 9%
        • Proportion invested in redesigned care processes/resources: 79%
        • Proportion of distribution to ACO participants: 12%
        • Performance Year 2021
          • Proportion invested in infrastructure: 10%
          • Proportion invested in redesigned care processes/resources: 15%
          • Proportion of distribution to ACO participants: 75%
          • Third Agreement Period
          • Performance Year 2020
            • Proportion invested in infrastructure: 20%
            • Proportion invested in redesigned care processes/resources: 59%
            • Proportion of distribution to ACO participants: 21%
            • Third Agreement Period
          •   Performance Year 2019-A
            • Proportion invested in infrastructure: 0%
            • Proportion invested in redesigned care processes/resources: 0%
            • Proportion of distribution to ACO participants: 0%
        • Second Agreement Period
          • Performance Year 2019
            • Proportion invested in infasinfrastructure: 0%
            • Proportion invested in redesigned care processes/resources: 0%
            • Proportion of distribution to ACO participants: 0%
        • First Agreement Period
          • Performance Year 2018
            • Proportion invested in infrastructure: 31%
            • Proportion invested in redesigned care processes/resources: 37%
            • Proportion of distribution to ACO participants: 32%
          • Performance Year 2017
            • Proportion invested in infrastructure: 14%
            • Proportion invested in redesigned care processes/resources: 67%
            • Proportion of distribution to ACO participants: 19%
          • Performance Year 2016
            • Proportion invested in infrastructure: 13%
            • Proportion invested in redesigned care processes/resources: 68%
            • Proportion of distribution to ACO participants: 19%
          • Performance Year 2015
            • Proportion invested in infrastructure: 60%
            • Proportion invested in redesigned care processes/resources: 15%
            • Proportion of distribution to ACO participants: 25%

Quality Performance Results 2023

2023 Quality Performance Results:

Quality performance results are based on the Administrative Claims, CAHPS for MIPS Survey and MIPS CQM collection type.

Measure # Measure Name Collection Type Reported Performance Rate Current Year Mean Performance Rate (SSP ACOs)
Quality ID#: 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) MIPS CQM 23.45 35.18
Quality ID#: 134 Preventive Care and Screening: Screening for Depression and Follow-up Plan MIPS CQM 67.36 43.70
Quality ID#: 236 Controlling High Blood Pressure MIPS CQM 81.16 69.63
Quality ID#: 321 CAHPS for MIPS CAHPS 4.58 6.25
Measure # 479 Hospital-Wide, 30-Day, All-Cause, Unplanned Readmission (HWR), Rate for MIPS Eligible Clinician Groups Administrative Claims 0.1615 0.1553
Measure # 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions Administrative Claims — 35.39
CAHPS-1 Getting Timely Care, Appointments, and Information CAHPS for MIPS Survey 82.38 83.68
CAHPS-2 How Well Providers Communicate CAHPS for MIPS Survey 91.80 93.69
CAHPS-3 Patient’s Rating of Provider CAHPS for MIPS Survey 88.43 92.14
CAHPS-4 Access to Specialists CAHPS for MIPS Survey 77.90 75.97
CAHPS-5 Health Promotion and Education CAHPS for MIPS Survey 60.92 63.93
CAHPS-6 Shared Decision Making CAHPS for MIPS Survey 71.56 61.60
CAHPS-7 Health Status and Functional Status CAHPS for MIPS Survey 52.01 74.12
CAHPS-8 Care Coordination CAHPS for MIPS Survey 81.38 85.77
CAHPS-9 Courteous and Helpful Office Staff CAHPS for MIPS Survey 88.45 92.31
CAHPS-11 Stewardship of Patient Resources CAHPS for MIPS Survey 28.23 26.69

For previous years’ Financial and Quality Performance Results, please visit: Data.cms.gov

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • No, Our ACO does not use the SNF 3-Day Rule Waiver, pursuant to 42 CFR § 425.612.
  • Waiver for Payment for Telehealth Services:
    •  No, our ACO clinicians do not provide telehealth services using the flexibilities under 42 CFR § 42

Fraud and Abuse Waivers

  • ACO Pre-Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Pre-Participation Waiver, including any material amendment or modification to a disclosed arrangement.

Not Applicable

  • ACO Participation Waiver:

The following information describes each arrangement for which our ACO seeks protection under the ACO Participation Waiver, including any material amendment or modification to a disclosed arrangement.

MSSP Participation Waiver