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
Matt Chance 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 and Matt Chance
  • 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 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 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 2022

2022 Quality Performance Results:

Quality performance results are based on MIPS CQMs

Measure # Measure Name Collection Type Rate ACO Mean
Quality ID# 001 Diabetes: Hemoglobin A1c (HbA1c) Poor Control [1] MIPS CQMs 26.33 44.73
Quality ID# 134 Preventative Care and Screening: Screening for Depression and Follow-up Plan MIPS CQMs 77.81 49.23
Quality ID# 236 Controlling High Blood Pressure MIPS CQMs 73.71 68.82
Quality ID# 321 CAHPS for MIPS [3] MIPS CQMs 4.35 6.08
Measure# 479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups [1] MIPS CQMs 0.1609 0.1510
Measure# 484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions [1] MIPS CQMs 37.98 30.97
CAHPS-1 Getting Timely Care, Appointments, and Information MIPS CQMs 74.40 83.96
CAHPS-2 How Well Providers Communicate MIPS CQMs 87.84 93.47
CAHPS-3 Patient’s Rating of Provider MIPS CQMs 83.97 92.06
CAHPS-4 Access to Specialists MIPS CQMs 76.35 77.00
CAHPS-5 Health Promotion and Education MIPS CQMs 59.82 62.68
CAHPS-6 Shared Decision Making MIPS CQMs 60.70 60.97
CAHPS-7 Health Status and Functional Status MIPS CQMs 52.75 73.06
CAHPS-8 Care Coordination MIPS CQMs 77.28 85.46
CAHPS-9 Courteous and Helpful Office Staff MIPS CQMs 82.02 91.97
CAHPS-11 Stewardship of Patient Resources MIPS CQMs 27.01 25.62

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • Yes, our ACO uses 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

Quality Performance Results

2021 Quality Performance Results:

Quality performance results are based on MIPS CQMs

ACO Quality Measure Number

Measure Name

Rate

ACO Mean

001

 Diabetes: Hemoglobin A1c (HbA1c) Poor

27.36

40.68

134

 Preventative Care and Screening: Screening for Depression and Follow-up

86.48

51.53

236

 Controlling High Blood Pressure

79.19

69.61

321

 CAHPS for MIPS3

N/A

N/A

479

 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for

0.1685

0.1685

MCC1

 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

39.41

33.99

CAHPS-1

 Getting Timely Care, Appointments, and

79.06

84.67

CAHPS-2

 How Well Providers Communicate

92.24

93.56

CAHPS-3

 Patient’s Rating of Provider

90.47

92.19

CAHPS-4

 Access to Specialists

71.76

78.80

CAHPS-5

 Health Promotion and Education

60.74

61.61

CAHPS-6

 Shared Decision Making

54.38

60.89

CAHPS-7

 Health Status and Functional Status

51.76

71.78

CAHPS-8

 Care Coordination

79.67

85.66

CAHPS-9

 Courteous and Helpful Office Staff

87.44

91.88

CAHPS-11

 Stewardship of Patient Resources

29.25

24.71

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

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