Public Reporting

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

 

Primary Contact
Joan Valentine
Email: jvalentine@usmmllc.com
Phone: 248-434-6222

ACO Participants

ACO Participant in Joint Venture   (Enter Y or N)

VPA of Texas PLLC

N

RMED LLC

N

VPA PC

N



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

Patel

Rajiv

Chairman

1

ACO Participant Representative

RMed, LLC

Valentine

Joan

Vice Chairman

1

ACO Participant Representative

VPA, P.C.

Del Pilar

Erlinda

Voting Member

1

ACO Participant Representative

VPA of Texas, PLLC

Weschke

Charles

Treasurer

1

ACO Participant Representative

VPA, P.C.

Olsen

Stephanie

Secretary

1

ACO Participant Representative

VPA, P.C.

Daly

Annemarie

Voting Member

1

ACO Participant Representative

VPA, P.C.

Sagritalo

Ronald

Voting Member

1

ACO Participant Representative

VPA, P.C.

Patel

Bhavesh

Voting Member

1

ACO Participant Representative

RMed, LLC

Beatty

Lynn

Voting Member

1

ACO Participant Representative

VPA, P.C.

Pappas

Ann

Voting Member

1

Medicare Beneficiary Representative

N/A

 

Key ACO Clinical and Administrative Leadership

  • Joan Valentine- ACO Executive
  • Annemarie Daly- Medical Director
  • Ron Sagritalo- Compliance Officer
  • Joan Valentine- Quality Assurance/Improvement Officer
  • Care Management - Jennifer Powell, V.P. Medical Management
  • Quality Management & Peer Review - Joan Valentine, Exec. V.P., VPA
  • Finance - Charles Weschke, Chief Financial Officer
  • Compliance - Ron Sagritalo, Chief Compliance Officer

 Networks of individual practices of ACO professionals

 

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2018, $12,620,610

  • First Agreement Period
    • Performance Year 2017, $20,750,377
    • Performance Year 2016, $21,195,787
    • Performance Year 2015, $7,393,855

Shared Savings Distribution

  • Second 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%
  • First Agreement Period
    • 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%

 

2018 Quality Performance Results:

ACO#

Measure Name

Rate

ACO Mean

ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

79.50

86.14

ACO-2

CAHPS: How Well Your Providers Communicate

88.86

93.93

ACO-3

CAHPS: Patients’ Rating of Provider

87.10

92.45

ACO-4

CAHPS: Access to Specialists

85.03

81.50

ACO-5

CAHPS: Health Promotion and Education

58.35

59.26

ACO-6

CAHPS: Shared Decision Making

59.33

61.94

ACO-7

CAHPS: Health Status/Functional Status

51.94

73.35

ACO-34

CAHPS: Stewardship of Patient Resources

27.33

26.26

ACO-8

Risk Standardized, All Condition Readmission

16.10

14.98

ACO-35

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

19.44

18.59

ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

49.73

37.01

ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

85.56

76.75

ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

67.11

59.00

ACO-43

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

2.54

1.98

ACO-11

Use of Certified EHR Technology

100.00

98.20

ACO-12

Medication Reconciliation Post-Discharge

98.51

85.91

ACO-13

Falls: Screening for Future Fall Risk

97.18

79.73

ACO-44

Use of Imaging Studies for Low Back Pain

73.08

64.36

ACO-14

Preventive Care and Screening: Influenza Immunization

91.75

72.71

ACO-15

Pneumonia Vaccination Status for Older Adults

49.22

75.97

ACO-16

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

66.42

76.83

ACO-17

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

93.75

72.81

ACO-18

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

82.30

66.74

ACO-19

Colorectal Cancer Screening

22.22

68.27

ACO-20

Breast Cancer Screening

19.76

71.96

ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81.00

81.47

ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

15.69

15.51

ACO-41

Diabetes: Eye Exam

30.29

52.42

ACO-28

Hypertension (HTN): Controlling High Blood Pressure

N/A

73.10

ACO-30

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

86.35

88.92


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

  • 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 425.612(f) and 42 CFR 425.613.