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
William Robinson Manager 5% Other N/A
Basil Younis Manager 15% ACO Participant Representative VPA of Texas PLLC
Mounir Mikheil Manager 15% ACO Participant Representative VPA PC
Ryan Scragg Manager 15% ACO Participant Representative VPA PC
Jane Rini Manager 10% Medicare Beneficiary Representative N/A
Alexander Sozdatelev Manager 5% ACO Participant Representative RMED LLC
Zack Mulligan Manager 5% ACO Participant Representative RMED LLC
Stefanie Cain Manager 15% ACO Participant Representative VPA PC
Austin Moody Manager 15% ACO Participant Representative RMED LLC

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