Evolent Care Partners

The Accountable Care Organization, Ltd.

ACO Name And Location

The Accountable Care Organization, Ltd.
Previous Names: N/A
30000 Northwestern Highway
Farmington Hills, MI 48334
 

ACO Primary Contact

Jessica Landin
1.800.910.6739
jlandin@evolenthealth.com

Organizational Information

ACO Participants:

 

ACO Participants  ACO Participant in Joint Venture (Enter Y or N)
CLARKSTON INTERNAL MEDICINE, P.C.      N
PROGRESSIVE HEALTH CARE PC  N
THE SOUTH BEND CLINIC LLP  N
Clarkston Medical Group, P.C.   N
Michigan Healthcare Professionals PC  N
MMG 1 PC   N
OMG 1PC  N
ALEXANDER N NEWMAN MD PA   N
ALVI PRIME TIME CLINICS PLLC   N
CAPITAL FAMILY MEDICINE, P.A.  N
CAPITAL FAMILY PHYSICIANS, PA   N
CARY ADULT MEDICINE PLLC   N
CARY HEALTHCARE ASSOCIATES, P.A.   N
CARY INTERNAL MEDICINE & THE DIABETES CENTER PA N
DAVID PAUL ADAMS MD PA   N
FAMILY FIRST PRIMARY CARE PLLC   N
FAMILY MEDICAL ASSOCIATES OF RALEIGH, PA   N
GARNER INTERNAL MEDICINE, P.A.   N
GENERATIONS FAMILY PRACTICE PA   N
IMPERIAL CENTER FAMILY MEDICINE AND IMMEDIATE CARE PLLC  N
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATES PA   N
INTERNAL MEDICINE ASSOCIATES OF RALEIGH, PA  N
JACOBS AND VAN CLEEFF INTERNAL MEDICINE, PC   N
MARY J FORBES MD PLLC   N
METRO INTERNAL MEDICINE P.A.   N
NEUSE VALLEY INTERNAL MEDICINE, PLLC   N
NORTH CAROLINA INTERNAL MEDICINE PC   N
NORTH RALEIGH FAMILY MEDICINE   N
RALEIGH DURHAM MEDICAL GROUP PA   N
RALEIGH FAMILY PRACTICE, P.A.   N
RALEIGH MEDICAL GROUP, PA   N
RICHARD D ADELMAN MD   N
SHAH AND ASSOCIATES FAMILY PRACTICE   N
WAKE INTERNAL MEDICINE  CONSULTANTS, INC.   N
WESTERN WAKE WELLNESS   N
ABIMBOLA BANJO   N
ALICIA W GROSSMANN MD PA   N
ALPINE MEDICAL CENTER PLLC   N
BASTROP COUNTY MEDICAL & ASSOCIATES, PA   N
DOMINION MEDICAL ASSOCIATES, P.A.   N
DR. JESUS G. GARCIA, MD, PA   N
EMMANUEL EDOKA   N
FAMILY MEDICAL CENTER OF GEORGETOWN, PA   N
FLORA MEDICAL CLINIC PLLC   N
JOSEPH A MAROTTA MD PA   N
KENDALL WONG   N
LEO TOUPIN, MD PA   N
LUIS BIELER, MD, PA   N
MANUEL R CARRASCO MD PA   N
NORTH AUSTIN FAMILY MEDICINE, PA   N
NORTH STAR FAMILY MEDICINE P.A.   N
ODESSA CONSULTANTS LLC   N
OSCAR GARZA, M.D.,PA   N
PANKAJ PATEL   N
PAUL BRISTOL   N
PLEASANTON FAMILY MEDICINE PLLC   N
PORT LAVACA CLINIC ASSOCIATES PA  N
PSYCHIATRIC MEDICAL ASSOCIATES, PA   N
RAJ PATEL, M.D., P.A.   N
RAJANIKANT PANDYA   N
RAJESH J PATEL, M.D., P.A.   N
KEVIN STEPHENS MD PA   N
LEGENDS MEDICAL CLINIC PLLC   N
RAUL GAONA   N
SAMMY LERMA III MD PA   N
SHANE EDWARD KELLER MD PA   N
SHROFF CARDIOLOGY & INTERNAL MEDICINE CLINIC PA   N
SHYLESH GANTA ,MD , PA   N
SOUTH SAN ANTONIO MEDICAL ASSOCIATES   N
SOUTH TEXAS INTERNAL MEDICINE ASSOCIATES, P.A.   N
SUBODH MALLIK   N
SUMANT KUMAR   N
SURESH PRASAD MD PA   N
VIKRAM VADYALA PLLC   N

 

ACO Governing Body
 

Last Name First Name Ttitle / Position Member's Voting Power Membership Type ACO Participant Legal Business name/DBA, if Applicable
Gosar Asit President and CEO, TACO 1 Other N/A
Landin Jessica COO, TACO 1 Other N/A
Macken-Marble Kelly CEO, South Bend Clinic 1 ACO Participant The South Bend Clinic
Montiero Robert MD 1 ACO Participant Wake Internal Medicine Consultants
Babcock Andrew MD 1 ACO Participant Raleigh Family Practice
Margolis Michael MD 1 ACO Participant OMG 1PC
Abraham Renny MD 1 ACO Participant Clarkston Medical Group P.C.
Kaufhold Kevin MD 1 ACO Participant The South Bend Clinic
Garza Oscar MD 1 ACO Participant OSCAR GARZA, M.D., PA
Leininger Nels   1 Medicare Beneficiary N/A
Feldman Barry MD 1 ACO Participant MMG 1 PC
Wright  John MD 1 ACO Participant Port Lavaca Clinic PLLC

 

Key ACO Clinical and Administrative Leadership:

Jessica Landin | ACO Executive
Michael Margolis | Medical Director
Melanie Hurd | Compliance Officer
Michael Margolis | Quality Assurance / Improvement Officer
 

Associated Committees and Committee Leadership:

Committee Name: Quality Committee
Committee Leader Name and Position: Michael Margolis, Medical Director
 

Types of ACO participants, or combinations of participants, that formed the ACO:

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

 

Shared Savings And Losses

Amount Of Shared Savings And Losses

  • Second Agreement Period
    • Performance Year 2018, $0
    • Performance Year 2017, $0
  • First Agreement Period
    • Performance Year 2016, $10,544,665
    • Performance Year 2015, $0
    • Performance Year 2014, $4,439,151
       

Shared Savings Distribution

  • Second Agreement Period
    • Performance Year 2018
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2017
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
  • First Agreement Period
    • Performance Year 2016
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 50%
    • Performance Year 2015
      • Proportion invested in infrastructure: N/A
      • Proportion invested in redesigned care processes/resources: N/A
      • Proportion of distribution to ACO participants: N/A
    • Performance Year 2014
      • Proportion invested in infrastructure: 10%
      • Proportion invested in redesigned care processes/resources: 40%
      • Proportion of distribution to ACO participants: 50%

 

Quality Performance Results
 


2018 Quality Performance Results:
 

ACO# Measure Name Rate ACO Mean
ACO-1

CAHPS: Getting Timely Care, Appointments, and Information

89.24 86.14
ACO-2

CAHPS: How Well Your Providers Communicate

93.85 93.93
ACO-3

CAHPS: Patients’ Rating of Provider

92.08 92.45
ACO-4

CAHPS: Access to Specialists

83.92 81.50
ACO-5

CAHPS: Health Promotion and Education

58.14 59.26
ACO-6

CAHPS: Shared Decision Making

60.12 61.94
ACO-7

CAHPS: Health Status/Functional Status

74.77 73.35
ACO-34

CAHPS: Stewardship of Patient Resources

25.68 26.26
ACO-8

Risk Standardized, All Condition Readmission

15.26 14.98
ACO-35

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

19.77 18.59
ACO-36

All-Cause Unplanned Admissions for Patients with Diabetes

41.94 37.01
ACO-37

All-Cause Unplanned Admissions for Patients with Heart Failure

86.88 76.75
ACO-38

All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions

64.14 59.00
ACO-43

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

2.09 1.98
ACO-11

Use of Certified EHR Technology

99.83 98.20
ACO-12

Medication Reconciliation Post-Discharge

92.91 85.91
ACO-13

Falls: Screening for Future Fall Risk

68.99 79.73
ACO-44

Use of Imaging Studies for Low Back Pain

79.59 64.36
ACO-14

Preventive Care and Screening: Influenza Immunization

71.16 72.71
ACO-15

Pneumonia Vaccination Status for Older Adults

67.87 75.97
ACO-16

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

66.03 76.83
ACO-17

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

74.36 72.81
ACO-18

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

67.01 66.74
ACO-19

Colorectal Cancer Screening

68.76 68.27
ACO-20

Breast Cancer Screening

65.38 71.96
ACO-42

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

88.57 81.47
ACO-27

Diabetes Mellitus: Hemoglobin A1c Poor Control

16.18 15.51
ACO-41

Diabetes: Eye Exam

52.41 52.42
ACO-28

Hypertension (HTN): Controlling High Blood Pressure

76.34 73.10
ACO-30

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

95.11 88.92

 

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size.

Note: In the Quality Performance Results file(s) above, search for “The Accountable Care Organization, Ltd.” to view the quality performance results. This ACO can also be found by using the ACO ID A2098 in the public use files on data.cms.gov

 

Payment Rule Waivers

No, our ACO does not use the SNF 3-Day Rule Waiver.