About Reliance ACO

Accountable Care Organizations (ACOs) are healthcare providers that work with Centers for Medicare & Medicaid Services (CMS) to achieve the three-part Aims by reducing cost, improve quality and patient satisfaction. It is important to understand that joining an ACO does not change Medicare benefits. Patients have the freedom to choose their physicians. Physicians in an ACO agree to participate in an ACO. CMS has developed a shared savings program for physicians. The ACO providers are able to share in any savings that result from providing high-quality, reducing cost and improving patient satisfaction by coordinated care.

Coordinate Your Care
An ACO is not a Medicare Advantage plan or an HMO plan. If you have traditional Medicare, you still have the right to use any doctor or hospital who accepts Medicare, at any time. Your doctor may continue to recommend that you see other particular doctors for your specific health needs, but it’s always your choice about what doctors you use or hospitals you visit.

How will an ACO help my doctor coordinate my care?
You benefit because your doctors will be part of a better coordinated team. You may not have to fill out as many medical forms that ask for the same information. Each of your doctors will not only know about the health issues they’ve treated, they will have a more complete picture of your health through talking with your other doctors.

Questions
If you have questions or concerns, you can talk with your doctor at any time. You can also visit www.medicare.gov/acos.html or call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

400

Physicians

30,000

Patients

$29.5M

in Medicare Savings

Reporting

Table 3. 2015 Quality Performance Results Table Template
2014 Reporting Year 2015 Reporting Year 2016 Reporting Year
Measure Number Measure Name Performance Rate Mean Performance rate (SSP - ACOs) Performance Rate Mean Performance rate (SSP - ACOs) Performance Rate Mean Performance rate (SSP - ACOs)
ACO1 CAHPS: Getting Timely Care, Appointments, and Information 77.62 80.13 82.59 80.11 79.51 80.51
ACO2 CAHPS: How Well Your Providers Communicate 91.02 92.39 92.23 92.41 94.07 93.01
ACO3 CAHPS: Patients’ Rating of Provider 92.9 91.58 93.42 91.69 93.97 92.25
ACO4 CAHPS: Access to Specialists 82.77 83.97 84.25 83.50 84.86 83.49
ACO5 CAHPS: Health Promotion and Education 56.91 58.29 61.75 58.98 61.79 60.32
ACO6 CAHPS: Shared Decision Making 75.27 74.6 77.88 74.80 75.19 75.40
ACO7 CAHPS: Health Status/Functional Status 66.16 71.1 68.94 71.92 72.83 72.30
ACO34 CAHPS: Stewardship of Patient Resources* 29.98 27.35 34.79 26.97
ACO8 Risk Standardized, All Condition Readmission 16.49 15.15 15.48 14.86 15.06 14.70
ACO35 Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM)* Readmission 19.8 18.06 19.72 18.17
ACO36 All-Cause Unplanned Admissions for Patients with Diabetes* 66.74 54.57 58.40 53.20
ACO37 All-Cause Unplanned Admissions for Patients with Heart Failure* 91.26 76.96 84.52 75.23
ACO38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 71.71 62.92 65.14 59.81
ACO9 Ambulatory Sensitive Condition Admissions: Chronic Obstructive Pulmonary Disease or Asthma in Older Adults (AHRQ Prevention Quality Indicator (PQI) #5) 1.42 1.08 1.24 1.11 8.22 9.27
ACO10 Ambulatory Sensitive Conditions Admissions: Heart Failure (AHRQ Prevention Quality Indicator (PQI) #8) 1.04 1.19 0.97 1.04 14.53 14.53
ACO11 Percent of Primary Care Physicians who Successfully Meet Meaningful Use Requirements 65.22 76.71 68.61 80.50 72.77 82.72
ACO39 Documentation of Current Medications in the Medical Record* 90.31 84.07 95.68 87.54
ACO13 Falls: Screening for Future Fall Risk 18.28 45.6 70.6 56.59 72.14 64.04
ACO14 Preventive Care and Screening: Influenza Immunization 37.7 57.51 62.7 62.02 65.04 68.32
ACO15 Pneumonia Vaccination Status for Older Adults 14.07 55.03 59.65 63.78 70.22 69.21
ACO16 Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-up 78.56 66.75 71.85 71.17 76.76 74.45
ACO17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 84.42 86.79 89.82 90.25 93.71 90.98
ACO18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 25.3 39.37 68.59 45.33 68.39 53.63
ACO19 Colorectal Cancer Screening 32.03 56.14 45.41 60.04 52.22 61.52
ACO20 Breast Cancer Screening 44.58 61.41 53.75 65.65 61.63 67.61
ACO21 Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 76.04 60.24 68.64 70.04 61.48 76.79
ACO40 Depression Remission at Twelve Months* 33.33 6.13
ACO42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 64.02 77.72
ACO27 Diabetes Mellitus: Hemoglobin A1c Poor Control 35.32 20.35 20.66 20.42 17.75 18.24
ACO41 Diabetes: Eye Exam* 32.94 41.14 35.87 44.94
ACO28 Hypertension: Controlling High Blood Pressure 64.94 68.02 66.6 69.61 68.11 70.69
ACO30 Ischemic Vascular Disease: Use of Aspirin or Another Antithrombotic 53.6 80.79 87.74 83.81 87.06 85.05
ACO31 Heart Failure: Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 97.55 82.71 85.19 87.20 83.96 88.67
ACO33 Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - for patients with CAD and Diabetes or Left Ventricular Systolic Dysfunction (LVEF<40%) 57.35 N/A 82.04 77.74 76.98 79.67

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

Note: In the Quality Performance Results file(s) above, search for “Reliance ACO LLC” to view the quality performance results. This ACO can also be found by using the ACO ID A76825 in the public use files on data.cms.gov.

CAHPS = Consumer Assessment of Healthcare Providers and Systems, PQI = Prevention Quality Indicator, LVSD = left ventricular systolic dysfunction, ACE = angiotensin-converting enzyme, ARB = angiotensin receptor blocker, CAD = coronary artery disease.
*= Measure required beginning Reporting Year 2015.
N/A = Reporting on the depression remission measure is not required for 2015, as indicated by N/A

Reliance ACO Participants consist of a network of individual practices of ACO professionals:

  • A. Kabir, M.D.
  • Advance Primary Care
  • Ahmad R. Zeibo M.D. PLLC
  • Ali Nasser, M.D., P.C.
  • Alka D. Aggarwal, M.D. P.C.
  • Allenwood Family Health Care, PC
  • Alliance Health Professionals, PLLC
  • Amini Healthcare, P.L.L.C.
  • Anil R. Patel, MD
  • Associated Physicians Group PLC
  • B.N. Nandish, M.D., PC
  • Better Health PLLC
  • Bruce Cassidy, D.O., PC
  • Charles G. Godoshian, M.D., P.C.
  • David G. Patterson D.O., P.C.
  • Dearborn Family Clinic, PC
  • Deborah A. Borowski, D.O., P.C.
  • Eastside Internal Medicine, PC
  • First Choice Medical Center
  • Franklin Medical Consultants P.C.
  • Hartland Family Physicians PC
  • Infinity Primary Care LLC
  • Internal Medicine Associates of Michigan PC
  • John Haapaniemi & Barry Lesser Ptr, Haapaniemi Lesser Associated
  • Jonathan E. Pasko, M.D., PC
  • Jowher Khaleel M.D. P.C.
  • Karma Internists, P.C.
  • Kashif Qureshi, M.D., PC
  • Kurt Hesse M.D., P.C.
  • Lamis Inc
  • M.A. Soofi M.D., P.C.
  • M.D. House Calls, PLLC
  • Maan Askar, MD PC
  • Maheshkumar Patel
  • Metro Shores Internal Medicine, PLLC
  • Monroe Health Center
  • Monroe Medical Associates
  • Nizaamuddeen Toofanny, M.D., PLLC
  • Norman J. Kakos, M.D., P.C.
  • Palakurthi, PLLC
  • Quality Medical Group PLC
  • Raed Haddad M.D. PLLC
  • Rochester Internists, PLLC
  • Rodney Poling, M.D.
  • Shenandoah Clinic P.C.
  • Sherwood Medical Center, PC
  • Slim Internal Medicine, PLLC
  • South Valley Internal Medicine, P.C.
  • Southfield Internists, PC
  • Steven J. Serra, D.O., PC
  • Superior Family Medicine P.C.
  • Synergy Medical, P.C.
  • T.N. Kakish, M.D. P.C.
  • Vinod Kohli, M.D., P.C.
  • Warren Gastroenterology, P.C.
  • Yassir Attalla, PLLC
  • Yehia I Elsafy M.D. PLC

ACO participants in joint ventures between ACO professionals and hospitals:
* No participants are involved in a joint venture between ACO professionals and hospitals

Name Board Designation
Nazmul Haque CEO, ACO Participant, Bloomfield Medical Center, PLLC
Jerome Finkel Board Member, ACO Participant, Alliance Health Professionals, PLLC
Amy Goldfaden Board Member, ACO Participant, Infinity Primary Care, LLC
David Steinberger Board Member, ACO Participant, Infinity Primary Care, LLC
Jira Coumarbatch Board Member, ACO Participant, Superior Family Medicine
Charles Godoshian Board Member, ACO Participant, Alliance Health Professionals, PLLC
Fadi Demashkieh Board Member, ACO Participant, Rochester Internists, PLC
John Haapaniemi Board Member, ACO Participant, John Haapaniemi & Barry Lesser, Ptr
Tedd March Board Member, ACO Participant, Monroe Medical Associates, LLC
Pratibha Modi Board Member, ACO Participant, Southfield Internists, PC
Mohamed Siddique President, ACO Participant, Pulsar Medical Associates, PC
Edwin Stone Board Member, ACO Participant, M.D. House Calls, PLLC
Gene Farber COO, Board Member

*All Board Members have voting capacity

CEO Dr. Nazmul Haque
President and Medical Director Dr. Mohamed Siddique
Regional Medical Director Dr. Neil Belgiano
COO Gene Farber
Chief Medical Officer Dr. Gregory Berger
Quality Committee Dr. Neil Belgiano
Care Coordination Committee Dr. Mohamed Siddique
Performance Year 11 Performance Year 2014 Performance Year 2015 Performance Year 2016 Performance Year 2017
Savings/Losses Not in operations $5,963,625 $0 $7,303,914 Not yet determined
Distribution:
Distribution to ACO Participants Not in operations 21% ($100 per ACO assigned beneficiary) N/A 41% Not yet determined
Distribution to Investors Not in operations 25% (92% of investors were ACO Participants) N/A Not yet determined Not yet determined
Reimbursement for Expenses Not in operations 30% N/A 30% Not yet determined
Investment in Infrastructure Not in operations 24% N/A 39% Not yet determined
Total Not in operations 100% N/A Not yet determined Not yet determined

1Performance Year 1 for Shared Savings Program ACOs includes a 21- or 18-month period for ACOs with 2012 start dates and a 12-month period for ACOs with 2013 start dates

Contact

Reliance ACOReliance PO