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 your provider’s participation in an ACO does not change your 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
Quality Performance Results
2018 Quality Performance Results:
| ACO# | Measure Name | Rate | ACO Mean |
| ACO-1 | CAHPS: Getting Timely Care, Appointments, and Information | 87.70 | 86.14 |
| ACO-2 | CAHPS: How Well Your Providers Communicate | 94.25 | 93.93 |
| ACO-3 | CAHPS: Patients’ Rating of Provider | 93.34 | 92.45 |
| ACO-4 | CAHPS: Access to Specialists | 80.51 | 81.50 |
| ACO-5 | CAHPS: Health Promotion and Education | 63.34 | 59.26 |
| ACO-6 | CAHPS: Shared Decision Making | 59.33 | 61.94 |
| ACO-7 | CAHPS: Health Status/Functional Status | 72.74 | 73.35 |
| ACO-34 | CAHPS: Stewardship of Patient Resources | 27.98 | 26.26 |
| ACO-8 | Risk Standardized, All Condition Readmission | 15.22 | 14.98 |
| ACO-35 | Skilled Nursing Facility 30-day All-Cause Readmission measure (SNFRM) | 20.94 | 18.59 |
| ACO-36 | All-Cause Unplanned Admissions for Patients with Diabetes | 39.20 | 37.01 |
| ACO-37 | All-Cause Unplanned Admissions for Patients with Heart Failure | 83.91 | 76.75 |
| ACO-38 | All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions | 64.13 | 59.00 |
| ACO-43 | Ambulatory Sensitive Condition Acute Composite (AHRQ Prevention Quality Indicator (PQI) #91) | 1.91 | 1.98 |
| ACO-11 | Use of Certified EHR Technology | 97.75 | 98.20 |
| ACO-12 | Medication Reconciliation Post-Discharge | 86.94 | 85.91 |
| ACO-13 | Falls: Screening for Future Fall Risk | 90.76 | 79.73 |
| ACO-44 | Use of Imaging Studies for Low Back Pain | 76.92 | 64.36 |
| ACO-14 | Preventive Care and Screening: Influenza Immunization | 68.45 | 72.71 |
| ACO-15 | Pneumonia Vaccination Status for Older Adults | 72.53 | 75.97 |
| ACO-16 | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow Up | 80.85 | 76.83 |
| ACO-17 | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 84.21 | 72.81 |
| ACO-18 | Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan | 80.98 | 66.74 |
| ACO-19 | Colorectal Cancer Screening | 69.36 | 68.27 |
| ACO-20 | Breast Cancer Screening | 72.47 | 71.96 |
| ACO-42 | Statin Therapy for the Prevention and Treatment of Cardiovascular Disease | 80.46 | 81.47 |
| ACO-27 | Diabetes Mellitus: Hemoglobin A1c Poor Control | 15.36 | 15.51 |
| ACO-41 | Diabetes: Eye Exam | 58.29 | 52.42 |
| ACO-28 | Hypertension (HTN): Controlling High Blood Pressure | 76.50 | 73.10 |
| ACO-30 | Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet | 84.99 | 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.
- For 2018 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2018-Shared-Savings-Program-SSP-Accountable-Care-O/v47u-yq84/data
- For 2017 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2017-Shared-Savings-Program-SSP-Accountable-Care-O/gk7c-vejx/data
- For 2016 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/2016-Shared-Savings-Program-SSP-Accountable-Care-O/3jk5-q6dr/data
- For 2015 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/x8va-z7cu/data
- For 2014 Quality Performance Results please visit: https://data.cms.gov/Special-Programs-Initiatives-Medicare-Shared-Savin/Medicare-Shared-Savings-Program-Accountable-Care-O/ucce-hhpu/data
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 A2198 in the public use files on data.cms.gov.
Payment Rule Waivers
No, our ACO does not use the SNF 3-Day Rule Waiver.
Organizational Information
ACO participants:
| ACO Participants | ACO Participant in Joint Venture (Enter Y or N) |
| Eastside Internal Medicine PC | Y |
| Maan Askar MD, PC | Y |
| Ali Nasser MD PC | Y |
| Rochester Internists, PLLC | Y |
| B.N. Nandish, M.D., PC, Inc. | Y |
| MD House Calls PLLC | Y |
| Warren Gastroenterology, P.C. | Y |
| Lamis, Inc. | Y |
| ROSEMARY M AQUILER ANGELES MD PC | Y |
| Nizaamuddeen Toofanny, M.D., PLLC | Y |
| Superior Family Medicine Clinic, PC | Y |
| Metro Shores Internal Medicine, PLLC | Y |
| Maheshkumar Patel | Y |
| Jonathan E Pasko Md Pc | Y |
| Allenwood Family Health Care, PC | Y |
| Abdul Kabir | Y |
| Quarry Physicians, PC | Y |
| JUNCTION CLINIC | Y |
| Franklin Medical Consultants, P.C. | Y |
| Shenandoah Clinic PC | Y |
| Internal Medicine Assoc Of Mi Pc | Y |
| Kurt Hesse MD PC | Y |
| Jowher Khaleel M.D. P.C. | Y |
| John Haapaniemi& Barry Lesser Ptr,Haapaniemi Lesser Associated | Y |
| Steven J. Serra, D.O. P.C. | Y |
| PARK FAMILY HEALTH CARE, P.C. | Y |
| Sherwood Medical Center, Inc | Y |
| Vinod Kohli MD PC | Y |
| Mohamed Soofi Md Pc | Y |
| David G Patterson DO PC | Y |
| Monroe Medical Associates Pc | Y |
| Hartland Family Physicians PC | Y |
| DOWNRIVER INTERNISTS PC | Y |
| COMMERCE INTERNAL MEDICINE, P.C. | Y |
| Associated Physicians Of Southeast Michigan Pc | Y |
| First Choice Medical Center PC | Y |
| Monroe Health Center Llc | Y |
| Bruce A. Cassidy, D.O., PC | Y |
| PRITI BHARDWAJ MD PC | Y |
| Alka D Aggarwal MD PC | Y |
| Norman J Kakos M.D. P.C. | Y |
| XAVIER MD PC | Y |
| Advance Primary Care | Y |
| South Valley Internal Medicine, Pc | Y |
| Ahmad R. Zeibo, MD. PLLC | Y |
| Amini Healthcare PLLC | Y |
| Raed Haddad Md Pllc | Y |
| T.N. Kakish MD PC | Y |
| Karma Internists, P.C. | Y |
| Port Huron Internal Medicine Associates, PC | Y |
| DETROIT MEDICAL SERVICES PLC | Y |
| BetterHealthPLLC | Y |
| JORAM O MOGAKA MD PC | Y |
| Synergy Medical PC | Y |
| Yassir Attalla Pllc | Y |
| Associated Physicians Group PLC | Y |
| GRATIOT FAMILY MEDICINE CENTER PLLC | Y |
| SOUTHGATE MEDICAL CLINIC PC | Y |
| Yehia I Elsafy M D P L C | Y |
ACO governing body:
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
*All Board Members have voting capacity
Key ACO clinical and administrative leadership:
| Eric McBride | ACO Executive |
| Mohammed Siddique | Medical Director |
| Julie Moser | Compliance Officer |
| Kimberly Gray | Quality Assurance/Improvement Officer |
Associated committees and committee leadership:
| Committee Name | Committee Leader Name and Position |
| Finance Committee | Neil Belgiano, MD |
| Quality Committee | Mohamed Siddique, MD |
| Medical Management | Greg Berger, MD |
Types of ACO participants, or combinations of participants, that formed the ACO:
- Networks of individual practices of ACO professionals